Role of Magnetic Resonance Imaging in diagnostic evaluation of Spinal Trauma
Journal Title: INTERNATIONAL JOURNAL OF CURRENT RESEARCH IN MEDICAL SCIENCES - Year 2018, Vol 4, Issue 12
Abstract
A prospective cross sectional study was undertaken in the department of Radiodiagnosis, GMC Amritsar over a period of two years, to assess the use of MRI as a diagnostic tool in evaluation of spinal trauma. It aimed at studying characteristic imaging findings, to establish a differential diagnosis of various traumatic lesions and to evaluate role of MRI in patients of spinal trauma. All patients with history of spinal trauma were subjected to MRI examination. Out of these 50 patients were chosen randomly, for analysis. Findings were tabulated and inferences drawn. The peak age range for spinal trauma was 19 to 40 years with male to female ratio of 4.5:1. Most common chief complaint was pain in the spinal region. Major cause for spinal trauma were vehicular accidents and fall form height. Level of injury was maximally seen in cervical spine (36%) followed by thoraco-lumbar region (32%). Vertebral body injury (40%) was maximally seen in thoracolumbar junction (60% cases). Reduction of disc space was present in 6(12%) cases and disc edemain 4(8%) cases. 8(16%) cases showed posterior longitudinal ligament disruption and 8(6%) cases revealed disruption of both anterior as well as posterior longitudinal ligament. Cord edema/contusion was present in 11(22%) cases. The study concluded that MRI is of great value in evaluating the acutely injured spine, and contributes to assessment of vertebral injury, ligamentous disruption, associated disc protrusion as well as the exact site of maximal canal stenosis and nature of the cord injury. MRI imaging leads to prompt and accurate diagnosis, expeditious management, and avoidance of unnecessary procedures, thus, improving posttraumatic quality of life.
Authors and Affiliations
Gurinder Bir Singh, Shubhangi Saroa, Arvinder Singh, Ramesh Chander, Dr. N. S. Neki
Keywords
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- EP ID EP548964
- DOI 10.22192/ijcrms.2018.04.12.009
- Views 200
- Downloads 0
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