The Journal of Bone and Joint Surgery, Vol 71, Issue 2 183-188, Copyright © 1989 by Journal of Bone and Joint Surgery, Inc
Comparison of computerized tomography parameters of the cervical spine in normal control subjects and spinal cord-injured patients
P Matsuura, RL Waters, RH Adkins, S Rothman, N Gurbani and I Sie
Regional Spinal Cord Injury Care System of Southern California, Rancho Los Amigos Medical Center, Downey 90242.
The cross-sectional area and the sagittal and transverse diameters of the
cervical spinal canal were measured, using high-resolution, thin-section
computerized-tomography images, in 100 control subjects and forty-two
patients who had a traumatic injury to the spinal cord. No significant
differences were found between the control and the spinal cord-injured
group with regard to the cross-sectional area of the spinal canal; however,
the differences between the two groups were significant with regard to mean
sagittal and transverse diameters of the spinal canal. The sagittal
diameters of the spinal canal of the control group were significantly
larger than those of the spinal cord-injured group. Conversely, the
transverse diameters of the spinal canal of the spinal cord-injured group
were significantly larger than those of the control group. These findings
suggest that certain patients may be predisposed to spinal cord injury,
given sufficient trauma. It is not the total volume of space in the spinal
canal that is the critical factor; rather, it is the shape. An index of
shape is the ratio of the sagittal to the transverse diameter. The
difference between the two groups, based on the ratio of sagittal to
transverse diameter, was highly significant. Because this measure is a
ratio, there is no need to evaluate an individual on the basis of
measurements of absolute values.