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    Computed tomography findings in traumatic fractures of thoracic and lumbar vertebrae
    (Derman Medical Publishing secretary@jcam.com.tr, 2016) Ayaz, Ümit Yas?ar; Tüzün, Meri?; Ayaz, Sevin; Teber, Mehmet Akif; Heki?moğlu, Baki
    Aim: We aimed to differentiate major traumatic fractures of thoracic and lumbar vertebrae by using axial computed tomography (CT) images. Material and Method: Axial CT images of 14 patients (nine males, five females) who were diagnosed to have acute thoracic and lumbar spinal injuries, including only compression and/or burst fractures, were evaluated in this retrospective study. Denis classification was used. Results: In 64.3% (n=9/14) of the patients fractures occurred as the result of a fall and in 35.7% (n=5/14) of the patients the reason for the fracture was reported to be a traffic accident. In 78.6% (n=11/14) of the patients, no signs of spinal cord/nerve root injury could be detected at physical examination and in 21.4% (n=3/14) of the patients there were signs of spinal cord/nerve root injury. Of the fractured vertebrae, 86.7% (n=13/15) were lumbar and 13.3% (n=2/15) were thoracic. The thoracolumbar junction (T11-L2) was the most frequent site (73.3%, n=11/15) for compression and burst fractures, L1 being the most frequently involved vertebra (53.3%, n=8/15). Compression and burst fractures were demonstrated in 53.3% (n=8/15) and 46.7% (n=7/15) of the vertebrae, respectively. In 71.4% (n=5/7) of the burst fractures, displacement of bony fragments into the spinal canal (retropulsion) were demonstrated and in 60% (n=3/5) of the patients with retropulsion, serious neurological deficits were present. Discussion: More than 2/3 of the traumatic vertebral fractures were detected in the thoracolumbar junction (T11-L2). Axial CT images are effective in differentiating compression and burst fractures of thoracic and lumbar vertebrae. © 2017 Elsevier B.V., All rights reserved.