The diagnostic value of digital X-ray photography and CT imaging examination in spinal burst fractures
数字X线摄影和CT影像检查在脊柱爆裂性骨折中的诊断价值

摘要

目的 分析数字X线摄影和CT影像检查在脊柱爆裂性骨折中的诊断价值。方法 回顾性选取2023年4月-2025年6月的脊柱爆裂性骨折患者病例资料50例，按照随机分组方式分为对照组（采取数字x线摄影检查）和观察组（采取CT影像检查），各25例。分析两组患者的检查时间和检查费用，两组检出率，诊断能效，以及不同疾病症状检出率。结果 观察组的检查时间以及检查费用高于对照组（p＜0.05），检出率和诊断能效高于对照组（p＜0.05），不同疾病症状检出率高于对照组（p＜0.05）。结论 在临床脊柱爆裂性骨折的诊断中，CT影像检查能够提高疾病检出率和准确率，能够有效减少误诊的情况，但CT影像检查的检查时间较长，且费用较高，因此，临床诊断要结合患者自身情况采取合理诊断方案。

Abstract

Objective To analyze the diagnostic value of digital X-ray photography and CT imaging in spinal burst fractures.
Methods Retrospectively selected 50 cases of patients with spinal burst fractures from April 2023 to June 2025, randomly divided into a control group (digital X-ray examination) and an observation group (CT imaging examination), with 25 cases each. Analyzed the examination time and cost, detection rates, diagnostic efficacy, and detection rates of different disease symptoms in both groups.
Results The observation group had higher examination time and cost than the control group (p < 0.05), higher detection rates and diagnostic efficacy than the control group (p < 0.05), and higher detection rates of different disease symptoms than the control group (p < 0.05).
Conclusion   In the diagnosis of spinal burst fractures in clinical practice, CT imaging examination can improve the disease detection rate and accuracy, and effectively reduce misdiagnosis. However, CT imaging examination has a longer examination time and higher cost. Therefore, clinical diagnosis should adopt a reasonable diagnosis plan based on the patient’s own situation.