ArticleAJNR. American journal of neuroradiology2025
Prevertebral Hematoma: A Potential Biomarker for the Severity of Upper Cervical Spine Trauma and a Predictor for the Need for Surgical Intervention.
Article in AJNR. American journal of neuroradiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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6 authors.
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Abstract
background and purposeUpper cervical spine trauma (UCST) can lead to severe morbidity and mortality, particularly when associated with craniocervical junction (CCJ) injuries. Previous studies suggest that identifying prevertebral hematomas in patients with cervical trauma may have clinical significance. However, the association between prevertebral hematomas and clinical outcomes in patients with UCST has not yet been firmly established. The purpose of this study is to investigate the association of prevertebral hematomas with the severity of upper cervical spine injury, and clinical outcomes in patients with UCST. MATERIALS AND
methodsThis retrospective study analyzed patients with UCST admitted to a level I trauma center in a 3-year period. Inclusion criteria included cervical spine trauma confirmed via imaging and MRI performed within 7 days of admission. Prevertebral hematomas were assessed for size and location and correlated with injury patterns and clinical outcomes. Statistical analysis was performed by using χ
resultsOne hundred sixty-five patients (mean age, 40.6 ± 19.9 years; 103 men) were evaluated. Prevertebral hematomas were identified in 88 of 165 patients (53.3%). Hematomas were significantly associated with CCJ dislocations (17/23 patients; 73.9%,
conclusionsPrevertebral hematomas were significantly associated with CCJ dislocations, subaxial disco-ligamentous injuries, and an increased likelihood of surgical intervention in patients with UCST. These findings suggest that prevertebral hematomas can serve as a useful marker for identifying patients with more severe injury patterns.
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