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Fractures in the transverse processes of the lumbar spine and sacrum are considered relatively minor injuries in patients with spine trauma (1) and are usually untreated. Nevertheless, these fractures should be detected because previously published studies reported that 21–51% of patients with transverse process fractures had been associated with abdominal visceral injuries (2, 3). In addition, sacral fractures, often undiagnosed and untreated, frequently lead to chronic neurological sequelae and an undetermined cause of low back pain (4). Unfortunately, the entire sacrum is usually incompletely included in the field of view on routine lumbosacral magnetic resonance (MR) axial sequences, which increases the probability of missing a diagnosis. The clinical use of magnetic resonance imaging (MRI) in patients with spine trauma has been considered the final imaging diagnostic technique owing to its multiplanar capacity, and ability to assess muscles, ligaments, spinal cord, and spinal canal (5). Furthermore, currently, MRI is cheaper and more widely available in Korea. Importance of Bone Marrow and Soft Tissue Edema to Improve the Diagnostic Accuracy of Lumbosacral MRI for Transverse Process Fractures and Sacral Fractures

daehan yeongsang uihak hoeji/daehan yeongsang ui haghoeji

Importance of Bone Marrow and Soft Tissue Edema to Improve the Diagnostic Accuracy of Lumbosacral MRI for Transverse Process Fractures and Sacral Fractures