ROLE OF MAGNETIC RESONANCE IMAGING IN SPINAL TRAUMA WITH SURGICAL CORRELATION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2015, Vol 4, Issue 23
Abstract
Spinal trauma is a common cause of disability. The common causes of spinal trauma are blunt injuries – motor vehicle accidents, falls, sport injuries, assaults. MRI plays a crucial role in evaluating and detecting spinal trauma specially subtle bone marrow, soft tissue and spinal cord abnormalities. Many advantages of MRI such as high contrast resolution, absence of bony artifacts, multiplanar capability and choice of various pulse sequences make it possible to diagnose spinal trauma more accurately. Information about neural and extra-neural injuries requiring surgical interventions can be obtained. AIMS: Role of MRI in spinal trauma with surgical correlation. [b]MATERIAL AND METHODS[/b]: Prospective evaluation of 85 patients with history of spinal injury in hemodynamically stable patients on 1.5 Tesla MRI and surgical correlation. [b]RESULTS[/b]: Age of patients ranged from 11-80 years with mean age 45 years. Cervical spine is most commonly involved and RTA being most common cause of spinal injury. Cord compression, haemorrhage are most common presentation in MRI. While MRI is less sensitive in detecting posterior element fractures, over estimates ligament injuries and shows highest sensitivity for intervertebral disc injury. In our study, we have seen one case of pseudomeningocele formation with brachial plexus injury and two cases of vertebral artery thrombosis. [b]CONCLUSION[/b]: Magnetic Resonance Imaging is the only tool available for depicting the changes within the cord, ligaments and paraspinal soft tissues which helps in the management of the patients and in predicting the prognosis of recovery.
Authors and Affiliations
Vijaya Kumari, Suneetha , Eshwari V. L, Mythri Kodali, Sudha Bindu, Ashwini Jyothi, Archana , Ramachandraiah
Keywords
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- EP ID EP158992
- DOI 10.14260/jemds/2015/569
- Views 83
- Downloads 0
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