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Utilizing the “ligamentum flavum hole” to establish initially missed kind B vertebral fractures.
Surg Neurol Int. 2018;9:5
Authors: Alfredo G, Carlos Z, Nelson P, Alfredo S, Alejandro MC, Asdrúbal F
Summary
Background: Backbone fractures could contain the ligamentum flavum (LF). Right here, we utilized the “ligamentum flavum hole,” outlined by the discontinuity of the LF on the stage of a vertebral fracture, to doc a vertebral fracture.
Strategies: Using X-rays, computed tomography (CT), and magnetic resonance (MR) research, 10 sufferers with kind B vertebral fractures had been recognized with the ligamentum flavum hole (LFG: discontinuity of the LF) on the fracture ranges. The fractures had been situated in 2 sufferers within the cervical and eight within the thoracolumbar backbone.
Outcomes: All 10 sufferers with vertebral fractures had complained of axial ache. 4 additionally confirmed progressive thoracic kyphosis. Notably, all demonstrated a lack of continuity within the LF on the stage of fracture “ligamentum flavum hole.” T2-weighted and brief tau inversion restoration (STIR) MR sagittal research had been greatest at finding LFG on the stage of a fracture.
Conclusion: Right here, we recognized greatest on sagittal T2 and STIR-weighted MR research 10 sufferers for whom discontinuity of the ligamentum flavum (LFG) correlated with the placement of kind B vertebral fractures.
PMID: 29399377 [PubMed]