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Magnetic resonance imaging in cervical spine trauma
A J Hall1, V G Wagle, J Raycroft
1Department of Neurosurgery, Hartford Hospital, CT 06115.
The Journal of Trauma
|January 1, 1993
Summary
Magnetic resonance imaging (MRI) effectively diagnoses locked facets in traumatic cervical spine fractures. MRI also clearly visualizes spinal cord injuries and ligament damage, aiding diagnosis and management.
Area of Science:
- Orthopedics
- Radiology
- Neurosurgery
Background:
- Traumatic cervical spine fractures require accurate diagnosis for effective management.
- Conventional imaging methods like plain films and CT have limitations in visualizing soft tissue injuries.
Observation:
- A series of six patients with traumatic cervical spine fractures underwent immediate imaging, including MRI.
- MRI demonstrated cord edema, contusions, and acute disc herniation with high fidelity.
Findings:
- Magnetic resonance imaging (MRI) proved equally effective in diagnosing unilateral and bilateral locked facets.
- MRI clearly visualized disruption of the posterior longitudinal ligament (PLL).
- Diagnostic criteria for locked facets, disc herniation, and PLL rupture using MRI were established.
Implications:
- MRI offers a comprehensive diagnostic tool for acute cervical spine injuries, including bony and soft tissue damage.
- The findings suggest MRI plays a crucial role in the diagnosis and management of traumatic cervical spine injuries.
- Direct visualization of the spinal cord by MRI enhances diagnostic capabilities beyond bony assessment.