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65例脊柱损伤病人,用X线摄片和CT扫描检查发现,X片对脊柱屈曲性损伤,椎节脱位、半脱位容易确诊,对某些类型骨折较易误诊和漏诊,诊断符合率为81.35%。CT扫描可显示骨折部位、类型、骨折片的移位以及骨折片突入椎管、椎管狭窄、急性外伤椎间盘脱出、血肿所致的脊髓损害,还能显示多发性椎体骨折和附件骨折。椎体后缘骨折片不同程度突入椎管占55.4%,与椎体骨折类型有关。CT扫描对脊柱损伤的诊断符合率为97.5%。
65 cases of spinal injury patients, X-ray and CT scan examination found that X-ray flexion of the spine, spondylolisthesis, subluxation easily diagnosed, misdiagnosis and missed diagnosis of some types of fractures, the diagnostic accuracy of 81 .35%. CT scan can show the fracture site, type, fracture plate displacement and fracture fragments into the spinal canal, spinal stenosis, acute traumatic disc herniation, spinal cord injury caused by hematoma, but also shows multiple vertebral fractures and attachment fractures. Vertebral trabecular fracture in varying degrees into the vertebral canal accounted for 55.4%, and vertebral fracture type. The diagnostic accuracy of CT scan for spinal injury was 97.5%.