X-RAY AND COMPUTED TOMOGRAPHY SCAN IMAGING IN ATLAS FRACTURE DIAGNOSIS

Gia Du Hoàng1,, Dương Hương Ly Bùi 2
1 Bach Mai hospital
2 Hanoi Oncology Hospital

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Abstract

Objectives: Analyzing and comparing of x-ray imaging and computed tomography features in C1(Atlas) fracture diagnosis. Methods: Cross- sectional descripted retrospective studing of 16 C1 frature patients were diagnosed in Viet Duc hospital from January 2010 to June 2012. Results: On X-ray imanges: C1 frature was mostly diagnosed by the open mouth radiographs (62,5 %), anterior-posterior plane x-rays could not show C1 fracture. False negative ratio of x-ray was 37,5%, the corresponding ratio of x-rays and computed tomography scans was low. C1 fracture type II was the most (75%), 8/16 patients had Spence > 6,9mm. Conclusion: X-rays was worth in C1 fracture diagnosis, in which open mouth radiographs is the best. Moreover, because of X-ray had high false negative ratio, computed tomography scan was more effective in C1 fracture diagnosis.

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References

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