Department of Diagnostic Radiology, Khoo Teck Puat Hospital, Singapore City, Singapore.
J Med Imaging Radiat Oncol. 2020 Jun;64(3):368-376. doi: 10.1111/1754-9485.13016. Epub 2020 Mar 15.
Cervical spine trauma accounts for majority of spinal injuries, and approximately one-third involve the craniocervical junction (CCJ). Due to its high sensitivity, magnetic resonance imaging (MRI) has become the standard tool for imaging suspected ligamentous injuries in an unstable spine and in patients with neurological deficits having a normal CT. The ligamentous anatomy of the CCJ is complex, and thorough knowledge is a prerequisite for accurate interpretation of the MRI findings. This pictorial essay aims to familiarise radiologists with the ligamentous anatomy, mechanisms of injury and MRI appearances of injuries in the cervical spine, with emphasis on the CCJ.
颈椎创伤占脊柱损伤的大多数,约三分之一涉及颅颈交界区(CCJ)。由于其高灵敏度,磁共振成像(MRI)已成为不稳定脊柱和神经功能正常 CT 检查有神经缺损的疑似韧带损伤的标准成像工具。CCJ 的韧带解剖结构复杂,深入了解是准确解读 MRI 结果的前提。本文旨在使放射科医生熟悉颈椎韧带解剖、损伤机制和 MRI 表现,重点介绍 CCJ。