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Updated: Apr 19, 2026

Intraoperative Ultrasound in Spinal Surgery
Published on: August 17, 2022
Imaging of the perivertebral space
Megan K Mills1, Lubdha M Shah1
1Department of Radiology, University of Utah, 30 North 1900 East #1A071, Salt Lake City, UT 84132, USA.
This review details the perivertebral space anatomy and pathology. It guides lesion localization and discusses imaging techniques for disorders within this critical anatomical region.
Area of Science:
- Anatomy and imaging of the perivertebral space.
Background:
- The perivertebral space spans from the skull base to the mediastinum.
- It is defined by the deep layer of the deep cervical fascia.
- Contains muscles, bones, nerves, and vascular structures, leading to diverse pathologies.
Purpose of the Study:
- To define the anatomy of the perivertebral space.
- To guide the localization of lesions within this space.
- To discuss disease processes and optimal imaging approaches.
Main Methods:
- Review of anatomical structures and fascial layers.
- Analysis of pathologies affecting the perivertebral space.
- Evaluation of diagnostic imaging modalities.
Main Results:
- Detailed anatomical description of the perivertebral space.
- Classification of common and rare disorders.
- Recommendations for imaging techniques based on suspected pathology.
Conclusions:
- Understanding perivertebral space anatomy is crucial for diagnosis.
- Appropriate imaging selection aids in accurate lesion localization and characterization.
- This review provides a framework for evaluating perivertebral space diseases.
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