Summary
Oxygen myelographies were performed on 15 patients with cervical spinal cord injuries, in seven of whom narrowing of the spinal cord was caused by a fracture-dislocation. In eight the fracture was of bursting type, and the neurological involvement in these was more severe than in the former type. The main findings in seven early myelograms were swelling of the cord (3/7) and non-visualization of the spinal canal at the injury level (6/7). The main findings in eight late myelograms were narrowing of the cord (5/8) and anterior stretching of the cord over the obstructing bony ridge.
Similar content being viewed by others
References
Barnes, J.: Paraplegia in cervical spine injuries. J. Bone Jt Surg. 30 B, 234–244 (1948)
Cloward, R. B.: Cervical discography. Acta radiol. diagn. 1, 675–688 (1963)
Drake, C. G.: Cervical spinal-cord injury. J. Neurosurg. 19, 487–494 (1962)
Glorieux, P.: La physiologie pathologique et des diverses formes de fracture de la colonne vertébrale. Fortschr. Röntgenstr. 53, 422–434 (1936)
Goodman, J. M.: Myelography in acute cervical injuries. Amer. J. Roentgenol. 107, 491–492 (1969)
Hatam, A., Hindmarsh, T., Greitz, T.: Myelography in metastatic lesions. Acta radiol. diagn. 16, 321–330 (1975)
Heinz, E. R., Goldman, R. L.: The role of gas myelography in neuroradiologic diagnosis. Comments on a new and simple technique. Radiology 102, 629–634 (1972)
Hindmarsh, T.: Myelography with the non-ionic water-soluble contrast medium metrizamide. Acta radiol. diagn. 16, 417–435 (1975)
Hinkel, C. L., Nichols, R. L.: Opaque myelography in penetrating wounds of the spinal canal. Amer. J. Roentgenol. 55, 689–709 (1946)
Holdsworth, F. W.: Fractures, dislocations and fracture-dislocations of the spine. J. Bone Jt Surg. 45 B, 6–20 (1963)
Howland, W. J., Curry, J. L.: Experimental studies on Pantopaque arachnoiditis I–III. Radiology 87, 253–261 (1966)
Jirout, J.: The sign of “negative contrast of the spinal cord”. A contribution to the diagnosis of diffuse atrophy of the thoracic spinal cord. Brit. J. Radiol. 34, 65–66 (1960)
Kerr, F. W. L.: A brace for the management of fracture dislocation of the cervical spine: traction, immobilisation and myelography. Technical note. J. Neurosurg. 30, 97–101 (1969)
Komaki, S.: Localized spinal cord atrophy: significance of its demonstration. Radiology 121, 111–114 (1976)
Laasonen, E. M., Riska, E. B.: Pre-operative radiological assessment of fractures of the thoraco-lumbar spine causing traumatic paraplegia. Skeletal Radiol. 1, 231–234 (1977)
Nicoll, E. A.: Fractures of the dorso-lumbar spine. J. Bone Jt Surg. 31 B, 376–394 (1949)
Osgood, C., Martin, L. G., Ackerman, E.: Fracture-dislocation of the cervical spine with ankylosing spondylitis. Report of two cases. J. Neurosurg. 39, 764–769 (1973)
Paul, R. L., Michael, R. H., Dunn, J. E., Williams, J. P.: Anterior transthoracic surgical decompression of acute spinal cord injuries. J. Neurosurg. 43, 299–307 (1975)
Raynor, R. B.: Discography and myelography in acute injuries of the cervical spine. J. Neurosurg. 35, 529–535 (1971)
Rossier, A. B., Berney, J., Rosenbaum, A. E., Hachen, J.: Value of gas myelography in early management of acute cervical spinal cord injuries. J. Neurosurg. 42, 330–337 (1975)
Schneider, R. C., Kahn, E. A.: Chronic neurological sequelae of acute trauma to the spine and spinal cord. Part I: The significance of the acute flexion or “tear-drop” fracture-dislocation of the cervical spine. J. Bone Jt Surg. 38 A, 985–997 (1956)
Shapiro, R.: Myelography, p. 203. Chicago: Year Book Medical Publishers 1975
Westberg, G.: Gas myelography and percutaneous puncture in the diagnosis of spinal cord cysts. Acta radiol. Suppl. 252, 9 (1966)
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Laasonen, E.M. Oxygen myelography for cervical spinal cord injuries. Neuroradiology 12, 253–256 (1977). https://doi.org/10.1007/BF00340019
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00340019