Diagnostic Imaging Following Cervical Spine Injury

The Radiologist, 2003

Injury, 2009

The Spine Journal, 2015

American Journal of Roentgenology, 2009

Spine, 2015

Study Design. Cross-sectional studyObjective. The purpose of this study was to determine the prevalence and distribution of abnormal findings on cervical spine magnetic resonance image (MRI).Summary of Background Data. Neurological symptoms and abnormal findings on MRI are keys to diagnose the spinal diseases. To determine the significance of MRI abnormalities, we must take into account the 1) frequency and 2) spectrum of structural abnormalities, which may be asymptomatic. However, no large-scale study has documented abnormal findings of the cervical spine on MRI in asymptomatic subjects.Methods. MRIs were analyzed for the anteroposterior spinal cord diameter, disc bulging diameter, and axial cross-sectional area of the spinal cord in 1,211 healthy volunteers. The age of healthy volunteers prospectively enrolled in this study ranged from 20 to 70, with approximately 100 individuals per decade, per gender. These data were used to determine the spectrum and degree of disc bulging, sp...

Archives of Orthopaedic and Traumatic Surgery, 1979

Annals of Emergency Medicine, 2011

Study objective: We aim to determine the prevalence and factors associated with cervical discoligamentous injuries detected on magnetic resonance imaging (MRI) in acute, alert, neurologically intact trauma patients with computed tomography (CT) imaging negative for acute injury and persistent midline cervical spine tenderness. We present the cross-sectional analysis of baseline information collected as a component of a prospective observational study.

Annals of Emergency Medicine, 1980

A clinical radiologic algorithm is presented for the evaluation of the acutely injured cervical spine. Available radiologic techniques are described. An attempt is made to match the clinical indicators of injury to the appropriate level of radiologic investigation, thus maximizing the efficacy of the work-up. Wales LR, Knopp RK, Morishima MS: Recommendations for evaluation of the acutely injured cervical spine: a clinical radiologic algorithm. Ann Emerg Med 9:422-428, August 1980.

The Journal of trauma

Objective: The purpose of this study was to describe the performance of adjunctive radiologic imaging in patients with cervical spine injury.

Archives of pathology & laboratory medicine, 2003

A 37-year-old white man presented with a 2-week history of numbness and weakness in the lower extremities. There was no history of bowel, bladder, or sexual dysfunction. A neurologic examination revealed normal strength in the upper extremities with normal musculature. The lower extremities also showed normal musculature but with decreased strength (4/5). Touch and pain sensation was impaired from T7 in the right midchest area and extending downward to include the abdomen, lower back, legs, and toes. Vibration and joint position sense were normal. All tendon reflexes were brisk (2ϩ). A cerebellar examination was within normal limits in the upper extremities, but the patient had difficulty with tandem walk, deep knee bends, and balancing on one foot. His medical history was important for a history of lymphoma diagnosed and treated in 1995 and for a benign mixed tumor of the right submandibular gland surgically excised in 1996. On admission, computed tomography imaging of the chest, abdomen, and pelvis showed no evidence of lymphadenopathy or of intrathoracic or intra-abdominal masses. An expansile spinal lesion with a cystic appearance was