Narrowing of the Cervical Spinal Canal and Spinal Cord Injury in Football Players

1997 ◽  
Vol 7 (2) ◽  
pp. 153
Author(s):  
Alexandra Kirkley
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Spinal Canal ◽  
Football Players ◽  
Cervical Spinal Canal ◽  
Cord Injury

scholarly journals P.125 Back “pane” secondary to glass coffee table mishap: a very unusual penetrating injury to the thoracic dura without spinal cord injury

2019 ◽  
Vol 46 (s1) ◽  
pp. S46
Author(s):  
R Mercure-Cyr ◽  
D Fourney
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Spinal Canal ◽  
Motor Evoked Potential ◽  
Cerebrospinal Fluid Leak ◽  
Penetrating Injury ◽  
Glass Fragment ◽  
Rare Injury ◽  
Thoracic Spinal ◽  
Cord Injury

Background: Non-gunshot wound penetrating injury to the spinal canal have been known to have variable injury patterns with respect to trajectory and depth. Methods: We present a case of a penetrating glass fragment injury to the T11-12 level with a cerebrospinal fluid leak. Results: A T11-12 bilateral laminectomy and duraplasty with motor-evoked potential monitoring was performed to remove the foreign object and associated hematoma. The clinical presentation and surgical management are discussed with respect to other non-gunshot-related penetrating spine injuries in the literature. Conclusions: This case demonstrates a very rare injury pattern, as the vast majority of intradural penetrating injuries to the thoracic spine result in complete or incomplete spinal cord injury. This patient was neurologically intact, which is remarkable, given the 7cm glass fragment crossing the thoracic spinal canal transversely from the right to left.

Neurological Improvement Associated with Late Decompression of the Thoracolumbar Spinal Cord

Neurosurgery ◽  
1984 ◽  
Vol 14 (3) ◽  
pp. 302-307
Author(s):  
J. Maiman Dennis ◽  
J. Larson Sanford ◽  
C. Benzel Edward
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Spinal Canal ◽  
Spinal Instrumentation ◽  
Spinal Fixation ◽  
Neurological Improvement ◽  
Fixation Devices ◽  
Cord Injury ◽  
Spinal Fixation Devices ◽  
Premature Removal

Abstract We reviewed the cases of 20 patients admitted to our institution with thoracolumbar spinal cord injury who had previously undergone laminectomy and/or spinal instrumentation. Thirteen patients had a mass in the spinal canal, and 7 had kyphotic deformities. The lateral extracavitary approach to the spine and posterior stabilization when indicated were done in each. Seventeen patients obtained substantial neurological improvement. All 7 patients with kyphosis regained the ability to walk, as did all but 3 of the nonambulatory patients with a mass in the spinal canal. Morbidity was limited to pneumothorax and 1 case of late kyphosis associated with premature removal of the spinal fixation devices. Elective anterior approaches for reconstruction of the spinal canal with appropriate stabilization afford the best opportunity for neurological improvement in cases of thoracolumbar spinal cord injury.

The Significance of Thoracolumbar Spinal Canal Size in Spinal Cord Injury Patients

Spine ◽  
2001 ◽  
Vol 26 (4) ◽  
pp. 371-376 ◽  
Author(s):  
Alexander R. Vaccaro ◽  
Richard S. Nachwalter ◽  
Gregg R. Klein ◽  
J. Milo Sewards ◽  
Todd J. Albert ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Spinal Canal ◽  
Cord Injury

Spinal Cord Injury With a Narrow Spinal Canal: Utilizing Torg’s Ratio Method of Analyzing Cervical Spine Radiographs

1998 ◽  
Vol 16 (1) ◽  
pp. 79-82 ◽  
Author(s):  
Tareg Bey ◽  
Amy Waer ◽  
Frank G Walter ◽  
John Fortune ◽  
Joachim Seeger ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cervical Spine ◽  
Spinal Canal ◽  
Ratio Method ◽  
Cord Injury ◽  
Narrow Spinal Canal ◽  
Spine Radiographs

scholarly journals Torg’s ratio in normal adult nepalese population

2017 ◽  
Vol 18 (1) ◽  
pp. 5-9
Author(s):  
Badri Rijal ◽  
R K Pokharel ◽  
S Paudel ◽  
L L Shah
Keyword(s):  
Spinal Cord ◽  
Cervical Spine ◽  
Spinal Stenosis ◽  
Spinal Canal ◽  
Cervical Spinal Cord ◽  
Canal Stenosis ◽  
Cervical Spinal Canal ◽  
Cord Injury ◽  
History Of ◽  
Cervical Spinal Stenosis

Introduction: Acute cervical trauma occasionally leads to cervical canal stenosis in some individuals in spite of minor trauma. The spinal canal-to-vertebral body ratio (Torg-Pavlov ratio) has been proposed for assessing developmental spinal canal stenosis. It is not affected by magnification, and is measured on lateral plain films of cervical vertebrae. The result of this study may help in better understanding of the Torg’s ratio, which is more reliable than direct measuring of the mid-sagittal diameter of the cervical spinal canal in the diagnosis of cervical spinal stenosis or predicting the prognosis of cervical spinal cord injury. If Torg’s ratio is below normal there is risk of cervical cord injury whereas relatively safe in large Torg’s ratio. Torg’s ratio can be accessed even in rural areas where x-rays are easily available and more economical than MRI and CT scan. It can assess the risk of cord injury during sports and outdoor activities and help individuals’ choose safe carrier in sports or others activities.Methods: In order to ascertain the normal values of the Torg’s ratio in adults Nepalese, hundred sets of cervical vertebral columns of hundred adult Nepalese population of age group 20-40 years were examined. Consecutive patients presenting with history of neck pain with normal x-ray findings or history of trauma without cervical spine injury from Orthopaedic OPD (out patients department) and emergency department of Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu from March 2011 to August 2012 were included in the study.Results: There were 48 males and 52 females with age ranging from 20 yrs to 40 yrs with the mean of 30.34±5.36 years. The normal average canal/body ratio of the cervical spine is 0.99 +/- 0.09 in male and 1.01 +/- 0.07 in female. It was observed that the ratio of the antero-posterior diameters of cervical spinal canal and vertebral bodies showed sexual dimorphism.Conclusion: The Torg’s ratio is the same irrespective of gender and height. The result of this study will help in better understanding of the Torg’s ratio, which is more reliable than direct measuring of the mid-sagittal diameter of the cervical spinal canal in the diagnosis of cervical spinal stenosis or predicting the prognosis of cervical spinal cord injury.JSSN 2015; 18 (1), Page: 5-9

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