The Journal of Bone and Joint Surgery, Vol 66, Issue 1 34-39, Copyright © 1984 by Journal of Bone and Joint Surgery, Inc
The role of computerized tomographic scanning in the evaluation of major pelvic fractures
K Gill and RW Bucholz
Twenty-five patients with double vertical fractures of the pelvic ring had
evaluations by both plain radiography and computed-tomography scanning of
the pelvis. In eight of the twenty-five patients, the interpretation that
was made from the plain radiographs, based on the classification of Pennal
et al., changed when additional anatomical information was provided by the
computed-tomography scan. We recommend that computed tomography be used
for: (1) double vertical fracture-dislocations of the pelvic ring in which
plain radiographs are inadequate to judge pelvic stability, (2) fractures
of the pelvic ring with extension into the acetabulum, and (3) major
injuries to the hemipelvis that are to be treated by open reduction and
internal fixation. However, due to the increased cost and radiation
exposure, routine computed-tomography scanning is not justified for all
injuries to the pelvic ring.
CiteULike 
Connotea 
Del.icio.us 
Technorati What's this?
