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(A) Initial C-spine lateral radiograph shows extensive prevertebral soft tissue shadow (retropharyngeal space at C3: 29.3 mm, retrotracheal space at C6: 53.9 mm) without fracture/dislocation from C1 to thoracic area. The retropharyngeal space lies between the pharynx the pharynx and the cervical spine. (B) Post-trauma 1 week C-spine lateral radiograph shows the decrease of prevertebral soft tissue shadow compare to initial C-spine lateral radiograph. (C) Immediate post-operative C-spine lateral radiograph showed marked decrease of prevertebral soft tissue shadow and anterior cervical discectomy and fusion with plate and cage construct at C5-7.

(A) Initial C-spine lateral radiograph shows extensive prevertebral soft tissue shadow (retropharyngeal space at C3: 29.3 mm, retrotracheal space at C6: 53.9 mm) without fracture/dislocation from C1 to thoracic area. The retropharyngeal space lies between the pharynx the pharynx and the cervical spine. (B) Post-trauma 1 week C-spine lateral radiograph shows the decrease of prevertebral soft tissue shadow compare to initial C-spine lateral radiograph. (C) Immediate post-operative C-spine lateral radiograph showed marked decrease of prevertebral soft tissue shadow and anterior cervical discectomy and fusion with plate and cage construct at C5-7.

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Figure 1. (A) Initial C-spine lateral radiograph shows extensive...
Figure 2. Sagittal (A) and axial (B) computed tomography images show...
Figure 3. Sagittal (A, C) and axial (B, D) T1, T2-weighted magnetic...
Figure 4. Operative photo shows the extensive hematoma and longus coli...
Airway Compression as a Result of Extensive Prevertebral Hematoma Following Extension Injury of Lower Cervical Spine without Fracture/Dislocation
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  • Jan 2012
A 77-year-old man presented with severe dyspnea, neck pain, tingling sensation in both hands, and weakness after an acute prevertebral soft tissue hematoma due to distractive-extension injury. Magnetic resonance images demonstrated an extensive hematoma accumulation, anterior longitudinal ligament and longus colli muscle injuries. We report here a...
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