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Research ArticleSpine Imaging and Spine Image-Guided Interventions

Reliability of the STIR Sequence for Acute Type II Odontoid Fractures

F.D. Lensing, E.F. Bisson, R.H. Wiggins and L.M. Shah
American Journal of Neuroradiology August 2014, 35 (8) 1642-1646; DOI: https://doi.org/10.3174/ajnr.A3962
F.D. Lensing
aFrom the Departments of Radiology (F.D.L., R.H.W., L.M.S.)
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E.F. Bisson
bNeurosurgery (E.F.B.), University of Utah Health Sciences Center, Salt Lake City, Utah.
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R.H. Wiggins III
aFrom the Departments of Radiology (F.D.L., R.H.W., L.M.S.)
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L.M. Shah
aFrom the Departments of Radiology (F.D.L., R.H.W., L.M.S.)
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    Fig 1.

    Sagittal CT reconstruction (A) and sagittal STIR (B) images from a 65-year-old man after a ground-level fall demonstrate a minimally displaced fracture at the odontoid base (white arrow) with minimal hyperintensity on the STIR sequence (white arrow).

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    Fig 2.

    Sagittal CT reconstruction (A) and sagittal STIR (B) images from a 37-year-old man after a motor vehicle collision show a minimally displaced fracture at the odontoid base (white arrow) with robust STIR hyperintensity in the bone marrow (white arrow).

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    Fig 3.

    Sagittal STIR image of a 32-year-old female trauma patient shows slight STIR hyperintensity around the hypointense dentocentral synchondrosis (simulating a fracture cleft) at the odontoid base, due to persistent cartilaginous matrix (white arrows).

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    Table 1:

    Presence of odontoid STIR hyperintensity in patients with acute fractures younger than 57 years of age

    Acute FractureSTIR PresentSTIR AbsentTotal
    Present22527
    Absent43943
    Total264470
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    Table 2:

    Presence of odontoid STIR hyperintensity in patients with acute fractures 57 years of age and older

    Acute FractureSTIR PresentSTIR AbsentTotal
    Present262248
    Absent23032
    Total285280
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American Journal of Neuroradiology: 35 (8)
American Journal of Neuroradiology
Vol. 35, Issue 8
1 Aug 2014
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Cite this article
F.D. Lensing, E.F. Bisson, R.H. Wiggins, L.M. Shah
Reliability of the STIR Sequence for Acute Type II Odontoid Fractures
American Journal of Neuroradiology Aug 2014, 35 (8) 1642-1646; DOI: 10.3174/ajnr.A3962

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Reliability of the STIR Sequence for Acute Type II Odontoid Fractures
F.D. Lensing, E.F. Bisson, R.H. Wiggins, L.M. Shah
American Journal of Neuroradiology Aug 2014, 35 (8) 1642-1646; DOI: 10.3174/ajnr.A3962
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