abdomen and hips is essential, as symptoms arising from these regions can bemisinterpreted as arising from the lumbar spine.
Major advances have occurred in the radiological evaluation of spinal disorders with imagingmodalities such as computed tomography and magnetic resonance imaging. To gainmaximum information, the imaging techniques must be used appropriately.
A very useful tool in the initial. Imaging of spinal trauma. Assessment of vertebralalignment, fractures and ligamentous injury. Adequate cervical spine radiographs mustinclude C1 – T1. Spinal canal narrowing and congenital fusions can be assessed.Flexion and extension views will reveal instability,
Congenital Cervical Spinal Canal Stenosis
Athletes with congenital canal narrowing are more susceptible to spinal cord injury, even inthe presence of minor disc protrusion or subluxation. Assessment of canal dimensions withTorg’s canal to vertebral body with ratio eliminates magnification effect. The normal ratio is1:1.A spinal canal is narrow if this ratio is less than 0.8 at C3-C6 (Figs. 4 and 5).
Provides useful assessment of fractures/dislocations including number, size and position of bony fragments. Aids in surgical planning. Spinal canal contents are poorly visualized. CRrarely depicts disc protrusion in the cervical spine. CT/myelography may be used tovisualize compressive lesions when MRI is unavailable.
MRI with its multi-planar capabilities and superb soft tissue contrast is the modality of choice to investigate suspected spinal cord, disc or ligamentous injuries. Assessment withMRI for disc protrusion is essential in bilateral facet joint dislocations to prevent possiblecord compression by disc material prolapsed behind the vertebral body following reductionof the dislocation.
This investigation may be useful in cases of unexplained pain – occult fracture, infection,tumour. However, bone scanning lacks specificity.
The majority of sports-related injuries to the spine occur in the cervical region. Injuries maybe classified as follows:1. Soft tissue injuries