Trauma Imaging of the Acute Cervical Spine

2017 ◽  
Vol 21 (03) ◽  
pp. 184-198 ◽  
Author(s):  
Daniela Berritto ◽  
Antonio Pinto ◽  
Paul Michelin ◽  
Xavier Demondion ◽  
Sammy Badr
Keyword(s):  
Cervical Spine ◽  
Emergency Radiology ◽  
Surgical Intervention ◽  
Wide Spectrum ◽  
Spine Fractures ◽  
Imaging Features ◽  
Spine Trauma ◽  
Complex Anatomy ◽  
Cervical Spine Fractures ◽  
Significant Injury

Among patients admitted in emergency departments for acute cervical spine trauma, only a few have a confirmed and significant injury requiring surgical intervention. Imaging plays a key role in screening for unstable lesions that can be responsible for devastating neurologic complications or death. The complex anatomy of the cervical spine is associated with a wide spectrum of osseous and ligamentous pathologies. This review focuses on the imaging features of the main cervical spine fractures that can be encountered in emergency radiology.

scholarly journals Cervical vertebral injuries associated with the ossification of the posterior longitudinal ligament: Imaging features

2017 ◽  
Vol 6 (3) ◽  
pp. 205846011769585 ◽  
Author(s):  
Tetsuo Nakayama ◽  
Shigeru Ehara
Keyword(s):  
Cervical Spine ◽  
Posterior Longitudinal Ligament ◽  
Fracture Dislocation ◽  
Spine Injury ◽  
Spine Fractures ◽  
Minor Trauma ◽  
Imaging Features ◽  
Cervical Fractures ◽  
Different Types ◽  
Cervical Spine Fractures

Background Spinal injuries associated with ossification of the posterior longitudinal ligament (OPLL) have been characterized. However, the imaging features of traumatic cervical spine fractures in patients with OPLL have not been assessed adequately. Purpose To characterize the patterns of traumatic cervical spine fractures associated with different types of OPLL. Material and Methods We retrospectively analyzed the patterns of fractures resulting from cervical spine injury in patients with OPLL of different types and assessed the fracture patterns in patients with ankylosed segments. Results Twenty-six patients (23 men, 3 women; median age, 67.0 years; age range, 43–87 years) were included. Fall from a height <3 m was the most common trauma. Contiguous type OPLL was seen in 11 patients (42%), segmental type in 11 (42%), and mixed type in four (15%). Four of the contiguous OPLL and one of the mixed OPLL patients had ankylosed segments. The incidence of cervical fractures was 69% (16/26): seven (64%) in contiguous OPLL, five (46%) in segmental OPLL, and in all four patients with mixed OPLL. Unilateral interfacetal fracture-dislocation was most common (4/16); the others were bilateral interfacetal fracture-dislocation, fractures through the ankylosed segment, transdiscal fractures, isolated facet fractures, and compression fractures. Cervical fractures were exclusively observed in the C4 to C7, except in one case occurred at the C2 level. Conclusion Interfacetal fracture-dislocation in the lower cervical vertebrae constitutes the most common injury resulting from minor trauma.

CONVENTIONAL X-RAY AND COMPUTED TOMOGRAPHY FINDINGS OF CERVICAL SPINE TRAUMA

2016 ◽  
pp. 12-19
Author(s):  
Hoang Minh Thi Nguyen ◽  
Thanh Thao Nguyen
Keyword(s):  
Cervical Spine ◽  
Fracture Dislocation ◽  
Spine Injury ◽  
Posterior Arch ◽  
Spine Fractures ◽  
Cervical Spine Trauma ◽  
Lower Cervical Spine ◽  
Spine Trauma ◽  
X Ray ◽  
Cervical Spine Fractures

Background: Cervical spine trauma is a serious and complicated injury, affects both spine and spine cord. Evaluation of cervical spine trauma is crucial for selecting effective treatment methods. Purposes: To describe characteristics on X-ray and CT scanner of the cervical spine in trauma and to evaluate the value of X-ray for the cervical spine trauma. Materials and Method: A cross-sectional study of 33 patients with cervical spine injury seen on CT from 08/2014 to 08/2015 at Hue Central Hospital and Hue University Hospital. Results: Average age was 43 years. The majority was males (the ratio was 4.5). The most common reason of injury were motor vehicle crashes and labor accidents. The most common site of injury was C5 - C6 level. There were 4/33 cases of upper cervical spine fractures and there were 29/33 cases of lower cervical spine fractures, in which blunt fracture, dislocation fracture, simple fracture were mainly identified on CT than on X-ray, p <0.05. The Kappa value for measuring the realiability between X-ray and CT in findings of body spine fractures was moderate (0.41 < K = 0.598 < 0.6). The ratio in finding posterior arch of lower cervical spine fractures on CT were higher than on X-ray, particularly in laminar frature and multiple sites fracture. There was no diagnostic suitability between X-ray and CT in detecting posterior arch of lower cervical spine fractures, K= 0.115 < 0.2. Conclusion: X-ray is still valuable in clinical practice in medical facilities that have not been equipped with modern specialized equipment in odontoid fracture type 2, Hangman fracture and dislocated injuries besides using CT and MRI. Key words: Cervical vertebrate; Trauma; Morphologic characteristics

