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The utility of in-hospital postoperative radiographs following surgical treatment of traumatic thoracolumbar injuries

Journal of Spinal Disorders & Techniques Jul 04, 2019

Pyun J, et al. - Through a retrospective cohort study of 463 patients who underwent surgical treatment of traumatic thoracolumbar (TL) injuries between December 2006 and October 2015, the researchers determined the utility of routine in-hospital postoperative radiographs for recognition of hardware failure post-surgical treatment of TL injuries. Due to a deteriorated neurological status, 3 patients had to undergo revision surgery. Because of advance imaging collected for abdominal trauma, 1 patient underwent reoperation. Also, 2 patients had to undergo a revision surgery as abnormal findings were seen on postoperative radiographs. Routine postoperative radiographs had an overall sensitivity and specificity of 33.3% and 100%, respectively. Hence, the minimum value was granted by the routine in-hospital postoperative radiographs post-surgical treatment of TL injuries in the absence of new clinical signs and symptoms. If further imaging is indicated for the patient, clinical assessment should help in the determination. Further, a multitude of benefits including lowering patient radiation exposure, diminishing health care costs and better allocation of hospital resources could be offered by ignoring unnecessary inpatient tests such as routine postoperative radiograph.
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