数字X线摄影与计算机断层扫描在脊柱爆裂型骨折诊断中的应用价值分析

Objective Exploring the application effect of digital radiography(DR) and computed tomography(CT) in the diagnosis of spinal burst fractures. Methods 100 patients with spinal fractures admitted from January 2024 to December 2024 were selected for research and analysis. All patients underwent DR and CT examinations before surgery, and CT angiography results were used as the “gold standard” to compare the diagnostic results of DR and CT. Results DR examination has a shorter examination time and lower examination cost than CT examination. The conformity rate of CT examination for vertebral fracture lines, spinal stenosis, vertebral displacement, bone fragments, and spinal burst fractures is higher than that of DR examination. The sensitivity, specificity, accuracy, positive predictive value, and negative predictive value of CT diagnosis were significantly higher than those of DR examination(P<0.05). Conclusion In the diagnosis process of patients with spinal burst fractures, the application of CT examination enables clearer clarification of the condition of the injured vertebrae, and its diagnostic efficiency is relatively high. It can be used as an important diagnostic tool for clinical spinal burst fracture patients, but it should be noted that its examination cost is higher than DR and the required examination time is longer.