BACKGROUND Although the vertebral artery injuries (VAI) associated with cervical spine trauma are usually clinically occult, they may cause fatal ischemic damage to the brain stem and cerebellum. METHODS We performed a prospective study using computed tomographic angiography (CTA) to determine the frequency of VAI associated with cervical spine injuries and investigate the clinical and radiol...

OBJECTIVE It is rare that the medial loop in the V2 segment of the vertebral artery (VA) causes compression of the proximal cervical root of the spinal cord without leading to bony erosion and an enlarged foramen. We evaluated the clinical significance and incidence of the medial loop in the V2 segment of the VA. METHODS We reviewed the records from 1000 consecutive patients who had undergone...

BACKGROUND Acute traumatic axis fractures are common cervical spine injuries often caused by road accidents or falls. They are usually classified into three different types, namely, odontoid fractures, Hangman's fractures, and miscellaneous fractures. Congenital malformations of the craniovertebral junction (CVJ), although typically asymptomatic, may result in neural compression or instability,...

BACKGROUND AND PURPOSE Multidetector CT imaging of the cervical spine performed with submillimeter collimation allows for the production of excellent quality multiplanar reformations and reconstructed axial images at any chosen section thickness. Currently there is no consensus on what images need to be reviewed for accurate diagnosis of cervical spine fractures. Our study assesses whether 1-mm...

Objective: To determine the influencing factors for hospital cost of patients with spinal fractures using E-CHAID category tree, we performed this retrospective study. Patients and methods: The data on 2109 patients with spinal fractures in our hospital, including the comorbidity conditions, surgical and other clinical characteristics, were collected. After Pearson correlation test was performe...

Cervical spine injuries can be disastrous. The treatment begins at the accident scene by obtaining an appropriate history, physical examination, and evaluation of the mechanics of the accident. Emergency medical stabilization takes precedence, but the cervical spine should be stabilized until an injury in this area is ruled out. If the patient has suffered a head injury or is violent, cervical ...

BACKGROUND Not all patients with spinal cord compression due to cervical spondylotic myelopathy (CSM) have clinical symptoms and signs. The aim of this study was to investigate and compare the imaging findings in asymptomatic and symptomatic patients with CSM with mild to moderate cervical spinal cord compression. MATERIAL AND METHODS A retrospective clinical study included 68 patients. Group A...

Spontaneous cervical epidural hematoma is an uncommon cause of acute spinal cord compression. It usually occurs with sudden cervical or interscapular pain. Typically, increasing compression of the spinal cord leads to paralysis within minutes to hours after the onset of symptoms. The authors report a case of spontaneous cervical epidural hematoma with sudden onset of left side complete hemipleg...

introduction: necessity of imaging for symptom-free conscious patients presented to emergency department (ed) following traumatic thoracolumbar spine injuries has been a matter of debate. the present study was aimed to evaluate the diagnostic value of clinical findings in prediction of traumatic thoracolumbar injuries compared tocomputed tomography (ct) scan. methods: the present diagnostic val...

BACKGROUND Prompted by an increase in interventional pain treatments performed at the level of the cervical spine, we investigated the characteristics and patterns of injury in malpractice claims collected from January 1, 2005 to December 31, 2008. METHODS We compared claims arising from cervical pain treatments with all other chronic pain claims collected from the American Society of Anesthe...