X-RAY AND COMPUTED TOMOGRAPHY IMAGING IN DIAGNOSIS OF C1-C2 TRAUMATIC DISLOCATION

Gia Du Hoàng1,, Văn Trung Nguyễn1
1 Bach Mai hospital

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Abstract

Objectives: Analyzing and comparing of x-ray and computed tomography imaging features in diagnosis of C1-C2 traumatic dislocation. Methods: Cross-sectional descripted retrospective studing of 13 traumatic C1-C2 fracture patients were diagnosed in Viet Duc hospital from January 2010 to June 2012. Results: On X-ray images: C1-C2 dislocation was mostly diagnosed by sagittal plane x-rays (92,3%), anterior-posterior plane x-rays could not show C1-C2 dislocation. The corresponding ratio of x-ray and computed tomography scan was quiet low (Kappa = 0,4797). Type 2 and Type 3 of C1-C2 dislocation were the most popular rate (69,2%), type 4 was lower (23,1%), that all were odontoid pseudoarthrosis. Conclusion: lateral X-ray was worth in C1-C2 dislocation diagnosis. Moreover, 3 dimensions computed tomography was more effective in diagnosis of C1-C2 traumatic dislocation.

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References

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