{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T13:39:49Z","timestamp":1758634789292},"reference-count":15,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1984,8]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 In the past, patients with injuries of the cervical spine and spinal cord have been diagnosed by means of myelography and polytomography. In an attempt to improve the radiographic evaluation of patients with cervical spinal cord injuries the authors performed computerized tomography (CT) scanning of the cervical spine following injection of metrizamide into the spinal subarachnoid space. In 23 patients with cervical spinal cord injuries, metrizamide myelography was performed via a C1\u20132 puncture. Myelography was used only for localization of the lesion and to determine the site of CT scanning. After myelography, CT scanning of the cervical spine in the transaxial plane was effective in determining the exact nature of compressive lesions and distinguishing the etiology among hematoma, disc, bone fragments, osteophytes, or ossification of the posterior longitudinal ligament. In several patients, metrizamide could be seen entering the spinal cord and was indicative of anatomical spinal cord disruption. In patients with fractures, CT scanning identified the site and nature of the injury without the need for turning the patient to the lateral position. In several patients with an apparently stable cervical spine, the CT scan showed apophyseal joint widening indicative of instability. The authors conclude that CT scanning of the cervical spine after the introduction of metrizamide into the subarachnoid space provides a definitive evaluation of the cervical spinal cord, the bone structures of the cervical spine, and their relationship to each other.<\/jats:p>","DOI":"10.3171\/jns.1984.61.2.0281","type":"journal-article","created":{"date-parts":[[2009,5,8]],"date-time":"2009-05-08T16:21:56Z","timestamp":1241799716000},"page":"281-289","source":"Crossref","is-referenced-by-count":21,"title":["Evaluation of cervical spinal cord injuries with metrizamide myelography-CT scanning"],"prefix":"10.3171","volume":"61","author":[{"given":"Paul R.","family":"Cooper","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wendy","family":"Cohen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"AJR","doi-asserted-by":"publisher","first-page":"369","DOI":"10.2214\/ajr.136.2.369","article-title":"CT in the evaluation of spine trauma.","volume":"136","author":"Brant-Zawadzki","year":"1981"},{"key":"b2","series-title":"Computed Tomography of the Spine and Spinal Cord. 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A comparison of conventional radiography, conventional tomography, and computed axial tomography.","volume":"64","author":"Keene","year":"1982"},{"key":"b9","series-title":"AJR","doi-asserted-by":"publisher","first-page":"688","DOI":"10.2214\/ajr.128.4.688","article-title":"Computed tomography in the diagnosis of an atlas fracture.","volume":"128","author":"Kershner","year":"1977"},{"key":"b10","series-title":"Radiology","doi-asserted-by":"publisher","first-page":"707","DOI":"10.1148\/129.3.707","article-title":"Metrizamide myelography for cervical spinal cord injuries.","volume":"129","author":"Leo","year":"1978"},{"key":"b11","series-title":"Radiology","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1148\/127.1.131","article-title":"The influence of thin-section tomography on the treatment of cervical spine injuries.","volume":"127","author":"Maravilla","year":"1978"},{"key":"b12","series-title":"Clin Radiol","doi-asserted-by":"publisher","first-page":"203","DOI":"10.1016\/S0009-9260(79)80162-2","article-title":"Computer-assisted tomography in the assessment of cervical spine trauma.","volume":"30","author":"McInerney","year":"1979"},{"key":"b13","series-title":"AJNR","first-page":"97","article-title":"CT of facet distraction in flexion injuries of the thoracolumbar spine: the \u201cnaked\u201d facet.","volume":"1","author":"O'Callaghan","year":"1980"},{"key":"b14","series-title":"AJR","doi-asserted-by":"publisher","first-page":"267","DOI":"10.2214\/ajr.133.2.267","article-title":"Spinal computed tomography: limitations and applications.","volume":"133","author":"Roub","year":"1979"},{"key":"b15","series-title":"Radiology","doi-asserted-by":"publisher","first-page":"825","DOI":"10.1148\/127.3.825","article-title":"Computed tomographic evaluation of traumatic spinal injuries.","volume":"127","author":"Tadmor","year":"1978"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/61\/2\/article-p281.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/61\/2\/article-p281.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/61\/2\/article-p281.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,24]],"date-time":"2022-07-24T18:32:33Z","timestamp":1658687553000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/61\/2\/article-p281.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1984,8]]},"references-count":15,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.3171\/jns.1984.61.2.0281","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[1984,8]]}}}