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


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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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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