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Magnetic Resonance Imaging in Cervical Facet Dislocation: A Third World Perspective

STUDY DESIGN: Retrospective case series. PURPOSE: The objective of our study was to determine the change in management brought about by magnetic resonance imaging (MRI) of the cervical spine in alert and awake patients with facet dislocation and spinal cord injury presenting within 4 hours after inj...

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Autores principales: Hussain, Manzar, Nasir, Sadaf, Murtaza, Ghulam, Moeed, Umber, Bari, Muhammad Ehsan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Spine Surgery 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3302912/
https://www.ncbi.nlm.nih.gov/pubmed/22439085
http://dx.doi.org/10.4184/asj.2012.6.1.29
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author Hussain, Manzar
Nasir, Sadaf
Murtaza, Ghulam
Moeed, Umber
Bari, Muhammad Ehsan
author_facet Hussain, Manzar
Nasir, Sadaf
Murtaza, Ghulam
Moeed, Umber
Bari, Muhammad Ehsan
author_sort Hussain, Manzar
collection PubMed
description STUDY DESIGN: Retrospective case series. PURPOSE: The objective of our study was to determine the change in management brought about by magnetic resonance imaging (MRI) of the cervical spine in alert and awake patients with facet dislocation and spinal cord injury presenting within 4 hours after injury. OVERVIEW OF LITERATURE: Spinal cord injury is a common clinical entity. The role of MRI is well established in evaluating spinal trauma. However, the time at which MRI should be used is still controversial. METHODS: Retrospective data from 2002-2010 was evaluated. All of the alert and awake patients with spinal cord injury, based on clinical examination with facet dislocation diagnosed on lateral cervical spine X-rays, were included. A questionnaire was also conducted, the data of which consisted of demographic details including age and sex, the mechanism of injury, clinical examination, X-ray findings, MRI findings, whether or not surgery was performed and the time elapsed since injury. Data was analyzed using SPSS ver. 17.0. Continuous variables such as age were expressed in terms of mean ± standard deviation. Categorical variables such as change in management, X-ray/MRI findings and neurological motor level were assessed in terms of percentage. RESULTS: Fifty patients participated in our study. All these patients had spinal cord injury with defined motor levels. The mean age was 35.5 ± 8.95 years (range, 20 to 52 years). Fifty percent showed a motor level at C6 level. None of the patients required any change in management based on the MRI. CONCLUSIONS: MRI of the spine in awake patients within 4 hours after injury does not change the management of patients. However, we can hypothesize that such patients can proceed to traction without waiting for the MRI.
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spelling pubmed-33029122012-03-21 Magnetic Resonance Imaging in Cervical Facet Dislocation: A Third World Perspective Hussain, Manzar Nasir, Sadaf Murtaza, Ghulam Moeed, Umber Bari, Muhammad Ehsan Asian Spine J Clinical Study STUDY DESIGN: Retrospective case series. PURPOSE: The objective of our study was to determine the change in management brought about by magnetic resonance imaging (MRI) of the cervical spine in alert and awake patients with facet dislocation and spinal cord injury presenting within 4 hours after injury. OVERVIEW OF LITERATURE: Spinal cord injury is a common clinical entity. The role of MRI is well established in evaluating spinal trauma. However, the time at which MRI should be used is still controversial. METHODS: Retrospective data from 2002-2010 was evaluated. All of the alert and awake patients with spinal cord injury, based on clinical examination with facet dislocation diagnosed on lateral cervical spine X-rays, were included. A questionnaire was also conducted, the data of which consisted of demographic details including age and sex, the mechanism of injury, clinical examination, X-ray findings, MRI findings, whether or not surgery was performed and the time elapsed since injury. Data was analyzed using SPSS ver. 17.0. Continuous variables such as age were expressed in terms of mean ± standard deviation. Categorical variables such as change in management, X-ray/MRI findings and neurological motor level were assessed in terms of percentage. RESULTS: Fifty patients participated in our study. All these patients had spinal cord injury with defined motor levels. The mean age was 35.5 ± 8.95 years (range, 20 to 52 years). Fifty percent showed a motor level at C6 level. None of the patients required any change in management based on the MRI. CONCLUSIONS: MRI of the spine in awake patients within 4 hours after injury does not change the management of patients. However, we can hypothesize that such patients can proceed to traction without waiting for the MRI. Korean Society of Spine Surgery 2012-03 2012-03-09 /pmc/articles/PMC3302912/ /pubmed/22439085 http://dx.doi.org/10.4184/asj.2012.6.1.29 Text en Copyright © 2012 by Korean Society of Spine Surgery http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Hussain, Manzar
Nasir, Sadaf
Murtaza, Ghulam
Moeed, Umber
Bari, Muhammad Ehsan
Magnetic Resonance Imaging in Cervical Facet Dislocation: A Third World Perspective
title Magnetic Resonance Imaging in Cervical Facet Dislocation: A Third World Perspective
title_full Magnetic Resonance Imaging in Cervical Facet Dislocation: A Third World Perspective
title_fullStr Magnetic Resonance Imaging in Cervical Facet Dislocation: A Third World Perspective
title_full_unstemmed Magnetic Resonance Imaging in Cervical Facet Dislocation: A Third World Perspective
title_short Magnetic Resonance Imaging in Cervical Facet Dislocation: A Third World Perspective
title_sort magnetic resonance imaging in cervical facet dislocation: a third world perspective
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3302912/
https://www.ncbi.nlm.nih.gov/pubmed/22439085
http://dx.doi.org/10.4184/asj.2012.6.1.29
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