Clinical, Radiographic and Magnetic Resonance Imaging Evaluation of Cervical Spine Trauma
Journal Title: International Journal of Anatomy Radiology and Surgery - Year 2016, Vol 5, Issue 1
Abstract
ABSTRACT Introduction: Cervical spine trauma occurs in 1.5 to 3% of patients with major trauma and in 10% of patients with major trauma and serious head injury. Imaging plays an important role in the diagnosis of spinal injuries. The various modalities used to evaluate cervical spine are plain radiography, computed tomography, CT myelography, intraoperative sonography and magnetic resonance imaging. Aim: This study compares the usefulness of conventional radiography and MR imaging in the diagnosis of acute cervical spine trauma. Materials and Methods: This prospective analytical study was carried out on 58 patients with history of cervical spine trauma. Evaluation was done on plain radiography and MR imaging. Findings were recorded on both the modalities and clinical correlation was done. Results: In this study, 94.83% were males. Hyperflexion injuries were seen in 37.93% patients.C6 vertebral fracture was seen in 12% patients. Herniation of the disc was commonly seen at C4-5 and C5-6 disc level on MRI. 64 levels were found to be affected with simple cord edema. Conclusion: MRI combined with plain radiographs provides an accurate and non invasive modality for evaluation of patients with cervical spine trauma.
Authors and Affiliations
Aditi Himaunshu Dongre, Atul Tukaram Tayade, Sushil Kumar Kale
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