Cervical myelography - survey of modes of practice and major complications

Robertson, H.J. and Smith, R.D. (1990) Cervical myelography - survey of modes of practice and major complications. Radiology, 174 1: 79-83.

Author Robertson, H.J.
Smith, R.D.
Title Cervical myelography - survey of modes of practice and major complications
Journal name Radiology   Check publisher's open access policy
ISSN 0033-8419
Publication date 1990-01
Sub-type Article (original research)
Volume 174
Issue 1
Start page 79
End page 83
Total pages 5
Place of publication Oak Brook, IL, United States
Publisher Radiological Society of North America
Language eng
Abstract A total of 68 major complications of cervical myelography were reported by 220 neuroradiologists in a mail survey. Two-thirds of the complications were attributed to cervical spine hyperextension and one-third to lateral C1-2 puncture. Narrow sagittal diameter of the spinal canal and severe cervical spondylosis were frequent contributing factors to hyperextension injury of the cervical spinal cord. Clinical and radiographic premyelography screening is suggested, with magnetic resonance imaging performed first in patients with spinal canal stenosis, severe spondylosis, and/or myelopathy of any cause. Neck extension should be minimal during myelography. All C1-2 punctures should be monitored with lateral fluoroscopy for accurate needle positioning and prevention of contrast medium injection into the spinal cord.
Keyword Contrast media, complications
Iatrogenic injury
Myelography, complications
Radiology and radiologists
Spinal cord, injuries
Spine, stenosis
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 33 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 0 times in Scopus Article
Google Scholar Search Google Scholar
Created: Thu, 16 Jun 2011, 11:05:46 EST by System User on behalf of School of Medicine