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VERTEBRAL DISPLACEMENT ON HEAD MSCT IN THE DIAGNOSIS OF UPPER CERVICAL SPINE TRAUMA
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Abstract
Objective: Study the different distances in vertebral body translation in upper cervical spine trauma (UCST) on head MSCT. Materialss and Methods: A descriptive study comparing 40 cases, including 20 patients with (UCST) and 20 patients without UCST, who underwent MSCT scans at Viet-Duc Hospital from January 2019 to July 2023. Results: The study comprised 30 males and 10 females, with the UCST group consisting of 16 males and 4 females (p<0.05). The mean age was 45.3±18.06 years, with the UCST group being slightly older at 48.4±19.36 years. At the C0-C1 level, the mean discrepancy of C0/C1 translation (UCST group: 1.57 ± 2.64 mm and non-UCST group: 0,03±0,28 mm, p<0.01) and mean discreapancy of C0/C1 joint width (0.56 ± 1.62 mm and 0.03 ± 0.047 mm, p<0.01) showed statistically significant differences. At the C1-C2 level, the mean atlanto- dens interval (2.28 ± 0.869 mm and 2.07 ± 0.528 mm, p<0.05), mean diffenrence of C1-C2 translation (1.3 ± 1.827 mm and 0.02 ± 0.037 mm, p<0.01), and mean diffenrence of C1-C2 joint width (0.49 ± 0.415 mm and 0,06±0,073mm, p<0.01) exhibited significant differences. Furthermore, the mean odontoid process displacement was 0.94 ± 1.986 mm, and the mean odontoid process angulation was 4.98 ± 9.905 degrees in the UCST group, while there was no displacement or angulation in the non-UCST group (p<0.01). Conclusion: The vertebral displacement on head MSCT plays an important role in the diagnosis of upper cervical spine trauma.
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References
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