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Title: Prevertebral swelling in cervical spine injury: identification of ligament injury with magnetic resonance imaging.
Austin Authors: Silberstein, M;Tress, B M;Hennessy, O F
Affiliation: Department of Radiology, Austin Hospital, Heidelberg, Victoria, Australia
Issue Date: 1-Nov-1992
Publication information: Clinical Radiology; 46(5): 318-23
Abstract: In a retrospective analysis of 27 consecutive patients with acute cervical spine injury who underwent Magnetic Resonance (MR) Imaging, 14 had prevertebral soft tissue swelling on initial lateral radiographs, of whom 13 had anterior longitudinal ligament disruption on MR. Of the eight patients who had isolated prevertebral swelling in the absence of vertebral body fracture or significant subluxation, seven had anterior longitudinal ligament disruption shown on MR imaging. Of the patients with MR documented ligament injury, three had dynamic flexion-extension radiographs within 2 weeks of injury and all demonstrated cervical instability. As cervical prevertebral swelling following trauma was indicative of ligament injury in nearly half the patients, this finding should prompt clinical and radiographic follow-up to exclude spinal instability.
Gov't Doc #: 1464202
Type: Journal Article
Subjects: Adolescent
Cervical Vertebrae.injuries
Connective Tissue.injuries
Joint Instability.diagnosis
Ligaments, Articular.injuries
Magnetic Resonance Imaging
Middle Aged
Retrospective Studies
Appears in Collections:Journal articles

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