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C-Spine MRI
Aka: C-Spine MRI, MRI C-Spine, Cervical Spine MRI
- See Also
- Cervical Spine Trauma
- Cervical Spine Imaging in Acute Traumatic Injury
- NEXUS Criteria
- Canadian Cervical Spine Rule
- Cervical Spine XRay
- Cervical Spine CT
- Indications: MRI C-Spine in Trauma
- SCIWORA suspected (neurologic deficits with normal imaging)
- Most often associated with pediatric C-Spine Injury, but also occurs in adults
- Central Cord Syndrome suspected (symmetric upper extremity > lower extremity neurologic deficits)
- Inaba (2016) J Trauma Acute Care Surg 81(6):1122-30 +PMID:27438681 [PubMed]
- Vascular neck injury suspected
- Severe blunt force neck injury
- Significant hyperextension or hyperflexion injury
- Unexplained neurologic deficits
- Skull base Fracture
- Cervical Vertebral Fracture in region of Vertebral arteries
- Penetrating neck injury in region of neck vascular structures
- Severe Facial Fractures
- Obtunded patients (or otherwise unreliable exams)
- Most studies have found no management-changing findings on MRI that were not seen on CT
- Como (2007) J Trauma 63(3): 544-49 [PubMed]
- Harris (2008) Spine 33(14): 1547-53 [PubMed]
- Tomycz (2008) J Trauma 64(5): 1258-63 [PubMed]
- Hogan (2005) Radiology 237(1):106-13 [PubMed]
- Only the Menaker group has found significant benefits to MRI over C-Spine in obtunded patients
- Menaker (2010) Am Surg 76(2): 157-63 [PubMed]
- Menaker (2008) J Trauma 64(4): 898-903 [PubMed]
- References
- Jang and Kaji (2013) Crit Dec Emerg Med 27(6): 2-9
- Bagley (2006) Radiol Clin North Am 44(1): 1-12 [PubMed]