BACKGROUND CONTEXT Acute cervical spinal cord injury (SCI) has been observed in some patients after a minor trauma to the cervical spine. The discrepancy between the severity of the trauma and the clinical symptoms has been attributed to spinal canal stenosis. However, to date, there is no universally established radiological parameter for identifying critical spinal stenosis in these patients....

INTRODUCTION Ventral cervical spinal epidural abscess is a very rare clinical condition with a relatively high morbidity and mortality. Due to the paucity of reported cases there is heterogeneity and no clear "gold standard" in the treatment of these patients. OBJECTIVE The authors report four consecutive patients with ventral cervical spinal epidural abscess treated with anterior cervical di...

Dear Editor, The management of penetrating neck wound remains controversial. The complicated anatomy of the neck has always made this management challenging. Airway, spinal cord and great vessels are the most important structures to be concerned with. In the presence of cervical spine fracture, airway must be handled with greater care and neck manipulation should be minimised so as to avoid fur...

Cervical spine injuries associated with three-point fixation lap-sash seat belts result from impact against the sash. While such injuries are infrequent and often without serious neurologic sequelae, they may produce serious deficits with grave injuries. Flexion-extension fractures of the lower cervical vertebrae, fractures of the transverse and spinous processes of the lower cervical and upper...

Root fractures due to traumatic injuries can be a very challenging situation for a clinician especially when it is encountered in the cervical third. Treatment alternatives for cervical root fractures are limited and mostly involves removal of the coronal fragment. The current case report describes a conservative approach to managing a cervical root fracture with intraradicular splinting in a m...

a 60-year-old patient with testicular seminoma was referred for f-18 fdg pet/ct study to evaluate recurrence. in addition to hypermetabolic cervical, mediastinal and hilar lymph node tumoral metastases, segmental intense fdg uptake along the lumbar spinal cord suggestive of tumoral metastasis was noted which quite an unusual presentation is.  at the time of pet study the patient was symptomless...

SCC occurs as a result of a malignant neoplasm compressing the spinal cord. Malignant tumors may be classified as primary (i.e., arising from the tissue of the spinal cord or spinal canal) or secondary (i.e., arising as metastatic solid tumors) (Schafer, 1997). SCC most commonly is caused by metastatic tumors. Progression of symptoms is more rapid with metastatic tumors when compared to primary...

In thoracolumbar spinal fractures with posterior column injury for applying proper management, it is important to distinguish a flexion-distraction injury (FDI) from a three column burst fracture (BF) as in clinical examination, both may have a similar significant tenderness on direct spinal palpation. Careful attention to the comprehensive clinical examination and detailed imaging features are...

We report three patients who developed delayed (ie, more than a week after the injury) symptoms of vertebrobasilar ischemia following motor vehicle accidents. The patients all had angiographic evidence of vertebral artery dissection and, upon further evaluation, occult fractures of the second cervical vertebra that were not detected by simple cervical spine radiography and required polytomograp...

Background: There is no established treatment strategy for traumatic vertebral artery occlusion that does not require cervical spine repair surgery. Case Description: A 49-year-old man was brought to our hospital with traffic trauma. Fractures were observed in the left lateral mass and transverse process of Atlas occluded at level foramen transversum Atlas. No acute cerebral infarction observed...