scholarly journals Learning Radiologist’s Step-by-Step Skill for Cervical Spinal Injury Examination: Line Drawing, Prevertebral Soft Tissue Thickness Measurement, and Swelling Detection

IEEE Access ◽  
2018 ◽  
Vol 6 ◽  
pp. 55492-55500 ◽  
Author(s):  
Young Han Lee ◽  
Sewon Kim ◽  
Jin-Suck Suh ◽  
Dosik Hwang
Keyword(s):  
Soft Tissue ◽  
Spinal Injury ◽  
Line Drawing ◽  
Thickness Measurement ◽  
Tissue Thickness ◽  
Soft Tissue Thickness ◽  
Prevertebral Soft Tissue ◽  
Cervical Spinal Injury

Anterior cervical discectomy and fusion with a zero-profile integrated plate and spacer device: a clinical and radiological study

2014 ◽  
Vol 21 (4) ◽  
pp. 529-537 ◽  
Author(s):  
Innocent Njoku ◽  
Marjan Alimi ◽  
Lewis Z. Leng ◽  
Benjamin J. Shin ◽  
Andrew R. James ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Anterior Cervical Discectomy ◽  
Tissue Thickness ◽  
Postoperative Dysphagia ◽  
Cervical Discectomy ◽  
Vas Score ◽  
Soft Tissue Thickness ◽  
Prevertebral Soft Tissue ◽  
Vas Scores

Object Anterior cervical plating decreases the risk of pseudarthrosis following anterior cervical discectomy and fusion (ACDF). Dysphagia is a common complication of ACDF, with the anterior plate implicated as a potential contributor. A zero-profile, stand-alone polyetheretherketone (PEEK) interbody spacer has been postulated to minimize soft-tissue irritation and postoperative dysphagia, but studies are limited. The object of the present study was to determine the clinical and radiological outcomes for patients who underwent ACDF using a zero-profile integrated plate and spacer device, with a focus on the course of postoperative prevertebral soft-tissue thickness and the incidence of dysphagia. Methods Using a surgical database, the authors conducted a retrospective analysis of all patients who had undergone ACDF between August 2008 and October 2011. All patients received a Zero-P implant (DePuy Synthes Spine). The Neck Disability Index (NDI) and visual analog scale (VAS) scores for arm and neck pain were documented. Dysphagia was determined using the Bazaz criteria. Prevertebral soft-tissue thickness, spinal alignment, and subsidence were assessed as well. Results Twenty-two male and 19 female consecutive patients, with a mean age of 58.4 ± 14.68, underwent ACDF (66 total operated levels) in the defined study period. The mean clinical follow-up in 36 patients was 18.6 ± 9.93 months. Radiological outcome in 37 patients was assessed at a mean follow-up of 9.76 months (range 7.2–19.7 months). There were significant improvements in neck and arm VAS scores and the NDI following surgery. The neck VAS score improved from a median of 6 (range 0–10) to 0 (range 0–8; p < 0.001). The arm VAS score improved from a median of 2 (range 0–10) to 0 (range 0–7; p = 0.006). Immediate postoperative dysphagia was experienced by 58.4% of all patients. Complete resolution was demonstrated in 87.8% of affected patients at the latest follow-up. The overall median Bazaz score decreased from 1 (range 0–3) immediately postoperatively to 0 (range 0–2; p < 0.001) at the latest follow-up. Prevertebral soft-tissue thickness significantly decreased across all levels from a mean of 15.8 ± 4.38 mm to 10.1 ± 2.93 mm. Postoperative lordosis was maintained at the latest follow-up. Mean subsidence from the immediate postoperative to the latest follow-up was 4.1 ± 4.7 mm (p < 0.001). Radiographic fusion was achieved in 92.6% of implants. No correlation was found between prevertebral soft-tissue thickness and Bazaz dysphagia score. Conclusions A zero-profile integrated plate and spacer device for ACDF surgery produces clinical and radiological outcomes that are comparable to those for nonintegrated plate and spacer constructs. Chronic dysphagia rates are comparable to or better than those for previously published case series.

Normal Pediatric Prevertebral Soft-Tissue Thickness on MDCT

2012 ◽  
Vol 199 (1) ◽  
pp. W130-W133 ◽  
Author(s):  
David Vermess ◽  
Carlos A. Rojas ◽  
Fawad Shaheen ◽  
Pinakpani Roy ◽  
Carlos R. Martinez
Keyword(s):  
Soft Tissue ◽  
Tissue Thickness ◽  
Soft Tissue Thickness ◽  
Prevertebral Soft Tissue

A CLOSER LOOK TO PREVERTEBRAL SOFT TISSUE THICKNESS ON MAGNETIC RESONANCE IMAGES

2016 ◽  
Vol 72 (8) ◽  
Author(s):  
Hatice Gul Hatipoglu ◽  
Hatice Nursun Ozcan ◽  
Ergun Daglioglu ◽  
Bulent Sakman
Keyword(s):  
Magnetic Resonance ◽  
Soft Tissue ◽  
Magnetic Resonance Images ◽  
Tissue Thickness ◽  
Soft Tissue Thickness ◽  
Prevertebral Soft Tissue
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