Diagnostic Imaging of Thoracolumbar Spine Traumas
A Comprehensive Systematic Review
Keywords:
Thoracolumbar, spine, trauma, diagnostic, imagingAbstract
Background: Thoracolumbar (TL) fractures are among the most common spine injuries encountered in emergency trauma care with burst fractures accounting for 10% to 20% of all spinal fractures. Methods: This systematic review focused on full-text English literature published between 2014 and 2024 using the PRISMA 2020 guidelines. Editorials and review pieces published in the same journal as the submission without a DOI were not accepted. The literature was compiled using PubMed, ScienceDirect, and SagePub, among other online venues. Result: Five publications were found to be directly related to our ongoing systematic examination after a rigorous three-level screening approach. Subsequently, a comprehensive analysis of the complete text was conducted, and additional scrutiny was given to these articles. Conclusion: MRI is more sensitive than other imaging modalities in the diagnosis of soft tissue and spinal cord injuries.
References
Maheswaran A, Aiyer SN, Farouk O, El-Sharkawi M, Park JB, O’Brien A, et al. Assessment of Interobserver Variability for CT Scan–Based Evaluation of Posterior Ligament Complex Injury in Thoracolumbar Fractures: An International Multicenter Pilot Study. Glob Spine J. 2020;10(2):118–29.
Hax J, Halvachizadeh S, Jensen KO, Berk T, Teuber H, Di Primio T, et al. Curiosity or underdiagnosed? Injuries to thoracolumbar spine with concomitant trauma to pancreas. J Clin Med. 2021;10(4):1–9.
Ikwuegbuenyi CA, Waterkeyn F, Okembo A, Bureta C, Kassim O, Shabani HK, et al. Presentation , Management , and Outcomes of Thoracic , Thoracolumbar , and Lumbar Spine Trauma in East Africa : A Cohort Study Presentation , Management , and Outcomes of Thoracic , Thoracolumbar , and Lumbar Spine Trauma in East Africa : A Cohort Study. 2024;
Gamanagatti S, Rathinam D, Rangarajan K, Kumar A, Farooque K, Sharma V. Imaging evaluation of traumatic thoracolumbar spine injuries: Radiological review. World J Radiol. 2015;7(9):253.
Santiago FR, Muñoz PT, Sánchez EM, Paniza MR, Martínez AM, Abela ALP. Classifying thoracolumbar fractures: Role of quantitative imaging. Quant Imaging Med Surg. 2016;6(6):772–84.
Lee GY, Hwang JY, Kim NR, Kang Y, Choi M, Kim J, et al. Primary imaging test for suspected traumatic thoracolumbar spine injury: 2017 guidelines by the Korean society of radiology and national evidence-based healthcare collaborating agency. Korean J Radiol. 2019;20(6):909–15.
Mehta G, Shetty UC, Meena D, Tiwari AK, Nama KG, Aseri D. Evaluation of Diagnostic Accuracy of Magnetic Resonance Imaging in Posterior Ligamentum Complex Injury of Thoracolumbar Spine. Asian Spine J. 2021;15(3):333–9.
Ganjeifar B, Keykhosravi E, Bahadorkhan G, Mashhadinezhad H, Ehsaei MR, Samini F, et al. Predictive value of computed tomography scan for posterior ligamentous complex injuries in patients with thoracolumbar spinal fractures. Arch Bone Jt Surg. 2019;7(4):321–4.
Nagi MAMA, Sakr MMS. Accuracy of MRI (TLICS vs AOSIS) in assessment of thoracolumbar spine injuries for guiding treatment. Egypt J Radiol Nucl Med [Internet]. 2022;53(1):1–11. Available from: https://doi.org/10.1186/s43055-022-00715-1
Kwon JA, Hwang JY, Kim MJ, Kwon HY, Kim DH. Importance of Bone Marrow and Soft Tissue Edema to Improve the Diagnostic Accuracy of Lumbosacral MRI for Transverse Process Fractures and Sacral Fractures. J Korean Soc Radiol. 2018;78(2):107.
Aly MM, Al-Shoaibi AM, Abduraba Ali S, Al Fattani A, Eldawoody H. How Often Would MRI Change the Thoracolumbar Fracture Classification or Decision-Making Compared to CT Alone? Glob Spine J. 2024;14(1):11–24.
Conger A, Case C, McCormick Z, Kendall R. Diagnostic imaging pitfalls of upper thoracic spine fractures. Pain Med (United States). 2020;21(5):1079–81.
Bajamal AH, Permana KR, Faris M, Zileli M, Peev NA. Classification and Radiological Diagnosis of Thoracolumbar Spine Fractures: WFNS Spine Committee Recommendations. Neurospine. 2021;18(4):656–66.
Aly MM, Bigdon SF, Speigl UJA, Camino-Willhuber G, Baeesa S, Schnake KJ. Towards a standardized reporting of the impact of magnetic resonance imaging on the decision-making of thoracolumbar fractures without neurological deficit: Conceptual framework and proposed methodology. Brain and Spine [Internet]. 2024;4(February):102787. Available from: https://doi.org/10.1016/j.bas.2024.102787
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