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Skeletal Radiology

, Volume 17, Issue 2, pp 89–95 | Cite as

The impact of magnetic resonance on the diagnostic evaluation of acute cervicothoracic spinal trauma

  • Andrew L. Goldberg
  • William E. Rothfus
  • Ziad L. Deeb
  • Richard H. Daffner
  • Anthony R. Lupetin
  • James E. Wilberger
  • E. Richard Prostko
Articles

Abstract

From 1984 to 1987 magnetic resonance (MR) imaging was performed on 100 patients suffering acute spinal trauma. MR demonstrated one or more injuries to the cervicothoracic region in 31 patients. It displayed a spectrum of spinal cord injury ranging from mild compression and swelling to complete transection. MR was also useful in evaluating alignment at the cervicothoracic junction, in depicting ligamentous injury, in establishing the presence of disc herniation, and in identifying unsuspected levels of injury. We present a diagnostic algorithm that incorporates the role of MR in evaluating acute cervicothoracic spinal trauma and emphasizes the replacement of myelography by MR in the initial assessment of neurologic deficit.

Key words

Magnetic resonance imaging Trauma Spine Cervicothoracic 

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References

  1. 1.
    Abla AA, Rothfus WE, Maroon JC, Deeb ZL (1986) Delayed spinal subarachnoid hematoma: A rare complication of C1–C2 cervical myelography. AJNR 3:526Google Scholar
  2. 2.
    Allen RL, Perot PL, Gudeman SK (1985) Evaluation of acute nonpenetrating cervical spinal cord injuries with CT metrizamide myelography. J Neurosurg 63:510Google Scholar
  3. 3.
    Atlas SW, Regenbogen V, Rogers LF, Kim KS (1986) The radiographic characterization of burst fractures of the spine. AJNR 7:675Google Scholar
  4. 4.
    Brant-Zawadzski M, Miller EM, Federle MP (1981) CT in the evaluation of spine trauma. AJR 136:369Google Scholar
  5. 5.
    Chakeres DW, Flickinger F, Bresnahan JC, Beattie MS, Weiss KL, Miller C, Stokes BT (1987) MR imaging of acute spinal cord trauma. AJNR 8:5Google Scholar
  6. 6.
    Cooper PR, Cohen W (1984) Evaluation of cervical spinal cord injuries with metrizamide myelography — CT scanning. J Neurosurg 61:281Google Scholar
  7. 7.
    Crone-Mungebrock W, Jind HH, Heller M, Schottle H (1984) Spinal fractures: results and experience with computed tomography. Arch Orthop Trauma Surg 103:26Google Scholar
  8. 8.
    Flannigan BD, Lufkin RB, McGlade C, Winter J, Batzdorf U, Wilson G, Rauschning W, Bradley WG (1987) MR imaging of the cervical spine: Neurovascular anatomy. AJNR 8:27Google Scholar
  9. 9.
    Gehweiler JA, Osborne RL, Becker RF (1980) The radiology of vertebral trauma. WB Saunders, PhiladelphiaGoogle Scholar
  10. 10.
    Hackney DB, Isato R, Joseph PM, Carvlin MJ, McGrath JT, Grossman RI, Kassab EA, DeSimone D (1986) Hemorrhage and edema in acute spinal cord compression: demonstration by MR imaging. Radiology 161:387Google Scholar
  11. 11.
    Handel SF, Lee YY (1981) Computed tomography of spinal fractures. Radiol Clin North Am 19:69Google Scholar
  12. 12.
    Kulkarni MV, McArdle CB, Kopanicky D, Miner M, Cotler HB, Lee KF, Harris JH (1987) Acute spinal cord injury: MR imaging at 1.5T. Radiology 164:837Google Scholar
  13. 13.
    Lynch I, McManus F, Ennis JT (1986) Computed tomography in spinal trauma. Clin Radiol 37:71Google Scholar
  14. 14.
    McArdle CB, Wright JW, Prevost WJ, Dornfest DJ, Amparo EG (1986) MR imaging of the acutely injured patient with cervical traction. Radiology 159:273Google Scholar
  15. 15.
    Post MJD, Green BA (1983) The use of computed tomography in spinal trauma. Radiol Clin North Am 21:327Google Scholar
  16. 16.
    Post MJD, Green BA, Quencer RM, Stokes NA, Callahan RA, Eismont FJ (1982) The value of computed tomography in spinal trauma. Spine 7:417Google Scholar
  17. 17.
    Quencer RM, Sheldon JJ, Post MJD, Diaz RD, Montalvo BM, Green BA, Eismont FJ (1986) Magnetic resonance imaging of the chronically injured cervical spinal cord. AJNR 7:457Google Scholar
  18. 18.
    Williams AL, Haughton VM (1983) Disc herniation and degenerative disc disease. In: Newton TH, Potts DG (eds) Modern neuroradiology: Computed tomography of the spine and spinal cord, Vol. 1. Clavadel Press, San Anselmo, p 243Google Scholar
  19. 19.
    Wojcik WG, Edeiken-Monroe BS, Harris JH (1987) Three-dimensional computed tomography in acute cervical spine trauma: a preliminary report. Skeletal Radiol 16:261Google Scholar

Copyright information

© International Skeletal Society 1988

Authors and Affiliations

  • Andrew L. Goldberg
    • 1
  • William E. Rothfus
    • 1
  • Ziad L. Deeb
    • 1
  • Richard H. Daffner
    • 1
  • Anthony R. Lupetin
    • 1
  • James E. Wilberger
    • 2
  • E. Richard Prostko
    • 2
  1. 1.Department of Diagnostic RadiologyAllegheny General HospitalPittsburghUSA
  2. 2.Department of NeurosurgeryAllegheny General HospitalPittsburghUSA

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