【摘要】 目的　探讨胸腰段脊柱爆裂性骨折在平片和CT的影像表现和诊断价值。方法　对 45例胸腰椎爆裂性骨折的X线正侧位片和CT轴扫的影像学进行回顾性分析。结果　 45例中A型 15例 ,B型 18例 ,D型 7例 ,E型 5例 ;三柱损伤 2 4例 ,二柱损伤2 1例 ;椎管狭窄 0° 5例 ,Ⅰ° 18例 ,Ⅱ° 2 0例 ,Ⅲ° 2例 ;椎体后缘线异常 3 3例。结论　在脊柱爆裂性骨折的检查中 ,X线平片和CT二者各有优缺点 ,必须相互结合才能提高诊断正确率。更多还原

【Abstract】 Objective To evaluate the radiographic and CT findings and its diagnostic value of burst fracture of thoracolumbar spine.Methods The features of the frontal and lateral X-ray films and CT in 45 cases of burst fracture of thoracolumbar spine were reviewed.Results Among 45 cases there were type A in 15 cases,type B in 18 cases,type D in 7 cases and type E in 5 cases,three-column injury in 24 cases,two-column injury in 21 cases,the spinal canal narrowing:0°in 5 cases,Ⅰ°in 18 cases,Ⅱ°in 20 cases,Ⅲ°in 2 cases;the line of the posterior rim of the vertebral body being abnormity in 33 cases.Conclusion In examination of thoracolumbar burst fracture,both X-ray films and CT scan are of their own advantages and disadvantages,and they are only in combinodion with each other to improve the accurate diagnostic rate.更多还原