Magnetic Resonance Imaging in Cervical Spine Trauma: More Than Soft Tissue Illustration

Fotakopoulos, George; Brotis, Alexandros; Fountas, Konstantinos

doi:10.7759/cureus.21493

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…As documented by many Authors, the presence of intramedullary hemorrhage correlates with a worse prognosis [22,23]. Hemorrhage indicates spinal cord damage with poor outcome and neurological recovery.…”

Section: Discussionmentioning

confidence: 93%

Prognostic MRI parameters in acute traumatic cervical spinal cord injury

et al. 2023

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Purpose The aim of this study is to estimate the prognostic value of some features documented on preoperative MRI study in patients with acute cervical spinal cord injury. Methods The study was conducted in patients operated for cervical spinal cord injury (cSCI) from April 2014 to October 2020. The quantitative analysis on preoperative MRI scans included: length of the spinal cord intramedullary lesion (IMLL the canal diameter at the level of maximal spinal cord compression (MSCC) and the presence of intramedullary hemorrhage. The canal diameter at the MSCC was measured on the middle sagittal FSE-T2W images at the maximum level of injury. The America Spinal Injury Association (ASIA) motor score was used for neurological assessment at hospital admission. At 12-month follow-up all patients were examined with the SCIM questionnaire. Results At linear regression analysis, the length of the spinal cord lesion [β coefficient −10.35, 95% confidence interval (CI)−13.71 to−6.99; p < 0.001], the diameter of the canal at the level of the MSCC (β coefficient 6.99, 95% CI 0.65 to 13.33; p = 0.032), and the intramedullary hemorrhage (β coefficient − 20.76, 95% CI − 38.70 to − 2.82; p = 0.025), were significantly associated with the score at the SCIM questionnaire at one year follow-up: shorter spinal cord lesion, greater diameter of the canal at the level of the MSCC, and absence of intramedullary hemorrhage were predictors of better outcome. Conclusion According to the findings of our study, the spinal length lesion, canal diameter at the level of spinal cord compression and intramedullary hematoma documented by the preoperative MRI study were associated with the prognosis of patients with cSCI.

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Section: Discussionmentioning

confidence: 93%

Prognostic MRI parameters in acute traumatic cervical spinal cord injury

et al. 2023

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“…Recent empirical data has suggested that CT imaging should be prioritized to assess the cervical spine rapidly and efficiently, potentially rendering conventional plain radiographic imaging unnecessary [5]. Moreover, in specific clinical scenarios such as neurologic deficits, the need to assess ligamentous injuries, or the imperative to rule out underlying pathologies, MRI may also be considered an invaluable diagnostic tool [6,7]. light of the absence of clear-cut guidelines regarding the optimal imaging modality for cervical fracture diagnosis, healthcare professionals must thoroughly understand the strengths and limitations of each option.…”

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confidence: 99%

The Hidden Injury: Delayed Diagnosis of C2 Fracture Post Athletic Trauma

Al-Smadi,

Sharma,

Kozma

et al. 2023

Preprint

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Cervical injuries from athletic activities are rare; they can have severe consequences if not diagnosed and managed promptly. The choice of diagnostic imaging modality is pivotal in ensuring timely and accurate diagnosis. We detail the case of a 19-year-old female athlete who sustained a C2 Durel Type II Subclass C fracture during a short-track speed skating championship. Initial evaluation using X-ray imaging at the athletic center medical facility did not detect the injury, allowing her to continue competing. Persistent pain led to further evaluation at our institution, where MRI and CT scans confirmed the fracture. Approximately 45 days post-injury, the patient underwent a successful surgical intervention utilizing O-arm CBCT navigation for C1-C2 dorsal fusion. Post-surgery, she embarked on a comprehensive rehabilitation program and fully recovered within 12 weeks. This case underscores the limitations of relying solely on X-ray imaging for diagnosing cervical fractures post-trauma. Our findings advocate prioritizing CT scans as a primary diagnostic tool in such scenarios, emphasizing the need for a robust diagnostic approach to ensure athlete safety and well.

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A Narrative Review of Combat Sports Injuries With a Particular Focus on Cervical Spine Injuries

Bakirtzis,

Gkiafi,

Sioutis

et al. 2024

Cureus

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Combat sports encompass a wide range of disciplines, each associated with distinct injury patterns and mechanisms. From karate to wrestling, athletes face varying degrees of injury risks, with common clinical presentations including head injuries, strains, sprains, fractures, and concussions. These injuries often result from dynamic movements, physical contact, and high-impact collisions inherent to combat sports. Diagnostic approaches such as plain radiographs, computed tomography (CT), and magnetic resonance imaging (MRI) play vital roles in assessing injuries, guiding treatment decisions, and ensuring optimal outcomes for athletes. Despite advancements in imaging technology, challenges such as false-positive results underscore the importance of clinical re-evaluation to avoid unnecessary interventions and minimize the risk of long-term complications. Following injury diagnosis, the focus shifts to treatment, recovery, and prevention strategies aimed at enhancing athlete well-being and mitigating injury risks. Prompt and appropriate emergency care, including stabilization techniques and wound management, lays the groundwork for subsequent interventions. Recovery and rehabilitation processes are tailored to the specific needs of each athlete, addressing factors such as injury severity, demographics, and sport-specific demands. Quality of life considerations underscore the profound impact of severe sports injuries on physical health and psychological well-being, emphasizing the importance of holistic support and resources for athletes. Preventive measures, including rule modifications, equipment design enhancements, and concussion prevention initiatives, are vital for creating safer sporting environments and minimizing the incidence and severity of injuries. By addressing the complexities of injury management, recovery, and prevention in combat sports, stakeholders can promote athlete safety, well-being, and long-term participation in sports.

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Magnetic Resonance Imaging in Cervical Spine Trauma: More Than Soft Tissue Illustration

Cited by 3 publications

References 7 publications

Prognostic MRI parameters in acute traumatic cervical spinal cord injury

Prognostic MRI parameters in acute traumatic cervical spinal cord injury

The Hidden Injury: Delayed Diagnosis of C2 Fracture Post Athletic Trauma

A Narrative Review of Combat Sports Injuries With a Particular Focus on Cervical Spine Injuries

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