1,3Assistant Professor, Department of Orthopaedics, Ananya College of Medicine and Research, Gujarat University, Kalol, Gujarat, India
2Associate Professor, Department of Orthopaedics, Dr. N.D. Desai Faculty of Medical Science & Research Centre, Dharamsinh Desai University, Nadiad, Gujarat, India
Corresponding Author:
Dr. Jay Patel
Department of Orthopaedics, Ananya College of Medicine and Research, Kalol, Gujarat, India
Email: mailme.pateljay@gmail.com
Conflict of interest: No conflict of interest is found elsewhere considering this work.
Source of Funding: There was no financial support concerning this work.
Background: Cervical spine injuries resulting from minor trauma can lead to acute spinal cord injury (SCI) with significant neurological deficits, often without overt radiographic abnormalities. Identifying early predictors of SCI severity is critical for timely intervention and better outcomes.
Aim: To investigate radiological parameters—such as TPR (Torg-Pavlov Ratio) and canal diameter (CD)—and their utility in predicting the risk and severity of acute cervical SCI following minor trauma.
Material and Methods: A hospital-based observational study was conducted on 150 patients presenting with minor cervical trauma. Participants were divided into SCI (n=50) and control (n=100) groups. Demographic and anthropometric data were recorded. Radiological evaluations included conventional radiography, MRI, and measurements of TPR and CD. Statistical comparisons were made to assess the predictive value of each imaging modality and correlation between parameters.
Results: The majority of SCI cases occurred in males and were primarily due to falls and traffic accidents. MRI-based TPR and CD via dynamic modalities demonstrated higher sensitivity (74% and 78%) and specificity (94% and 96%) than conventional radiographs. The strongest correlation was observed between TPR (MRI) and CD (DM) in SCI patients (r=0.71), indicating their diagnostic constructive collaboration.
Conclusion: MRI and dynamic canal measurements are superior in predicting acute SCI following minor cervical trauma. Early MRI screening should be incorporated in diagnostic algorithms to enable accurate assessment and prevent secondary neurological deterioration.
Keywords: Spinal cord injury, cervical trauma, Torg-Pavlov ratio, MRI, canal diameter.
How to cite this article: Patel J, Patel B, Patel M. Assessing Cervical Spine Injury and Predicting Acute Spinal Cord Injury Risk After Minor Trauma. Int J Drug Deliv Technol. 2026;16(6s): 1012-1020; DOI: 10.25258/ijddt.16.6s.132
Source of support: None
Conflict of interest: None