Necessity of thoracic magnetic resonance imaging in elderly patients with lumbar compression fractures
Objective To evaluate the necessity of additional thoracic magnetic resonance imaging(MRI)in elderly patients with lumbar compression fractures.Methods One thousand and five hundred and four cases of lumbar fractures treated with percutaneous vertebroplasty(PVP)or percutaneous kyphoplasty(PKP)from January 2018 to March 2023 at the Second Affili-ated Hospital of Suzhou University were included.Thoracic and lumbar X-ray,CT,and MRI examinations were performed be-fore surgery.According to the patient's age,statistics were conducted in the 10-year age groups.The number and proportion of patients with lumbar fractures in each age group who combined with new thoracic fractures were analyzed.Simultaneously,the number and proportion of new thoracic fractures combined with lumbar fractures in each segment were recorded as well as the location,quantity,and proportion of new common thoracic fractures.Results A total of 1504 cases(the lumbar MRI examina-tion at the author's hospital could cover T11-L5 vertebrae)were included,with 1158 females and 346 males,age(73.42±4.38)years old.There were 196 cases(13.03％)with new thoracic fractures.According to statistics conducted on the 10-year age groups,the detection rate of new thoracic fractures in patients aged 51 to over 90 is ≥10％for each age group.Analysis was con-ducted on each fracture segment from T11 to L5.And except for T12,L,and L2,the incidence of new thoracic fractures in all other segments was ≥10％.The top three most common sites for new thoracic fractures are T10(55 vertebrae,24.66％),T9(49 vertebrae,21.97％),and T8(47 vertebrae,21.08％).Conclusion Elderly patients with lumbar compression fractures may combine with thoracic fractures at the same time,so it is necessary to carry out additional thoracic magnetic resonance examination for such pa-tients to assess the overall spinal condition.
Lumbar compression fractureThoracic magnetic resonance imagingNecessityElderly patients
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