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Detection of Bone Graft Failure in Lumbar Spondylodesis: Spatial Resolution with High-Resolution Peripheral Quantitative CT

Peter C. Strohm1, David Kubosch2, Thorsten A. Bley2,3, Christoph M. Sprecher4, Norbert P. Südkamp1 and Stefan Milz4

1 Department of Orthopedic and Trauma Surgery, Albert-Ludwigs-University of Freiburg Medical Center, Hugstetterstr. 55, 79106 Freiburg i Br., Germany.
2 Department of Diagnostic Radiology, University of Freiburg Medical Center, Freiburg im Breisgau, Germany.
3 Present address: Department of Radiology, University of Wisconsin, Madison, WI.
4 AO Research Institute, AO Foundation, Davos, Switzerland.


Figure 1
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Fig. 1A Sheep 2, false-negative findings on 64-MDCT. 64-MDCT scan shows no fracture in region of graft.

 

Figure 2
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Fig. 1B Sheep 2, false-negative findings on 64-MDCT. High-resolution peripheral quantitative CT scan (B) and contact radiograph (C) show delineation of fractured graft.

 

Figure 3
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Fig. 1C Sheep 2, false-negative findings on 64-MDCT. High-resolution peripheral quantitative CT scan (B) and contact radiograph (C) show delineation of fractured graft.

 

Figure 4
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Fig. 2A Sheep 6, consistently abnormal results among tested techniques. 64-MDCT scan (A), high-resolution peripheral quantitative CT scan (B), and contact radiograph (C) show lysis in region of graft.

 

Figure 5
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Fig. 2B Sheep 6, consistently abnormal results among tested techniques. 64-MDCT scan (A), high-resolution peripheral quantitative CT scan (B), and contact radiograph (C) show lysis in region of graft.

 

Figure 6
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Fig. 2C Sheep 6, consistently abnormal results among tested techniques. 64-MDCT scan (A), high-resolution peripheral quantitative CT scan (B), and contact radiograph (C) show lysis in region of graft.

 

Figure 7
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Fig. 3A Sheep 7, consistent results with all tested techniques. 64-MDCT scan (A), high-resolution peripheral quantitative CT scan (B), and contact radiograph (C) show intact graft.

 

Figure 8
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Fig. 3B Sheep 7, consistent results with all tested techniques. 64-MDCT scan (A), high-resolution peripheral quantitative CT scan (B), and contact radiograph (C) show intact graft.

 

Figure 9
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Fig. 3C Sheep 7, consistent results with all tested techniques. 64-MDCT scan (A), high-resolution peripheral quantitative CT scan (B), and contact radiograph (C) show intact graft.

 

Figure 10
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Fig. 4 Graph shows results of statistical comparison of three imaging techniques with Mann-Whitney rank sum test.

 

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