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目的探讨X线和CT在胸腰椎骨折中的诊断价值。结果50例胸腰椎骨折均行X线和CT检查。方法50例62个椎体骨折中单椎体骨折41例、多椎体骨折9例。压缩型骨折37个椎体,爆裂型骨折21个椎体,骨折脱位型4个椎体。结论X线平片对胸腰椎骨折有一定的诊断价值,但CT在显示椎体三柱结构、骨折线、小关节脱位、椎管狭窄程度、脊柱稳定性及判断脊髓损伤等有明显优势。
Objective To investigate the diagnostic value of X-ray and CT in thoracolumbar fractures. Results 50 cases of thoracolumbar fractures were examined by X-ray and CT. Methods Fifty-two 62 vertebral fractures were treated with single vertebral fracture in 41 cases and multiple vertebral fractures in 9 cases. 37 fractures of compression fractures, 21 fractures of fractures, and 4 vertebrae of fractures and dislocations. Conclusion X-ray has some diagnostic value in the treatment of thoracolumbar fractures. However, CT has obvious advantages in displaying the three-column structure of vertebral body, the fracture line, the dislocation of facet joint, the degree of spinal canal stenosis, the stability of spinal column and the diagnosis of spinal cord injury.