{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T06:25:44Z","timestamp":1769149544134,"version":"3.49.0"},"reference-count":34,"publisher":"Oxford University Press (OUP)","issue":"1016","license":[{"start":{"date-parts":[[2012,8,1]],"date-time":"2012-08-01T00:00:00Z","timestamp":1343779200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,8,1]]},"abstract":"<jats:p>Objectives: Standard MRI of the cervical spine is performed in a different anatomical position to that utilised for traditional contrast myelography. Those well practised in myelography are familiar with the considerable changes in configuration of the bony and soft tissues of the cervical spine that may occur with changes in the degree of neck flexion and extension. We set out to compare the findings in a select group of patients with myeloradiculopathy who had undergone myelography and MRI in both standard and neck-extended positions. These findings were correlated with the clinical status.<\/jats:p>\n               <jats:p>Methods: 29 patients underwent myelography with CT (CTM) and MRI in neutral and neck-extended positions. The imaging was assessed for the degree of cord compression and neural foraminal narrowing, quantified using a simple grading scheme suitable for routine clinical practice. The degree of neck extension was assessed using an angular measurement.<\/jats:p>\n               <jats:p>Results: For both CTM and MRI, scanning with the neck extended significantly increases the severity of cord compression compared with the standard supine position, to a degree similar to that shown during conventional prone myelography. The degree of perceived cord compression is related to the degree of neck extension achieved. Correlation of standard MRI findings and the clinical level of radiculopathy is poor. This correlation improves when the neck is extended.<\/jats:p>\n               <jats:p>Conclusions: The most appropriate position for routine MRI of the cervical spine in degenerative disease remains unknown, but in selected patients imaging with the neck extended may provide important additional information.<\/jats:p>","DOI":"10.1259\/bjr\/94315429","type":"journal-article","created":{"date-parts":[[2012,2,6]],"date-time":"2012-02-06T18:58:06Z","timestamp":1328554686000},"page":"1044-1051","source":"Crossref","is-referenced-by-count":36,"title":["MRI of the cervical spine with neck extension: is it useful?"],"prefix":"10.1093","volume":"85","author":[{"given":"R J V","family":"Bartlett","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C A Rowland","family":"Hill","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A S","family":"Rigby","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Chandrasekaran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Narayanamurthy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2014,3,5]]},"reference":[{"key":"2024050213361790000_b1","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1053\/crad.2000.0569","article-title":"Comparison of CT myelography performed in the prone and supine positions in the detection of cervical spinal stenosis.","volume":"56","author":"Graham","year":"2001","journal-title":"Clin Rad"},{"key":"2024050213361790000_b2","first-page":"74","article-title":"Clinical features of cervical root compression C5\u2013C8 and their variations.","volume":"4","author":"Benini","year":"1987","journal-title":"Nearal 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surgery-related outcome in cervical spondylosis.","volume":"94","author":"Singh","year":"2001","journal-title":"J Neurosurgery"},{"key":"2024050213361790000_b7","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1097\/00007632-199903010-00009","article-title":"Can intramedullary signal change on magnetic resonance imaging predict surgical outcome in cervical spondylotic myelopathy?","volume":"24","author":"Wada","year":"1999","journal-title":"Spine"},{"key":"2024050213361790000_b8","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1097\/00007632-200003150-00005","article-title":"Increased signal intensity of the spinal cord on magnetic resonance images in cervical compressive myelopathy: does it predict the outcome of conservative treatment?","volume":"25","author":"Matsumoto","year":"2000","journal-title":"Spine"},{"key":"2024050213361790000_b9","doi-asserted-by":"crossref","first-page":"562","DOI":"10.3171\/2009.6.SPINE091","article-title":"Effect of spinal cord signal intensity changes on clinical outcome after surgery for cervical spondylotic myelopathy.","volume":"11","author":"Chatley","year":"2009","journal-title":"J Neurosurg Spine"},{"key":"2024050213361790000_b10","doi-asserted-by":"crossref","first-page":"1675","DOI":"10.1097\/BRS.0b013e318074d62e","article-title":"MR T2 image classification in cervical compression myelopathy: predictor of surgical outcomes.","volume":"32","author":"Yukawa","year":"2007","journal-title":"Spine"},{"key":"2024050213361790000_b11","doi-asserted-by":"crossref","first-page":"1781","DOI":"10.1097\/00007632-199909010-00006","article-title":"Comparison of computed tomography myelography and magnetic resonance imaging in the evaluation of cervical spondylotic myelopathy and radiculopathy.","volume":"24","author":"Shafaie","year":"1999","journal-title":"Spine"},{"key":"2024050213361790000_b12","first-page":"237","article-title":"Effects of magnetic susceptibility artifacts and motion in evaluating the cervical neural 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