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The incidence and prognostic significance of radiological abnormalities in soft tissue
injuries to the cervical spine. |
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AUTHORS: |
Miles KA; Maimaris C; Finlay D; Barnes MR |
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AUTHOR AFFILIATION: |
Department of Radiology, Leicester Royal Infirmary, England. |
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SOURCE: |
Skeletal Radiol 1988;17(7):493-6 |
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CITATION IDS: |
PMID: 3201276 UI: 89072814 |
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ABSTRACT: |
The radiographs and initial clinical findings of 73 patients who had sustained trauma to
the cervical spine without bony injury in vehicle collisions were reviewed. The patients
were also re-examined clinically two years after the injury. Forty eight (65.8%) had
abnormal radiographs at presentation--prevertebral soft tissue swelling in 15 (20.6%),
degenerative changes in 15 (20.6%), and an angular deformity between two adjacent
vertebral bodies in 27 (37.0%). Prevertebral soft tissue swelling was found to have no
significance with respect to clinical outcome and showed no association with the presence
of an angular deformity. Degenerative changes are associated with a poor prognosis. The
presence of an angular deformity was found to carry a good prognosis in this group of
patients. The exact mode of injury is not associated with any specific radiographic
appearance except that "roll overs" and side collisions are more likely to cause
angulation in the cervical spine. |
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MAIN MESH HEADINGS: |
Cervical Vertebrae/*injuries
Muscles/*injuries
Neck Muscles/*injuries
Whiplash Injuries/*radiography |
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ADDITIONAL MESH HEADINGS: |
Adult
Aged
Cervical Vertebrae/radiography
Follow-Up Studies
Human
Middle Age
Prognosis
Time Factors |
