Bilateral facet effusion is a risk factor for segmental instability with cervical injury without vertebral fracture

Bilateral facet effusion is a risk factor for segmental instability with cervical injury without vertebral fracture

Abstract Magnetic resonance imaging (MRI) is effective in identifying cervical spine injury after trauma. However, cervical instability without major bone injury or dislocation is challenging to assess. Hence, the current study aimed to investigate and compare the MRI and radiography findings of seg...

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Autores principales: Shinji Tanishima, Tokumitsu Mihara, Shinya Ogawa, Chikako Takeda, Satoshi Fujiwara, Hideki Nagashima
Formato: article
Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/31c1e7022b544f7097495de21d085fd6
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spelling oai:doaj.org-article:31c1e7022b544f7097495de21d085fd62021-12-02T17:40:46ZBilateral facet effusion is a risk factor for segmental instability with cervical injury without vertebral fracture10.1038/s41598-021-91981-y2045-2322https://doaj.org/article/31c1e7022b544f7097495de21d085fd62021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-91981-yhttps://doaj.org/toc/2045-2322Abstract Magnetic resonance imaging (MRI) is effective in identifying cervical spine injury after trauma. However, cervical instability without major bone injury or dislocation is challenging to assess. Hence, the current study aimed to investigate and compare the MRI and radiography findings of segmental instability in patients with cervical spine injury. We investigated 34 participants with cervical spine injury without vertebral fracture. Based on the radiography findings, the participants were categorized into two: group A with segmental instability (n = 11) and group B without segmental instability (n = 23). Both groups were compared in terms of the presence of segmental instability on radiography and MRI. Anterior longitudinal ligament (ALL) injury, disc injury, and bilateral facet effusion were observed in 6/11, 5/11, and 7/11 patients in group A and in 5/23, 2/23 and 7/23 patients in group B, respectively. The results showed significant differences (p < 0.05). Moreover, 2 and 10 of 11 patients in group A and 16 and 7 of 23 patients in group B presented with hemi lateral facet effusion and paravertebral muscle injury, respectively. However, the results did not significantly differ. According to a logistic regression analysis, bilateral facet effusion after trauma was associated with cervical segmental instability (odd ratio: 10.6, 95% confidence interval: 1.31–84.7). Facet joint effusion might be caused by capsule injury during trauma. Most participants with segmental instability had ALL, disc, and flavum injury and bilateral facet effusion. Therefore, we need to consider bilateral facet effusion with other soft tissue damage of the cervical spine as an association factor to show the instability.Shinji TanishimaTokumitsu MiharaShinya OgawaChikako TakedaSatoshi FujiwaraHideki NagashimaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-6 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Shinji Tanishima
Tokumitsu Mihara
Shinya Ogawa
Chikako Takeda
Satoshi Fujiwara
Hideki Nagashima
Bilateral facet effusion is a risk factor for segmental instability with cervical injury without vertebral fracture
description Abstract Magnetic resonance imaging (MRI) is effective in identifying cervical spine injury after trauma. However, cervical instability without major bone injury or dislocation is challenging to assess. Hence, the current study aimed to investigate and compare the MRI and radiography findings of segmental instability in patients with cervical spine injury. We investigated 34 participants with cervical spine injury without vertebral fracture. Based on the radiography findings, the participants were categorized into two: group A with segmental instability (n = 11) and group B without segmental instability (n = 23). Both groups were compared in terms of the presence of segmental instability on radiography and MRI. Anterior longitudinal ligament (ALL) injury, disc injury, and bilateral facet effusion were observed in 6/11, 5/11, and 7/11 patients in group A and in 5/23, 2/23 and 7/23 patients in group B, respectively. The results showed significant differences (p < 0.05). Moreover, 2 and 10 of 11 patients in group A and 16 and 7 of 23 patients in group B presented with hemi lateral facet effusion and paravertebral muscle injury, respectively. However, the results did not significantly differ. According to a logistic regression analysis, bilateral facet effusion after trauma was associated with cervical segmental instability (odd ratio: 10.6, 95% confidence interval: 1.31–84.7). Facet joint effusion might be caused by capsule injury during trauma. Most participants with segmental instability had ALL, disc, and flavum injury and bilateral facet effusion. Therefore, we need to consider bilateral facet effusion with other soft tissue damage of the cervical spine as an association factor to show the instability.
format article
author Shinji Tanishima
Tokumitsu Mihara
Shinya Ogawa
Chikako Takeda
Satoshi Fujiwara
Hideki Nagashima
author_facet Shinji Tanishima
Tokumitsu Mihara
Shinya Ogawa
Chikako Takeda
Satoshi Fujiwara
Hideki Nagashima
author_sort Shinji Tanishima
title Bilateral facet effusion is a risk factor for segmental instability with cervical injury without vertebral fracture
title_short Bilateral facet effusion is a risk factor for segmental instability with cervical injury without vertebral fracture
title_full Bilateral facet effusion is a risk factor for segmental instability with cervical injury without vertebral fracture
title_fullStr Bilateral facet effusion is a risk factor for segmental instability with cervical injury without vertebral fracture
title_full_unstemmed Bilateral facet effusion is a risk factor for segmental instability with cervical injury without vertebral fracture
title_sort bilateral facet effusion is a risk factor for segmental instability with cervical injury without vertebral fracture
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/31c1e7022b544f7097495de21d085fd6
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