THE ASSESSMENT OF THE KINEMATICS OF THE CERVICAL SPINE USING OPEN (INTERVENTIONAL) MRI

Abstract

The scope of serial studies into the kinematics of the cervical vertebrae, have been limited by the methods available for imaging. Plain radiography has been one of the main methods by which data has been collected. The widespread use of this method has, however, been restricted by factors including exposure to ionizing radiation and magnification errors. With the advent of Interventional Magnetic Resonance (iMR) scanners, however, the authors sought to determine the utility of an iMR scanner in obtaining functional images of the cervical vertebrae, from which repeatable measurements of vertebral kinematics can be collected.20 healthy volunteers (mean age 25.4 ± 3.7 years) were recruited. They had their cervical vertebrae scanned in three positions: neutral, flexed and extended. Sagittal images were obtained for each subject from between the level of the C2 vertebra to the T1 vertebra and measurements of inter-segmental motion were made, using established clinical methodology.Clear images of the cervical vertebrae were obtained in all positions from which measures of motion were made. Greatest angular motions were found to occur in the mid-cervical level, C4/C5. Non-osseous structures, including the intervertebral discs and nerve roots were well visualized.Our results suggest that iMR scanning may have an important role in the imaging of cervical spine and its associated structures. It offers a modality that allows the determination of both normal and abnormal kinematics on a large scale.