Weisskopf M, Bail H, Mack M, Stöckle U, Hoffmann R
Unfall- und Wiederherstellungschirurgie, Humboldt-Universität, Universtitätsklinikum Charité, Berlin.
Unfallchirurg. 1999 Dec;102(12):942-8. doi: 10.1007/s001130050508.
The diagnostic accuracy of magnetic resonance imaging (MRI) for traumatic discoligamentous instabilities of the lower cervical spine was evaluated. MRI findings were correlated with the intraoperative findings. Fifteen patients were included in the study (11 males, 4 females, 33 years old on average). Indication for surgery was established with dynamic a.p. instability under fluoroscopy. In the operation, all patients showed complete traumatic rupture of the intervertebral disc. In contrast, MRI sequences revealed only eight mild and four severe disc lesions. Intraoperatively ruptures of the anterior and posterior longitudinal ligaments were verified in 7 patients each. MRI studies depicted only five ruptures of the anterior and three ruptures of the posterior longitudinal ligaments. In three cases MRI demonstrated no pathological findings (3 of 15 false-negative results). MRI and intraoperative findings showed no statistical correlation. MRI is of only limited value in diagnosing traumatic discoligamentous instabilities of the lower cervical spine.
评估了磁共振成像（MRI）对下颈椎创伤性椎间盘韧带不稳定的诊断准确性。将MRI结果与术中发现进行了关联。该研究纳入了15例患者（11例男性，4例女性，平均年龄33岁）。手术指征通过透视下动态前后位不稳定来确定。手术中，所有患者均显示椎间盘完全创伤性破裂。相比之下，MRI序列仅显示8例轻度和4例重度椎间盘病变。术中证实7例患者的前纵韧带和后纵韧带均有破裂。MRI研究仅显示5例前纵韧带破裂和3例后纵韧带破裂。3例患者MRI未显示病理结果（15例假阴性结果中的3例）。MRI与术中发现无统计学相关性。MRI在诊断下颈椎创伤性椎间盘韧带不稳定方面价值有限。
