MRI identifies compression fractures before cementing

MRI identifies compression fractures before cementing
In patients with suspected vertebral compression fractures, the addition of magnetic resonance imaging reduces the rate of misdiagnosis of acute lesions and hidden lesions before percutaneous cement augmentation procedures, according to a study published in the May issue of the Journal of Spinal Disorders & Techniques.

(HealthDay)—In patients with suspected vertebral compression fractures, the addition of magnetic resonance imaging (MRI) reduces the rate of misdiagnosis of acute lesions and hidden lesions before percutaneous cement augmentation procedures, according to a study published in the May issue of the Journal of Spinal Disorders & Techniques.

Si Young Park, M.D., Ph.D., from the Korea University College of Medicine in Seoul, and colleagues studied 168 patients (at least 50 years of age) who were hospitalized via the emergency room with acute severe back pain and suspected acute osteoporotic vertebral compression fractures. Patients initially received standard plain radiographs and a computed tomography (CT) of the spine, followed by MRI with short-tau inversion recovery (STIR) sequencing of the spine.

The researchers found that among the 125 patients with a single fracture, as diagnosed by standard radiographs and CT, the concordance rate of diagnosis (the agreement between the level and number of fractures found by standard radiographs and CT compared with MRI) was 77 percent and the discordance rate was 23 percent. Among the 43 patients with multiple fractures of the vertebral body, the discordance rate was 65 percent. The rate of misdiagnosis was significantly higher for the multiple group.

"MRI with STIR sequencing exhibited a multitude of benefits in the exact identification of acute lesions and hidden ," Park and colleagues conclude. "Because of the high rate of using standard plain radiographs and CT scans of the spine for osteoporotic fractures, MRI with STIR sequencing should be considered before cement augmentation procedures."

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Kyphoplasty superior to vertebroplasty for vertebral fx

date Aug 27, 2012

(HealthDay)—For people with osteoporotic vertebral compression fractures, kyphoplasty (KP) is superior to vertebroplasty (VP) for correcting kyphosis, restoring vertebral height, and preventing leakage ...

Spondylolisthesis linked to spinous process fractures

date Jun 02, 2012

(HealthDay) -- There is a strong association between degenerative spondylolisthesis and spinous process fracture in patients undergoing interspinous process spacer (IPS) surgery, according to a study published ...

Bone metabolism, vitamin D key in postkyphoplasty breaks

date Apr 25, 2012

(HealthDay) -- For postmenopausal women with osteoporosis, bone metabolism and 25-hydroxyvitamin D (25[OH]D) levels are associated with postkyphoplasty recurrent vertebral compression fractures, according ...

Recommended for you

'Ebola will return', veteran scientist warns

date 5 hours ago

Congolese expert Jean-Jacques Muyembe may be little known to the public, but he has been one of the world's top Ebola investigators since the first epidemic erupted in central Africa in 1976.

Score IDs patients with upper extremity DVT at low risk

date 21 hours ago

(HealthDay)—For patients with upper-extremity deep vein thrombosis (DVT), six easily available factors can be used to create a score that identifies those at low risk of adverse events during the first ...

Combined drug treatment combats kidney disease

date May 29, 2015

A recent discovery by drug researchers whereby coupling specific cell membrane receptors has altered kidney cell function has triggered a re-think of how to treat chronic kidney disease (CKD) more effectively.

Active substance targeting dreaded hospital germs

date May 29, 2015

In the German Center for Infection Research (DZIF), scientists have conducted clinical studies on an active substance against the dreaded hospital pathogen Staphylococcus aureus: a highly effective protein from bacteriophages ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.