Archives of Orthopaedic and Trauma Surgery

, Volume 113, Issue 2, pp 115–116 | Cite as

Lateral flexion/extension radiographs: still recommended following cervical spinal injury

  • R. Fricker
  • A. Gachter
Current Problem Case


We present the case of a patient who sustained a cervical spinal injury and subsequent transient quadriplegia with full recovery from the spinal cord concussion. Initial plain X-ray films and magnetic resonance imaging did not show any pathological findings, but lateral radiographs in flexion and extension performed 10 days later revealed a fracture of the C4 spinous process without ligamentous instability, confirming significant injury to the cervical spine.


Public Health Magnetic Resonance Imaging Spinal Cord Cervical Spine Pathological Finding 
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  1. 1.
    Del Bigio MR, Johnson GE (1989) Clinical presentation of spinal cord concussion. Spine 14:37–40Google Scholar
  2. 2.
    Hirsh LF, Duarte LE, Wolfson EH, Gerhard W (1991) Isolated symptomatic cervical spinous process fracture requiring surgery. J Neurosurg 75:131–133Google Scholar
  3. 3.
    Torg JS, Pavlov H, Genuario SE, Sennett B, Wisneski RJ, Robie BH, Jahre C (1986) Neurapraxia of the cervical spinal cord with transient quadriplegia. J Bone Joint Surg [Am] 68-A:1354–1370Google Scholar
  4. 4.
    Zwimpfer TJ, Bernstein M (1990) Spinal cord concussion. J Neurosurg 72:894–900Google Scholar

Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • R. Fricker
    • 1
  • A. Gachter
    • 1
  1. 1.Division of Orthopedic and Trauma Surgery, Department of SurgeryUniversity of Basel, KantonsspitalBaselSwitzerland

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