FLEXION-EXTENSION MRI OF THE UPPER RHEUMATOID CERVICAL SPINE
| العنوان: | FLEXION-EXTENSION MRI OF THE UPPER RHEUMATOID CERVICAL SPINE |
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| المؤلفون: | Gordon R. Bell, Kim L. Stearns |
| المصدر: | Orthopedics. 14:969-974 |
| بيانات النشر: | SLACK, Inc., 1991. |
| سنة النشر: | 1991 |
| مصطلحات موضوعية: | Adult, Male, musculoskeletal diseases, medicine.medical_specialty, Cord, Radiography, Arthritis, Rheumatoid, Myelopathy, medicine, Humans, Orthopedics and Sports Medicine, Aged, Foramen magnum, medicine.diagnostic_test, business.industry, Magnetic resonance imaging, Middle Aged, musculoskeletal system, Spinal cord, medicine.disease, Magnetic Resonance Imaging, Surgery, medicine.anatomical_structure, Dynamic contrast-enhanced MRI, Cervical Vertebrae, Female, Radiology, business, Cervical vertebrae |
| الوصف: | Seven rheumatoid arthritis patients with involvement of the upper cervical spine were evaluated with a dynamic MRI study. Lateral Tl weighted images of the upper C-spine were obtained in the flexion, extension, and neutral positions. The indications for performing the dynamic MRI were radiographic instability of the upper C-spine, myelopathy, superior migration of the odontoid process, obliteration of bony landmarks on plain radiographs, and to detennine the contribution of pannus on cord configuration. The dynamic MRI clearly delineated the relationship between the odontoid, foramen magnum, and cervical spinal cord as the neck was moved through a range of motion. This aided in the selection of operative candidates in four cases, and was instrumental in determining fusion levels. In three cases with suspected myelopathy secondary to cord impingement, MRI showed no significant cord compression, and aided in the decision to treat the patients conservatively. Lateral flexion-extension MRI is the diagnostic study of choice in dynamically evaluating the upper rheumatoid C-spine. |
| تدمد: | 1938-2367 0147-7447 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d2713c00918acec04e224909b465cc31Test https://doi.org/10.3928/0147-7447-19910901-08Test |
| رقم الانضمام: | edsair.doi.dedup.....d2713c00918acec04e224909b465cc31 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19382367 01477447 |
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