Cervical Spine Fractures in Athletes

1990 ◽  
Vol 9 (1) ◽  
pp. 13-29 ◽  
Author(s):  
Michael R. Marks ◽  
Gordon R. Reli ◽  
Francis R.S. Roumphrey
Keyword(s):  
Cervical Spine ◽  
Spine Fractures ◽  
Cervical Spine Fractures

scholarly journals Mortality in Elderly Patients After Cervical Spine Fractures

2010 ◽  
Vol 92 (3) ◽  
pp. 567-574 ◽  
Author(s):  
Mitchel B Harris ◽  
William M Reichmann ◽  
Christopher M Bono ◽  
Kim Bouchard ◽  
Kelly L Corbett ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Elderly Patients ◽  
Spine Fractures ◽  
Cervical Spine Fractures

Mortality related to and functional outcomes of upper cervical spine fractures in the elderly

2021 ◽  
Author(s):  
Shintaro Honda ◽  
Eijiro Onishi ◽  
Takumi Hashimura ◽  
Satoshi Ota ◽  
Satoshi Fujita ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Functional Outcomes ◽  
The Elderly ◽  
Upper Cervical Spine ◽  
Spine Fractures ◽  
Upper Cervical ◽  
Cervical Spine Fractures

Cervical Spine Injury is Rare in Self-Inflicted Craniofacial Gunshot Wounds: An Institutional Review and Comparison to the US National Trauma Data Bank (NTDB)

2020 ◽  
Vol 35 (5) ◽  
pp. 524-527
Author(s):  
Allison G. McNickle ◽  
Paul J. Chestovich ◽  
Douglas R. Fraser
Keyword(s):  
Cervical Spine ◽  
Spinal Surgery ◽  
Gunshot Wounds ◽  
Data Bank ◽  
Spine Injury ◽  
Spine Fractures ◽  
National Trauma ◽  
National Trauma Data Bank ◽  
The Us ◽  
Cervical Spine Fractures

AbstractBackground:Cadaveric and older radiographic studies suggest that concurrent cervical spine fractures are rare in gunshot wounds (GSWs) to the head. Despite this knowledge, patients with craniofacial GSWs often arrive with spinal motion restriction (SMR) in place. This study quantifies the incidence of cervical spine injuries in GSWs to the head, identified using computerized tomography (CT). Fracture frequency is hypothesized to be lower in self-inflicted (SI) injuries.Methods:Isolated craniofacial GSWs were queried from this Level I trauma center registry from 2013-2017 and the US National Trauma Data Bank (NTDB) from 2012–2016 (head or face abbreviated injury scale [AIS] >2). Datasets included age, gender, SI versus not, cervical spine injury, spinal surgery, and mortality. For this hospital’s data, prehospital factors, SMR, and CTs performed were assessed. Statistical evaluation was done with Stata software, with P <.05 significant.Results:Two-hundred forty-one patients from this hospital (mean age 39; 85% male; 66% SI) and 5,849 from the NTDB (mean age 38; 84% male; 53% SI) were included. For both cohorts, SI patients were older (P < .01) and had increased mortality (P < .01). Overall, cervical spine fractures occurred in 3.7%, with 5.4% requiring spinal surgery (0.2% of all patients). The frequency of fracture was five-fold greater in non-SI (P < .05). Locally, SMR was present in 121 (50.2%) prior to arrival with six collars (2.5%) placed in the trauma bay. Frequency of SMR was similar regardless of SI status (49.0% versus 51.0%; P = not significant) but less frequent in hypotensive patients and those receiving cardiopulmonary resuscitation (CPR). The presence of SMR was associated with an increased use of CT of the cervical spine (80.0% versus 33.0%; P < .01).Conclusion:Cervical spine fractures were identified in less than four percent of isolated GSWs to the head and face, more frequently in non-SI cases. Prehospital SMR should be avoided in cases consistent with SI injury, and for all others, SMR should be discontinued once CT imaging is completed with negative results.

Mortality and burden of cervical spine fractures in the elderly: can we do more?

2017 ◽  
Vol 17 (3) ◽  
pp. S20
Author(s):  
Matthew Chan ◽  
Benjamin Chatterton ◽  
David Ford
Keyword(s):  
Cervical Spine ◽  
The Elderly ◽  
Spine Fractures ◽  
Cervical Spine Fractures
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