Document Detail

Radiographic outcome of vertebral bone bruise associated with fracture of the thoracic and lumbar spine in adults.
MedLine Citation:
PMID:  15452704     Owner:  NLM     Status:  MEDLINE    
Bone bruising associated with long bone injury is a defined entity with known radiological, pathologic and clinical features. Vertebral bone bruise (VBB) has been described through magnetic resonance imaging (MRI) of the injured spine, but to date the consequences of this entity are unknown. The objective of this retrospective study was to describe the plain radiographic outcome of MRI-defined VBB associated with thoracic and lumbar spine fracture in adults, and to assess whether VBBs caused abnormalities of the bone-implant interface at instrumented levels. Levels of VBB were identified through analysis of the full spine MRI in a consecutive series of adult patients admitted to a spinal injuries unit for thoracic and lumbar spine fractures. The anterior wedge angles (AWAs) of thoracic and lumbar vertebrae demonstrating VBB were measured on radiographs taken at time of injury and at follow-up. Abnormalities of the bone--implant interface were recorded at instrumented levels associated with VBB on follow-up radiographs. Thirty VBBs were identified in 18 adult patients who had suffered 21 vertebral fractures. At an average follow-up of 19 months (range, 12--30 months), the mean AWAs of the VBB vertebrae at the time of injury and at the most recent follow-up were 3.5 degrees and 3.8 degrees , respectively (p=0.33, paired t-test). A total of 12 out of 30 (40%) bruised levels were instrumented in 13 out of 18 (72%) operated patients. No bone--implant interface failure was observed at these levels. It is concluded that VBB associated with thoracic and lumbar vertebral fracture in adult patients does not appear to cause significant progressive vertebral deformity or bone--implant interface failure.
Marco Teli; Nick de Roeck; Maxim D Horwitz; Maxim D Horowitz; Asif Saifuddin; Ruth Green; Hilali Noordeen
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Publication Detail:
Type:  Journal Article     Date:  2004-09-28
Journal Detail:
Title:  European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society     Volume:  14     ISSN:  0940-6719     ISO Abbreviation:  Eur Spine J     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-08-11     Completed Date:  2005-12-14     Revised Date:  2013-06-09    
Medline Journal Info:
Nlm Unique ID:  9301980     Medline TA:  Eur Spine J     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  541-5     Citation Subset:  IM    
Royal National Orthopaedic Hospital NHS Trust, Stanmore, UK.
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MeSH Terms
Contusions / etiology,  pathology*
Follow-Up Studies
Lumbar Vertebrae / blood supply,  injuries*,  pathology
Magnetic Resonance Imaging / methods*
Middle Aged
Retrospective Studies
Spinal Fractures / complications,  pathology*,  surgery
Spinal Fusion
Spinal Injuries / complications,  pathology*,  surgery
Thoracic Vertebrae / blood supply,  injuries*,  pathology
Treatment Outcome
Erratum In:
Eur Spine J. 2006 Mar;15(3):386
Note: Horowitz, Maxim D [corrected to Horwitz, Maxim D]

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