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Clinical Comparison of the Predictive Value of the Simple Skull X-Ray and 3 Dimensional Computed Tomography for Skull Fractures of Children
Journal of Korean Neurosurgical Society ; : 528-533, 2012.
Article in English | WPRIM | ID: wpr-178297
ABSTRACT

OBJECTIVE:

In the pediatric population the skull has not yet undergone ossification and it is assumed that the diagnostic rate of skull fractures by simple X-rays are lower than that of adults. It has been recently proposed that the diagnostic rates of skull fractures by 3-dimensional computer tomography (3D-CT) are higher than simple X-rays. The authors therefore attempted to compare the diagnostic rates of pediatric skull fractures by simple X-rays and 3D-CTs with respect to the type of fracture.

METHODS:

One-hundred patients aged less than 12 years who visited the Emergency Center for cranial injury were subject to simple X-rays and 3D-CTs. The type and location of the fractures were compared and Kappa statistical analysis and the t-test were conducted.

RESULTS:

Among the 100 pediatric patients, 65 were male and 35 were female. The mean age was 50+/-45 months. 63 patients had simple skull fractures and 22 had complex fractures, and the types of fractures were linear fractures in 74, diastatic fractures 15, depressed fractures in 10, penetrating fracture in 1, and greenstick fractures in 3 patients. Statistical difference was observed for the predictive value of simple skull fractures' diagnostic rate depending on the method for diagnosis. A significant difference of the Kappa value was noted in the diagnosis of depressed skull fractures and diastatic skull fractures.

CONCLUSION:

In the majority of pediatric skull fractures, 3D-CT showed superior diagnosis rates compared to simple skull X-rays and therefore 3D-CT is recommended whenever skull fractures are suspected. This is especially true for depressed skull fractures and diastatic skull fractures.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Skull / Skull Fractures / Skull Fracture, Depressed / Emergencies Type of study: Prognostic study Limits: Adult / Aged / Child / Female / Humans / Male Language: English Journal: Journal of Korean Neurosurgical Society Year: 2012 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Skull / Skull Fractures / Skull Fracture, Depressed / Emergencies Type of study: Prognostic study Limits: Adult / Aged / Child / Female / Humans / Male Language: English Journal: Journal of Korean Neurosurgical Society Year: 2012 Type: Article