The Imageologic Diagnosis And Analysis Of Thoracic & Lumbar Vertebral Compression Fracture

Objectives1. To investigate the relationship between the compression extent and the change of kyphosis in thoracic & lumbar vertebral compression fracture, and provide theoretical basis for clinical therapy.2. To analyze the characteristics of impairment and imageology of non-pathologic thoracic & lumbar vertebral compression fracture, and raise some referrence for clinical prevention and therapy.Methods1. From the X-ray plain films of 108 patients with thoracic & lumbar vertebral compression fracture, the cuneal-changed degree, kyphotic Cobb angle and the succession of posterior vertebral body line (PVBL) were observed and measured. The variability among them, varying with different compression extent, were analyzed by SPSS software.2. The clinical data and imageology reports of 120 patients with nonpathologic vertebral compression fracture between 2006 and 2007 were collected, and the characteristics of age and gender, injured vertebral levels, causes of injury, methods of therapy and assessment were all studied.Results 1. Both the cuneal-changed degree and kyphotic Cobb angle had significant variability with the different compression extent (P<0.05).2. There were individual characteristic of X-ray, Computerized Tomography(CT) and Magnetic Resonance Imaging(MRI), the old people were most likely to be the victims of nonpathologic vertebral compression fractures, mean age of men 55.0±15 years, mean age of women 58.5±14.7years. L1 and T12 were the mostly involved levels in vertebral compression fractures. There were significant vairance of lower limb myodynamia between pro-treatment and post-treatment (P<0.05) as well as non-surgical treatment and operative therapy (P<0.05). Potential osteoporosis and degeneration of vertebral body were the most popular reasons of the old victims. The sudden brake was the main cause of vertebral compression fractures in buses(P<0.05).Conclusions1. There was significant correlation between the compression extent and the change of kyphosis in thoracic & lumbar vertebral compression fracture, and both the cuneal-changed degree and kyphotic Cobb angle had significant variability with the different compression extent (P<0.05).2. Antidiastoles should be emphasised in the imageologic diagnosis of thoracic & lumbar vertebral compression fracture first, and the preventive methods should be taken to protect the old people from vertebral compression fracture. If happened, then effective therapies should be adopted to treat the vertebral compression fracture with the compression degree more than 1/3.