Published: 2021-02-25

Role of magnetic resonance imaging in spinal trauma

Ajit Ahuja, Nitin Wadnere, Simran Behl


Background: Magnetic resonance imaging (MRI) is the modality of choice for evaluation of ligamentous and other spinal cord, soft tissue structures, disc, and occult osseous injuries. Objective evaluate the role of MRI as a non-invasive diagnostic tool in patient with spinal trauma.

Methods: This study was conducted in department of radiodiagnosis, Sri Aurobindo institute of medical sciences and PG institute, Indore and approval from the ethical and research committee. The duration of this study was April 2018 to May 2020. We included 60 patients of spinal trauma referred for MRI in this study.

Results: In 32 (53.3%) patients the mode of injury was road traffic accidents, in 23 (38.3%) patients it was fall and in 5 (8.3%) patients the mode of injury was any other mode. There was significant difference seen between the MR cord hemorrhage, cord compression, and code transaction.

Conclusions: MRI is an excellent modality for imaging of acute spinal trauma. Normal cord on baseline MRI predicts excellent outcome. When comparing patients with complete, incomplete spinal cord injury (SCI) and spine trauma without SCI, significant difference was seen in cord hemorrhage, cord transection, cord compression.


Magnetic resonance imaging, Spinal trauma, Spinal cord injury

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Rahimi-Movaghar V, Sayyah MK, Akbari H, Khorramirouz R, Rasouli MR, Moradi-LakehM. Epidemiology of traumatic spinal cord injury in developing countries: a systematic review. Neuroepidemiology. 2013;41(2):65-85.

Saifuddin A. MRI of acute spinal trauma. Skeletal Radiol. 2001;30(5):237-46.

Brandt MM1, Wahl WL, Yeom K, Kazerooni E, Wang SC. Computed tomographic scanning reduces cost and time of complete spine evaluation. J Trauma. 2004 May; 56(5):1022-6.

Flandears AE, Croul SE. Sinal trauma in: Atlus SW, editor. Megnatic Resonance Imaging of the Brain and Spinal.3rd ed. Philadelphia: Lippincott, Williams, and Wilkins. 2002;1769-824.

Rajasekaran S, Vaccaro AR, Kanna RM. The value of CT and MRI in the classification and surgical decision-making among spine surgeons in thoracolumbar spinal injuries. Eur Spine J. 2017;26(5):1463-9.

Whelan MA, Gold RP. Computed tomography of the sacrum: 1. Normal anatomy. Am J Roentgenol. 1982;139(6):1183-90.

Woon JT, Stringer MD. Clinical anatomy of the coccyx: a systematic review. Clinical anatomy. 2012;25(2):158- 67.

Denis F. The three-column spine and its significance in the classification of acute thoracolumbar spinal injuries. spine. 1983;8(8):817-31.

Maynard FM Jr, Bracken MB, Creasey G, Ditunno JF Jr, Donovan WH, Ducker TB et al. International Standards for Neurological and Functional Classification of Spinal Cord Injury. Spinal Cord. 1997;35;(5):266-74.

Como JJ, Thompson MA, Anderson JS, Shah RR, Claridge JA, Yowler CJ et al. Is magnetic resonance imaging essential in clearing the cervical spine in obtunded patients with blunt trauma? J Trauma. 2007;63(6):544-9.

Kumar Y, Hayashi D. Role of magnetic resonance imaging in acute spinal trauma: a pictorial review. BMC musculoskeletal disorders. 2016;17(1):310.

Parashari UC, Khanduri S, Bhadury S. Diagnostic and prognostic role of MRI in spinal trauma, its comparison and correlation with clinical profile and neurological outcome, according to ASIA impairment scale. J Craniovertebral Junction Spine. 2011;2:17-26.

Miyanji F, Furlan JC, Aarabi B, Arnold PM, Fehlings MG. Acute cervical traumatic spinal cord injury: MR imaging findings correlated with neurologic outcome--prospective study with 100 consecutive patients. Radiology. 2007; 243(3):820-7.

Standring S, Gray H. Grays anatomy. Anatomical basics of clinical practise, 40th edition Churchill Livingstone: Elsevier Limited Publication: 2008;712-35.

Kulkarni MV, McArdle CB, Kopanicky D, Miner M, Cotler HB, Lee KF et al. Acute spinal cord injury: MR imaging at 1.5 T. Radiology. 1987;164(3):837-43.

Flanders AE, Schaefer DM, Doan HT, Mishkin MM, Gonzalez CF, Northrup BE. Acute cervical spine trauma: correlation of MR imaging findings with degree of neurologic deficit. Radiology. 1990;177(1):25-33.

Terhaar M, Naidoo SM, Govender S, Parag P, Esterhuizen TM. Acute traumatic cervical spinal cord injuries: Correlating MRI findings with neurological outcome. SA orthopaedic J. 2017;10(1):35-41.

Martínez-Pérez R, Paredes I, Cepeda S, Ramos A, Castaño-León AM, García-Fuentes C et al. Spinal Cord Injury after Blunt Cervical Spine Trauma: Correlation of Soft-Tissue Damage and Extension of Lesion. AJNR 2013;35(5):1029-34.

Gupta R, Mittal P, Sandhu P, Saggar K, Gupta K. Correlation of Qualitative and Quantitative MRI Parameters with Neurological Status: A Prospective Study on Patients with Spinal Traum. J Clin Diagn Res. 2014;8(11):RC13-7.

Magu S, Singh D, Yadav R, Bala M. Evaluation of Traumatic Spine by Magnetic Resonance Imaging and Correlation with Neurological Recovery. Asian Spine J. 2015;9(5):748-56.

Warner J, Shanmuganathan K, Mirvis SE, Cerva D. Magnetic resonance imaging of ligamentous injury of the cervical spine. Emerg Radiol. 1996;3(1):9-15.

Demaerel P. Magnetic resonance imaging of spinal cord trauma: A pictorial essay. Neuroradiology. 2006;48(4)223-32.

Andreoli C, Colaiacomo MC, Rojas Beccaglia M, Di Biasi C, Casciani E, Gualdi G. MRI in the acute phase of spinal cord traumatic lesions: Relationship between MRI findings and neurological outcome. Radiol Med. 2005;110:636-45.