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Updated: Jul 16, 2026
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Diffusion Tensor Magnetic Resonance Imaging in Chronic Spinal Cord Compression
Published on: May 7, 2019
MR imaging of traumatic spinal injuries
N Ni Mhuircheartaigh1, J M Kerr, J G Murray
1Department of Radiology, Mater Misericordiae University Hospital, Dublin, Ireland.
Seminars in Musculoskeletal Radiology
|March 28, 2007
Summary
Plain films are the first step in evaluating spinal trauma. Advanced imaging like CT and MRI are used for complex cases to guide treatment and improve patient outcomes.
Area of Science:
- Radiology
- Trauma Imaging
- Spinal Cord Injury
Background:
- Spinal trauma requires prompt and accurate diagnosis.
- Initial evaluation typically involves plain radiography.
- Complex or indeterminate cases necessitate advanced imaging techniques.
Purpose of the Study:
- To outline the diagnostic imaging approach for spinal trauma.
- To differentiate the roles of computed tomography (CT) and magnetic resonance imaging (MRI).
- To emphasize the importance of rapid triage for surgical vs. nonsurgical management.
Main Methods:
- Initial assessment with plain films.
- Multiplanar computed tomography (CT) for bony abnormalities.
- Magnetic resonance imaging (MRI) for soft tissue and spinal cord evaluation.
Main Results:
- Plain films are the initial screening tool.
- CT excels at detecting bone injuries.
- MRI is crucial for assessing ligamentous, disc, and spinal cord injuries, including edema and hemorrhage, which impact prognosis.
Conclusions:
- A stepwise imaging approach is essential for spinal trauma.
- CT and MRI provide complementary information for diagnosis and management.
- Accurate imaging facilitates timely surgical decisions and influences long-term prognosis.
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