The dural sac spiking sign: predictive significance of magnetic resonance imaging-detected dural morphological abnormalities for dural tears in lumbar burst fractures

The dural sac spiking sign on axial MRI imaging may serve as a radiographic marker for dural tears in lumbar burst fractures. When combined with neurological assessment and fracture morphology evaluation, this sign enhances preoperative recognition of dural injury risks, enabling tailored surgical planning and meticulous decompression to reduce iatrogenic neural injury during intervention.

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Publication Details

Journal
European Spine Journal
Published
2025-06-06
DOI
https://doi.org/10.1007/s00586-025-08964-0
Primary Topic
Spinal Fractures and Fixation Techniques
Type
article
Field-Weighted Citation Impact
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article

The dural sac spiking sign: predictive significance of magnetic resonance imaging-detected dural morphological abnormalities for dural tears in lumbar burst fractures

Hai‐Lin Qin, Yuan Ma, Kui Yang, Hufei Wang et al.
European Spine Journal
Spinal Fractures and Fixation Techniques
article

The dural sac spiking sign: predictive significance of magnetic resonance imaging-detected dural morphological abnormalities for dural tears in lumbar burst fractures

Hai‐Lin Qin, Yuan Ma, Kui Yang, Hufei Wang, Jiaqi Shen, Wen Zhang, Kedian Li, Wenyong Jiao
article en

Abstract

The dural sac spiking sign on axial MRI imaging may serve as a radiographic marker for dural tears in lumbar burst fractures. When combined with neurological assessment and fracture morphology evaluation, this sign enhances preoperative recognition of dural injury risks, enabling tailored surgical planning and meticulous decompression to reduce iatrogenic neural injury during intervention.

European Spine Journal
Ningxia Medical University (CN)
Openalex Percentile: Top 77%
Spinal Fractures and Fixation Techniques
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