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Radiological features of traumatic vertebral endplate fracture:an analysis of 194 cases with 263 vertebral fractures

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Chinese Medical Journal 2020年第22期133卷 2696-2702页

作者： Xiao-Rong Wang Fei-Rong Xu Qiu-Li Huang Yi Xiang J.Wang Department of Radiology Ningbo First HospitalNingboZhejiang 315010China Department of Imaging and Interventional Radiology Faculty of MedicinePrince of Wales HospitalThe Chinese University of Hong KongHong KongChina Department of Radiology Ningbo Women and Children's HospitalNingboZhejiang 315012China

Background:The importance of identifying osteoporotic vertebral endplate or/and cortex fracture(ECF),which primarily includes endplate fracture(EPF)and vertebral anterior cortex buckling,has been ***,some old traumatic ECFs with healing process in the elderly may be mistaken as *** study analyzes the radiological features of traumatic ***:This was a retrospective analysis of 194 spine trauma patients with 263 vertebral fractures(mean age:42.11±9.82 years,118 males and 76 females).All patients had traumatic EPF identified by X-ray/CT/***:The involved vertebra was mostly L1(29.7%),followed by T12 and *** EPFs involved both superior and inferior endplates(12.6%),only 1.9%involved inferior endplate alone,with the majority involved superior *** each endplate was divided into five segments of equal lengths(from anterior to posterior:a1,a2,m,p2,p1),the most depressed point of superior EPFs was mostly at segment-a2(approximately 45%),followed by segment-a1(approximately 20%)or segment-m(approximately 20%),and very rarely at *** upper 1/3 of anterior vertebral wall was more likely to fracture,followed by middle 1/3 of anterior *** posterior vertebral wall fracture,68.5%broke the bony wall surrounding the basivertebral vain.58.6%,30.0%,and 11.4%of vertebral fractures had1/3 vertebral body height *** the extent of vertebral height loss increased,the chance of having both superior and inferior EPFs also increased;however,the chance of having inferior EPF alone did not ***:Traumatic EPF features are characterized,which may help the differentiation of traumatic and osteoporotic EPFs.

关键词： Spine vertebral fracture Endplate Traumatic vertebral cortex

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