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Magnetic resonance imaging in cervical facet dislocation: a third world perspective
Manzar Hussain1, Sadaf Nasir, Ghulam Murtaza
1Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan.
Asian Spine Journal
|March 23, 2012
Summary
Magnetic resonance imaging (MRI) of the cervical spine in awake patients with spinal cord injury within 4 hours of trauma did not alter management. These findings suggest traction can be initiated without delaying for MRI scans.
Area of Science:
- Neurosurgery
- Radiology
- Emergency Medicine
Background:
- Spinal cord injury (SCI) is a significant clinical challenge.
- Magnetic resonance imaging (MRI) is crucial for evaluating spinal trauma.
- Optimal timing for MRI in acute SCI remains debated.
Purpose of the Study:
- To assess the impact of cervical spine MRI on patient management.
- To evaluate MRI's role in alert, awake patients with facet dislocation and SCI.
- To determine if early MRI (within 4 hours) changes clinical decisions.
Main Methods:
- Retrospective case series analyzing data from 2002-2010.
- Inclusion criteria: alert, awake patients with SCI and facet dislocation.
- Data collected: demographics, injury mechanism, clinical/radiological findings, treatment, and time to imaging.
Main Results:
- Fifty patients with SCI and defined motor levels were included.
- Mean age was 35.5 years; 50% had C6 motor level.
- No patient required a change in management based on MRI findings.
Conclusions:
- Early cervical spine MRI in awake SCI patients does not alter management.
- Consider initiating traction without delaying for MRI in select cases.
- Further research may refine imaging protocols for acute SCI.
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