Prevertebral swelling in cervical spine injury: Identification of ligament injury with magnetic resonance imaging
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 ha...
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| Veröffentlicht in: | Clinical radiology 1992-11, Vol.46 (5), p.318-323 |
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| creator | Silberstein, M. Tress, B.M. Hennessy, O. |
| description | 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. |
| doi_str_mv | 10.1016/S0009-9260(05)80375-7 |
| format | Article |
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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.</description><identifier>ISSN: 0009-9260</identifier><identifier>EISSN: 1365-229X</identifier><identifier>DOI: 10.1016/S0009-9260(05)80375-7</identifier><identifier>PMID: 1464202</identifier><identifier>CODEN: CLRAAG</identifier><language>eng</language><publisher>Amsterdam: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; Cervical Vertebrae - injuries ; Connective Tissue - injuries ; Contusions - diagnosis ; Female ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Joint Instability - diagnosis ; Ligaments, Articular - injuries ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Middle Aged ; Osteoarticular system. Muscles ; Radiodiagnosis. Nmr imagery. Nmr spectrometry ; Retrospective Studies ; Spondylitis - diagnosis</subject><ispartof>Clinical radiology, 1992-11, Vol.46 (5), p.318-323</ispartof><rights>1992 The Royal College of Radiologists. All rights reserved</rights><rights>1993 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-b74e707725be70304a94a4701e1aa95ad9adafac5aa3361ee2a5f19867e7bbf53</citedby><cites>FETCH-LOGICAL-c418t-b74e707725be70304a94a4701e1aa95ad9adafac5aa3361ee2a5f19867e7bbf53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0009-9260(05)80375-7$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4390784$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1464202$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Silberstein, M.</creatorcontrib><creatorcontrib>Tress, B.M.</creatorcontrib><creatorcontrib>Hennessy, O.</creatorcontrib><title>Prevertebral swelling in cervical spine injury: Identification of ligament injury with magnetic resonance imaging</title><title>Clinical radiology</title><addtitle>Clin Radiol</addtitle><description>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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cervical Vertebrae - injuries</subject><subject>Connective Tissue - injuries</subject><subject>Contusions - diagnosis</subject><subject>Female</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Joint Instability - diagnosis</subject><subject>Ligaments, Articular - injuries</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Osteoarticular system. Muscles</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Retrospective Studies</subject><subject>Spondylitis - diagnosis</subject><issn>0009-9260</issn><issn>1365-229X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1rGzEQhkVpSB23P8GgQynJYRNpJa2sXkoJ-YJACm2hNzGrnXUV1lpbWjvk30cbG-eY06B3Ho1GDyEzzs4549XFb8aYKUxZsVOmzuZMaFXoD2TCRaWKsjT_PpLJAflETlJ6HI-ylMfkmMtKlqyckPWviFuMA9YROpqesOt8WFAfqMO49W4MVz5gTh438fk7vWswDL7NncH3gfYt7fwCljncI_TJD__pEhYBB-9oxNQHCC5PyFme_ZkctdAl_LKvU_L3-urP5W1x_3Bzd_nzvnCSz4ei1hI107pUda6CSTASpGYcOYBR0BhooAWnAISoOGIJquVmXmnUdd0qMSXfdnNXsV9vMA126ZPL_4OA_SZZLYSRldEZVDvQxT6liK1dxbxrfLac2VG1fVVtR4-WKfuq2o73ZvsHNvUSm7dbO7e5_3Xfh5Q9tjFb8OmASWGYnsuM_dhhmGVsPUabnMcsrPER3WCb3r-zyAu-j51l</recordid><startdate>19921101</startdate><enddate>19921101</enddate><creator>Silberstein, M.</creator><creator>Tress, B.M.</creator><creator>Hennessy, O.</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19921101</creationdate><title>Prevertebral swelling in cervical spine injury: Identification of ligament injury with magnetic resonance imaging</title><author>Silberstein, M. ; Tress, B.M. ; Hennessy, O.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c418t-b74e707725be70304a94a4701e1aa95ad9adafac5aa3361ee2a5f19867e7bbf53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cervical Vertebrae - injuries</topic><topic>Connective Tissue - injuries</topic><topic>Contusions - diagnosis</topic><topic>Female</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Joint Instability - diagnosis</topic><topic>Ligaments, Articular - injuries</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Osteoarticular system. Muscles</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>Retrospective Studies</topic><topic>Spondylitis - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Silberstein, M.</creatorcontrib><creatorcontrib>Tress, B.M.</creatorcontrib><creatorcontrib>Hennessy, O.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Silberstein, M.</au><au>Tress, B.M.</au><au>Hennessy, O.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevertebral swelling in cervical spine injury: Identification of ligament injury with magnetic resonance imaging</atitle><jtitle>Clinical radiology</jtitle><addtitle>Clin Radiol</addtitle><date>1992-11-01</date><risdate>1992</risdate><volume>46</volume><issue>5</issue><spage>318</spage><epage>323</epage><pages>318-323</pages><issn>0009-9260</issn><eissn>1365-229X</eissn><coden>CLRAAG</coden><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.</abstract><cop>Amsterdam</cop><pub>Elsevier Ltd</pub><pmid>1464202</pmid><doi>10.1016/S0009-9260(05)80375-7</doi><tpages>6</tpages></addata></record> |
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| ispartof | Clinical radiology, 1992-11, Vol.46 (5), p.318-323 |
| issn | 0009-9260 1365-229X |
| language | eng |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Adolescent Adult Aged Biological and medical sciences Cervical Vertebrae - injuries Connective Tissue - injuries Contusions - diagnosis Female Humans Investigative techniques, diagnostic techniques (general aspects) Joint Instability - diagnosis Ligaments, Articular - injuries Magnetic Resonance Imaging Male Medical sciences Middle Aged Osteoarticular system. Muscles Radiodiagnosis. Nmr imagery. Nmr spectrometry Retrospective Studies Spondylitis - diagnosis |
| title | Prevertebral swelling in cervical spine injury: Identification of ligament injury with magnetic resonance imaging |
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