![]() ![]() T1W images: Offer an excellent anatomic overview and better characterization of osseous fractures. The protocol for spinal injury including sagittal T1 weighted (T1W), T2 weighted (T2W) spin echo sequences, sagittal short tau inversion recovery (STIR) sequence and axial T2W sequences. MRI technique: MRI study was performed by using a 1.5 T machine (Achieva, Philips medical system, Eindhoven, Netherlands).All patients underwent the MRI examination within the first week after trauma. The patient was positioned supine on the MRI table. Preparation and protocolĭetailed clarification of imaging procedure. Pathological fractures (tumors, infection, etc.) without trauma as well as any surgical intervention before MRI. claustrophobia, an implanted magnetic device or pacemakers. The exclusion criteria included general contraindications for MRI, e.g. Our study included 70 patients older than 18 years suffering from acute thoracic and/or lumbar vertebral injuries. TLICS has three main contributors: injury morphology, status of the posterior ligamentous complex (PLC), and neurological status (Table 1). This allows a more accurate diagnosis and, consequentially, better management of the case. The TLICS system was developed to aid in the diagnosis and decision-making of thoraco-lumbar spinal trauma. īecause MRI can assess nerve root, spinal cord, and posterior cruciate ligament (PLC) damage, it plays an important role after initial evaluation with CT and/or X-rays, especially when neurological damage is suspected. ![]() Conventional radiographs and computed tomography (CT) are the initial imaging modalities used in the diagnosis of spinal injuries. This is possibly attributed to the small canal diameter contrary to the cervical or lumbar spine, which have a relatively wider canal. Thoracolumbar (TL) fractures are the commonest traumatic injuries of the spinal column, usually involving the levels T10 to L2. ![]() Conclusionīoth TL AOSIS and TLICS have very close results in their reliability for guiding treatment strategy, yet TL AOSIS matched treatment recommendation more than TLICS, with sensitivity more than TLICS, while TLICS had more specificity.Īcute spine trauma has a devastating effect on both patients as well as their families. The TL AOSIS achieved sensitivity 95%, specificity 80%, while the TLICS achieved sensitivity 72.2%, specificity 100%. Out of 70 patients included in our study, the TL AOSIS matched treatment recommendation in 62 patients (88.6%), and the TLICS matched in 60 patients (85.7%). The MRI was viewed by two independent radiologists of 5- and 10-years’ experience and compared to surgical decisions. ![]() All patients underwent MRI including T1WI, T2W and STIR sequences. This study is a retrospective study that included 70 patients (42 males and 28 females) who suffered acute traumatic vertebral fractures. The aim of our study is to compare these two main thoracolumbar injury classification systems in deciding the management strategies in thoraco-lumbar injuries. The thoracolumbar injury classification and severity score system (TLICS) and the thoracolumbar AO Spine injury score (TLAOSIS), are two scoring systems designed to help surgeons in management plans of thoraco-lumbar injuries. Magnetic resonance is the gold standard of imaging, especially in patients suffering from neurological deficits as well as in soft tissue assessment mainly the disc, ligaments, and neural elements. Complete neurological deficits are commonly associated with thoracic injuries possibly due to a relatively small canal diameter as compared to the cervical or lumbar spine. The thoracic segment represents the most common area fractured in the whole spine. ![]()
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