The progression of the vertebral body bruise associated with a spinal fracture
Abstract Background Advances in magnetic resonance imaging (MRI) have made it possible to find the vertebral body bruise (VBB), which was not found in computed tomography (CT) after trauma. There has been only one study with adult patients about whether traumatic VBB will cause a collapse of the ver...
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| Format: | Article |
| Language: | English |
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BMC
2022-05-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-022-05405-7 |
| _version_ | 1818202441688023040 |
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| author | Young-Woo Kim Seong-Hwan Moon Sung Hye Koh Ki Tae Kim Won Yong Yoon Jeong Hwan Lee Seonghyeon Kim Paul S. Sung Moon Soo Park |
| author_facet | Young-Woo Kim Seong-Hwan Moon Sung Hye Koh Ki Tae Kim Won Yong Yoon Jeong Hwan Lee Seonghyeon Kim Paul S. Sung Moon Soo Park |
| author_sort | Young-Woo Kim |
| collection | DOAJ |
| description | Abstract Background Advances in magnetic resonance imaging (MRI) have made it possible to find the vertebral body bruise (VBB), which was not found in computed tomography (CT) after trauma. There has been only one study with adult patients about whether traumatic VBB will cause a collapse of the vertebral body or not. The purpose is to elucidate the progression of VBB in non-osteoporotic adult patients and to identify the possible factors influencing the progression. Method The VBB was defined on MRI as band-like or diffuse zones of high signal intensity on T2-weighted sequences without fracture of the cortex based on CT. The study population with traumatic VBB associated with non-osteoporotic spinal fracture was composed of 15 females and 21 males. The minimal follow-up period was 6 months. The ratio of anterior to posterior heights of the VBB, the ratio of anterior heights of the VBB to the average of those of cranial and caudal adjacent vertebral bodies, the anterior wedge angle of the VBB, and the focal angle around the VBB were compared between the initial and final visits. We evaluated the age of the patients, the C2 plumb line distance, the regional location of VBB, the etiology of VBB, and the treatment methods of the fractures as possible risk factors influencing the progression. Results There was no difference in the ratios and angles between the initial and final visits. The differences in the ratios and angles between the initial and final visits were not dependent on the possible risk factors. The anterior superior area is the most common in the distribution of VBB. Conclusions Unlike compression fractures, the vertebral body with traumatic VBB found in adult patients with non-osteoporotic spinal fractures of AO classification A or B types did not develop collapse. In clinical practice, it is reasonable to diagnose it as a spinal fracture rather than a VBB if the collapse of a possible VBB occurs. |
| first_indexed | 2024-12-12T03:09:30Z |
| format | Article |
| id | doaj.art-4bf7bb9cc73c4727a2adc35cc7b98870 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-12T03:09:30Z |
| publishDate | 2022-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-4bf7bb9cc73c4727a2adc35cc7b988702022-12-22T00:40:26ZengBMCBMC Musculoskeletal Disorders1471-24742022-05-012311710.1186/s12891-022-05405-7The progression of the vertebral body bruise associated with a spinal fractureYoung-Woo Kim0Seong-Hwan Moon1Sung Hye Koh2Ki Tae Kim3Won Yong Yoon4Jeong Hwan Lee5Seonghyeon Kim6Paul S. Sung7Moon Soo Park8Department of Orthopaedic Surgery, Hallym University Dongtan Sacred Heart Hospital, Medical College of Hallym UniversityDepartment of Orthopaedic Surgery, Yonsei University College of MedicineDepartment of Radiology, Hallym University Sacred Heart Hospital, Medical College of Hallym UniversityDepartment of Orthopaedic Surgery, Hallym University Sacred Heart Hospital, Medical College of Hallym UniversityDepartment of Orthopaedic Surgery, Hallym University Sacred Heart Hospital, Medical College of Hallym UniversityDepartment of Orthopaedic Surgery, Hallym University Sacred Heart Hospital, Medical College of Hallym UniversityDepartment of Orthopaedic Surgery, Hallym University Dongtan Sacred Heart Hospital, Medical College of Hallym UniversityDepartment of Physical Therapy, Indiana Wesleyan UniversityDepartment of Orthopaedic Surgery, Hallym University Dongtan Sacred Heart Hospital, Medical College of Hallym UniversityAbstract Background Advances in magnetic resonance imaging (MRI) have made it possible to find the vertebral body bruise (VBB), which was not found in computed tomography (CT) after trauma. There has been only one study with adult patients about whether traumatic VBB will cause a collapse of the vertebral body or not. The purpose is to elucidate the progression of VBB in non-osteoporotic adult patients and to identify the possible factors influencing the progression. Method The VBB was defined on MRI as band-like or diffuse zones of high signal intensity on T2-weighted sequences without fracture of the cortex based on CT. The study population with traumatic VBB associated with non-osteoporotic spinal fracture was composed of 15 females and 21 males. The minimal follow-up period was 6 months. The ratio of anterior to posterior heights of the VBB, the ratio of anterior heights of the VBB to the average of those of cranial and caudal adjacent vertebral bodies, the anterior wedge angle of the VBB, and the focal angle around the VBB were compared between the initial and final visits. We evaluated the age of the patients, the C2 plumb line distance, the regional location of VBB, the etiology of VBB, and the treatment methods of the fractures as possible risk factors influencing the progression. Results There was no difference in the ratios and angles between the initial and final visits. The differences in the ratios and angles between the initial and final visits were not dependent on the possible risk factors. The anterior superior area is the most common in the distribution of VBB. Conclusions Unlike compression fractures, the vertebral body with traumatic VBB found in adult patients with non-osteoporotic spinal fractures of AO classification A or B types did not develop collapse. In clinical practice, it is reasonable to diagnose it as a spinal fracture rather than a VBB if the collapse of a possible VBB occurs.https://doi.org/10.1186/s12891-022-05405-7spineTraumaMRIVertebral body bruiseProgression |
| spellingShingle | Young-Woo Kim Seong-Hwan Moon Sung Hye Koh Ki Tae Kim Won Yong Yoon Jeong Hwan Lee Seonghyeon Kim Paul S. Sung Moon Soo Park The progression of the vertebral body bruise associated with a spinal fracture BMC Musculoskeletal Disorders spine Trauma MRI Vertebral body bruise Progression |
| title | The progression of the vertebral body bruise associated with a spinal fracture |
| title_full | The progression of the vertebral body bruise associated with a spinal fracture |
| title_fullStr | The progression of the vertebral body bruise associated with a spinal fracture |
| title_full_unstemmed | The progression of the vertebral body bruise associated with a spinal fracture |
| title_short | The progression of the vertebral body bruise associated with a spinal fracture |
| title_sort | progression of the vertebral body bruise associated with a spinal fracture |
| topic | spine Trauma MRI Vertebral body bruise Progression |
| url | https://doi.org/10.1186/s12891-022-05405-7 |
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