CT for thoracic and lumbar spine fractures: Can CT findings accurately predict posterior ligament complex injury?
Bharti KhuranaLuciano M PrevedelloChristopher M BonoErwin LinSteven T McCormackHamdi JimaleMitchel B HarrisAaron D SodicksonPublished in: 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 (2018)
While no individual CT finding is sufficiently accurate to diagnose or exclude PLC injury, greater the number of positive CT findings (VBT, PLF, ISW, and SPF), the higher the odds of PLC injury. The presence of a single abnormal CT finding may warrant confirmatory MRI for PLC injury, while two or more CT findings may have adequate specificity to avoid need for MRI prior to surgical intervention. These slides can be retrieved under Electronic Supplementary Material.