Imaging features of spinal fractures in ankylosing spondylitis and the diagnostic value of different imaging methods

Ren, Chenhua; Zhu, Qiao; Yuan, Huishu

doi:10.21037/qims-20-962

Cited by 7 publications

(4 citation statements)

References 30 publications

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“…Recent medical literature shows a significant increase in the use of 3D imaging as a diagnostic tool in many clinical cases, including facial fractures (de Carvalho et al 2021 , Wickwire et al 2022 ), naso-orbital-ethmoid fractures (Onisor 2022 ), cervical fractures (Ren et al 2021 ) and orbital blowout fractures (Jansen et al 2018 ). Researchers have also used this technology to conduct virtual surgery on the scaphoid bone (Faudot et al 2021 ) while other studies have used it to scan the peri-orbital region for a very high clinical accuracy (Hollander et al 2021 ).…”

Section: Discussionmentioning

confidence: 99%

A comparative analysis of the CP and CG using 2D and 3D visualisation approaches

Boulton,

Kwa,

Al-Rubaie

2023

Anat Sci Int

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Investigations on the structural variations in the cribriform plate (CP), olfactory foramina and the Crista Galli showcase the benefits of using 3D imaging on smaller structures. These techniques reveal accurate details about bone morphology and density. Comparing different techniques, this project aims to examine the correlation between the CP, olfactory foramina, and Crista Galli. Computed tomography was used to translate and apply the findings acquired from the samples in radiographic studies on CPs for potential clinical significance. The findings show that the surface area measurements were significantly larger when using 3D imaging techniques in comparison with the 2D counterpart. Using 2D imaging, the maximum surface area of the CPs was 239.54 mm2, however, paired 3D samples showed the maximum surface area was 355.51 mm2. The findings show that Crista Galli’s dimensions varied greatly, with length ranging from 15 to 26 mm, height ranging from 5 to 18 mm, and width ranging from 2 to 7 mm. The 3D imaging allowed for surface area measurements on the Crista Galli, and the surface area ranged from 130 to 390 mm2. When 3D imaging was used, significant correlations were found between the surface area of the CP and the length of the Crista Galli (p = 0.001). The findings show that measurements on the Crista Galli using 2D and 3D reconstructed radiographic imaging reflect similar ranges of dimensions to 3D imaging measurements. The findings also suggest that the Crista Galli may increase in length with the CP to support the latter and olfactory bulb during trauma which may be used by clinicians alongside 2D CT scans for optimal diagnosis.

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Section: Discussionmentioning

confidence: 99%

A comparative analysis of the CP and CG using 2D and 3D visualisation approaches

Boulton,

Kwa,

Al-Rubaie

2023

Anat Sci Int

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“…14 El movimiento continuo de los segmentos de la fractura conlleva complicaciones secundarias, como pseudoartrosis funcional. 15 En nuestro paciente es difícil precisar el tiempo de evolución de la fractura, pero, por las características de la pseudoartrosis y la historia del dolor crónico, deducimos que fue varios años atrás.…”

Section: Discussionunclassified

Manejo de pseudoartrosis lumbar en un paciente con espondilitis anquilosante. Reporte de caso y revisión de la literatura

Ramírez Abrego,

Dittmar Johnson,

Cruz López

et al. 2023

Cir Columna

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“…Over 80% of patients have a secondary decline in neurologic function when there is a delay in diagnosis ( 39 ). Therefore, early diagnosis and intervention in AS patients with cervical fractures may minimise the risk of complications ( 45 ). Similarly, Our results partially support this conclusion.…”

Section: Discussionmentioning

confidence: 99%

Instantaneous death risk, conditional survival and optimal surgery timing in cervical fracture patients with ankylosing spondylitis: A national multicentre retrospective study

et al. 2022

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Background: The mortality rate in patients with ankylosing spondylitis (AS) and cervical fracture is relatively high.Objectives: This study aimed to investigate the instantaneous death risk and conditional survival (CS) in patients with AS and cervical fracture. We also studied the relationship between surgical timing and the incidence of complications.Methods: This national multicentre retrospective study included 459 patients with AS and cervical fractures between 2003 and 2019. The hazard function was used to determine the risk of instantaneous death. The five-year CS was calculated to show the dynamic changes in prognosis.Results: The instantaneous death risk was relatively high in the first 6 months and gradually decreased over time in patients with AS and cervical fracture. For patients who did not undergo surgery, the instantaneous risk of death was relatively high in the first 15 months and gradually decreased over time. For patients with American Spinal Injury Association impairment scale (ASIA) A and B, the 5-year CS was 55.3% at baseline, and improved steadily to 88.4% at 2 years. Odds ratios (ORs) for pneumonia, electrolyte disturbance, respiratory insufficiency, and phlebothrombosis decreased as the surgery timing increased. Conclusion:Deaths occurred mainly in the first 6 months after injury and gradually decreased over time. Our study highlights the need for continued surveillance and care in patients with AS with cervical fractures and provides useful survival estimates for both surgeons and patients. We also observed that early surgery can significantly increase functional recovery, and decrease the incidence of complications and rehospitalisation.

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Imaging features of spinal fractures in ankylosing spondylitis and the diagnostic value of different imaging methods

Cited by 7 publications

References 30 publications

A comparative analysis of the CP and CG using 2D and 3D visualisation approaches

A comparative analysis of the CP and CG using 2D and 3D visualisation approaches

Manejo de pseudoartrosis lumbar en un paciente con espondilitis anquilosante. Reporte de caso y revisión de la literatura

Instantaneous death risk, conditional survival and optimal surgery timing in cervical fracture patients with ankylosing spondylitis: A national multicentre retrospective study

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