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American Journal of Roentgenology, Vol 134, Issue 3, 563-568
Copyright © 1980 by American Roentgen Ray Society

Articles

CT of facet distraction in flexion injuries of the thoracolumbar spine: the "naked" facet

JP O'Callaghan, CG Ullrich, HA Yuan, and SA Kieffer

Vertical distraction of the articular processes is an important sign of ligamentous disruption due to flexion injuries of the thoracolumbar spine. In addition to illustrating this finding in cross section (the "naked" facet), computed tomography in the transaxial plane allows assessment of the presence and position of fracture fragments that may encroach on the spinal canal. Image reconstruction in sagittal and coronal planes provides a clear demonstration of the degree of bony compression, facet distraction, and kyphosis associated with flexion injuries without additional patient manipulation or radiation exposure.
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M. P. Bernstein, S. E. Mirvis, and K. Shanmuganathan
Chance-Type Fractures of the Thoracolumbar Spine: Imaging Analysis in 53 Patients
Am. J. Roentgenol., October 1, 2006; 187(4): 859 - 868.
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