The value of functional computed tomography in the evaluation of soft-tissue injury in the upper cervical spine

1994 ◽  
Vol 3 (2) ◽  
pp. 98-101 ◽  
Author(s):  
J. A. Antinnes ◽  
J. Dvorák ◽  
J. Hayek ◽  
M. M. Panjabi ◽  
D. Grob
Keyword(s):  
Computed Tomography ◽  
Cervical Spine ◽  
Soft Tissue ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Upper Cervical Spine ◽  
Upper Cervical

Incremental and single trauma produce equivalent subfailure soft tissue injury of the cervical spine

2004 ◽  
Vol 19 (8) ◽  
pp. 784-789 ◽  
Author(s):  
Saif A. Ghole ◽  
Paul C. Ivancic ◽  
Yasuhiro Tominaga ◽  
S.Elena Gimenez ◽  
Manohar M. Panjabi
Keyword(s):  
Cervical Spine ◽  
Soft Tissue ◽  
Tissue Injury ◽  
Soft Tissue Injury

Cognitive Deficits in Patients after Soft Tissue Injury of the Cervical Spine

Spine ◽  
1992 ◽  
Vol 17 (2) ◽  
pp. 127-131 ◽  
Author(s):  
BOGDAN P. RADANOV ◽  
JIRI DVO&OV0494;??K ◽  
LADISLAV VALACH
Keyword(s):  
Cervical Spine ◽  
Soft Tissue ◽  
Cognitive Deficits ◽  
Tissue Injury ◽  
Soft Tissue Injury

Fractures of the C-2 vertebral body

1994 ◽  
Vol 81 (2) ◽  
pp. 206-212 ◽  
Author(s):  
Edward C. Benzel ◽  
Blaine L. Hart ◽  
Perry A. Ball ◽  
Nevan G. Baldwin ◽  
William W. Orrison ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Soft Tissue ◽  
Mr Imaging ◽  
Upper Cervical Spine ◽  
Content Type ◽  
Body Fracture ◽  
Pars Interarticularis ◽  
Upper Cervical ◽  
Type 3 ◽  
Fine Print

✓ Vertical C-2 body fractures are presented in 15 patients with clinical and imaging correlations that suggest the existence of a variety of mechanisms of injury. In these patients, clinical and imaging correlations were derived by: 1) defining the point of impact by clinical examination; 2) defining the point of impact by soft-tissue changes on cranial magnetic resonance (MR) imaging or computerized tomography (CT); 3) obtaining an accurate history of the mechanism of injury; and 4) spine imaging (x-ray studies, CT, and MR imaging) of the C-2 body fracture and surrounding bone and soft tissue. The cases presented involve the region located between the dens and the pars interarticularis of the axis. Although these fractures are rarely reported, they are not uncommon. An elucidation of their pathological anatomy helps to further the understanding of the mechanistic etiology of upper cervical spine trauma. A spectrum of mechanisms of injury causing upper cervical spine fractures was observed. The type of injury incurred is determined predominantly by the force vector applied during impact and the intrinsic strength and anatomy of C-2 and its surrounding spinal elements. From this clinical experience, two types of vertical C-2 body fractures are defined and presented: coronally oriented (Type 1) and sagittally oriented (Type 2). A third type of C-2 body fracture, the horizontal rostral C-2 fracture (Type 3), is added for completeness; this Type 3 fracture is the previously described Type III odontoid process fracture described by Anderson and D'Alonzo.

Magnetic resonance imaging evaluation of the cervical spine in the comatose or obtunded trauma patient

1999 ◽  
Vol 91 (1) ◽  
pp. 54-59 ◽  
Author(s):  
Mark D. D'Alise ◽  
Edward C. Benzel ◽  
Blaine L. Hart
Keyword(s):  
Cervical Spine ◽  
Soft Tissue ◽  
Mr Imaging ◽  
Trauma Patient ◽  
Cervical Spine Injury ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Spine Injury ◽  
Content Type ◽  
Fine Print

Object. Confirmation of cervical spine stability is difficult to obtain in the comatose or obtunded trauma patient. Concurrent therapies such as endotracheal intubation and the application of rigid cervical collars diminish the utility of plain radiographs. Bony as well as supportive soft-tissue structures must be evaluated before the cervical spine can be determined to be uninjured. Although major injuries to extradural soft-tissue structures in the awake trauma patient are frequently excluded by physical examination, when the patient is obtunded the physical examination may be unreliable. Therefore, an enhanced diagnostic method for the evaluation of soft-tissue injury is desirable. The authors conducted a study in which magnetic resonance (MR) imaging was used as such a method to assess posttraumatic spinal stability in the comatose or obtunded patient. Methods. Early, limited (sagittal T1- and T2-weighted) MR imaging was performed posttruama in 121 patients to assess soft-tissue injury. In all patients the mechanism of injury potentially could be associated with cervical spine instability, and each patient was endotracheally intubated because of head injury or severe multisystem injuries. All patients underwent imaging studies within 48 hours of injury and were either treated or cleared and spinal precautions were discontinued. Patients were excluded from this study if they had an obvious cervical spine injury identified on the initial radiographic studies or if they were determined to be too medically unstable to undergo MR imaging within the acute period (<48 hours postinjury). Thirty-one (25.6%) of the 121 patients were found to have sustained significant injury to the paravertebral ligamentous structures, the disc interspace, or the bony cervical spine. These injuries were undetected by plain radiography. The other 90 patients (74.4%) were determined within 48 hours not to have sustained a soft-tissue injury. Eight patients (6.6%) ultimately underwent surgery to treat the cervical spine injury, and MR imaging was the first test that identified the injury in each of these patients. There were no complications related to imaging procedures. Conclusions. Sagittal T1- and T2-weighted MR imaging appears to be a safe, reliable method for evaluating the cervical spine for nonapparent injury in comatose or obtunded trauma patients. In the early postinjury period, nursing and medical care are thereby facilitated for patients in whom occult injury to the spine is ruled out and for whom those attendant precautions are unnecessary.

Direct Coronal Computed Tomography of the Upper Cervical Spine

Spine ◽  
1995 ◽  
Vol 20 (8) ◽  
pp. 972-974 ◽  
Author(s):  
Wilfred C.G. Peh ◽  
Patricia Cheng ◽  
and F. L. Chan
Keyword(s):  
Computed Tomography ◽  
Cervical Spine ◽  
Upper Cervical Spine ◽  
Upper Cervical

Coronal computed tomography of the upper cervical spine

BMJ ◽  
2012 ◽  
Vol 345 (dec14 1) ◽  
pp. e6811-e6811
Author(s):  
M. Alam ◽  
A. G. Kolias ◽  
R. J. Mannion
Keyword(s):  
Computed Tomography ◽  
Cervical Spine ◽  
Upper Cervical Spine ◽  
Upper Cervical
Sign in / Sign up

Export Citation Format

Share Document