+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

A new classification for cervical vertebral injuries: influence of CT



A new classification for cervical vertebral injuries: influence of CT



Skeletal Radiology 29(3): 125-132



Computed tomography (CT) has been demonstrated to be superior to radiography in identifying cervical vertebral injuries. However, many of these injuries may not be clinically significant, and require only minimal symptomatic and supportive treatment. It is therefore imperative that radiologists and spine surgeons have criteria for distinguishing between those injuries requiring surgical stabilization and those that do not. The authors propose a new classification of cervical vertebral injuries into two categories: major and minor. A data base, acquired on 1052 separate cervical injuries in 879 patients seen between 1983 and 1998, was reviewed. Four categories of injury based on mechanism [hyperflexion (four variants), hyperextension (two variants), rotary (two variants), and axial compression (five variants)] were identified. "Major" injuries are defined as having either radiographic or CT evidence of instability with or without associated localized or central neurologic findings, or have the potential to produce the latter. "Minor" injuries have no radiographic and/or CT evidence of instability, are not associated with neurologic findings, and have no potential to cause the latter. Cervical injury should be classified as "major" if the following radiographic and/or CT criteria are present: displacement of more than 2 mm in any plane, wide vertebral body in any plane, wide interspinous/interlaminar space, wide facet joints, disrupted posterior vertebral body line, wide disc space, vertebral burst, locked or perched facets (unilateral or bilateral), "hanged man" fracture of C2, dens fracture, and type III occipital condyle fracture. All other types of fractures may be considered "minor".

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 045079466

Download citation: RISBibTeXText

PMID: 10794549

DOI: 10.1007/s002560050582


Related references

On the urgency of treatment of injuries of cervical vertebral column within the scope of combination injuries. Muenchener Medizinische Wochenschrift 113(21): 824, 1971

Vertebral artery injuries associated with cervical spine injuries: a review of the literature. Journal of Spinal Disorders and Techniques 21(4): 252-258, 2008

Pathomorphological studies of the influence of degenerative changes in the region of the lateral cervical vertebral column in the course of the vertebral artery. Zentralblatt fuer Neurochirurgie 46(2): 119-125, 1985

First aid treatment for cervical vertebral injuries. Medical Journal of Australia 2(12): 488, 1975

Evaluation of cervical vertebral injuries. Seminars in Roentgenology 27(4): 239-253, 1992

ABCD classification system: a novel classification for subaxial cervical spine injuries. Spine 39(9): 707-714, 2014

Surgical evaluation of cervical vertebral injuries. Seikeigeka. Orthopedic Surgery 19(14): 1243-1250, 1968

Helical CT for the Evaluation of Cervical Vertebral Injuries. Seminars in Musculoskeletal Radiology 2(1): 19-26, 1998

Evaluation of vertebral stability after cervical injuries. Medicinski Pregled 65(11-12): 457-459, 2013

Morphology of cervical vertebral injuries according to etiology. Hefte Zur Unfallheilkunde 108: 10-13, 1971

Vertebral artery injuries in cervical spine surgery. Spine Journal 14(8): 1520-1525, 2014

Surgical treatment of injuries of the cervical vertebral column. Therapiewoche 21(35): 2388, 1971

Cervical spine injuries and compression of the vertebral artery. Neurochirurgia 21(4): 122-127, 1978

Use of a vertebral body graft in cervical spine injuries. Neuro-Chirurgie 32(5): 455-456, 1986

Vertebral myelography and angiography in injuries of the cervical spine. Zeitschrift für Unfallmedizin und Berufskrankheiten. Revue de Medecine des Accidents et des Maladies Professionelles 65(1): 3, 1972