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)

add to favorites email to friend print save as pdf

Related Stories

Kyphoplasty superior to vertebroplasty for vertebral fx

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

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

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 reveals shortcomings of African solidarity

4 hours ago

As Africa's leaders meet in Ethiopia to discuss the Ebola crisis, expectations of firm action will be tempered by criticism over the continent's poor record in the early stages of the epidemic.

Second bird flu case confirmed in Canada

20 hours ago

The husband of a Canadian who was diagnosed earlier this week with bird flu after returning from a trip to China has also tested positive for the virus, health officials said Friday.

What exactly is coronavirus?

Jan 30, 2015

The conflicts in Syria and Iraq are straining public health systems and public health efforts meant to prevent and detect the spread of infectious diseases. This is generating a "perfect storm" of conditions for outbreaks. Among the infections raising concern is Middle East Respiratory Syndrome, caused by a type of coronavirus, which emerged in 2012. ...

Scientists find Ebola virus is mutating

Jan 30, 2015

(Medical Xpress)—Researchers working at Institut Pasteur in France have found that the Ebola virus is mutating "a lot" causing concern in the African countries where the virus has killed over eight thous ...

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.