Spinal cord injury with a narrow spinal canal: Utilizing torg's ratio method of analyzing cervical spine radiographs

Tareg Bey, Amy Waer, Frank G. Walter, John Fortune, Joachim Seeger, Karsten Fryburg, William Smith

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

A 65-year-old inebriated man crashed his car and presented with spinal shock and neurogenic shock from a cervical spinal cord injury without cervical spine fracture or dislocation. The lateral cervical spine radiography was initially read as normal, except for degenerative disk disease; however, Torg's ratio method of analyzing cervical spinal canal sagittal width indicated the spinal canal was congenitally narrow. Magnetic resonance imaging confirmed this and showed bulging and herniation of multiple invertebral disks between C2 and C7. This case illustrates the value of using Torg's ratio method of analyzing lateral cervical spine radiographs. Although Torg's method has not been prospectively validated, it may be useful to identify patients at risk for cervical spinal cord injuries without fractures or dislocations. An abnormal Torg's ratio may be the only clue to the fact that the patient is at higher risk of spinal cord injury when the patient's history or examination is questionable because of head injury, drug intoxication, or therapeutic sedation and paralysis.

Original languageEnglish (US)
Pages (from-to)79-82
Number of pages4
JournalJournal of Emergency Medicine
Volume16
Issue number1
DOIs
StatePublished - Jan 1 1998

Keywords

  • Spinal cord injury
  • Spinal stenosis
  • Torg's ratio method
  • Trauma

ASJC Scopus subject areas

  • Emergency Medicine

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