Myelography Cervical Spine In the absence of radiographic abnormalities or neurological symptoms, myelography is not an appropriate first- line imaging test. CT Cervical Spine CT provides good definition of bony elements and is helpful in the assessment of neuroforaminal stenosis secondary to uncovertebral or facet hypertrophy and is helpful when C6 and C7 are not clearly seen on traditional lateral radiographic views. However, CT is shown to be less sensitive than MRI for evaluation of nerve root compression [35,36]. CT Myelography Cervical Spine MRI has mostly supplanted CT myelography as a first-line imaging modality for complex cervical radiculopathy [37]. However, studies have shown that CT myelography may prove useful in diagnosing foraminal stenosis, bony lesions, and nerve root compression [38] and can be considered in patients with clinically apparent radiculopathy and contraindication to MRI, or in the setting of equivocal MRI findings. CTA Neck The literature search did not identify any studies regarding the use of CTA in the evaluation of this clinical presentation. Cervical Neck Pain or Cervical Radiculopathy Percutaneous Interventions The literature search did not identify any studies regarding the use of cervical facet joint, medial branch blocks, or discography as a first-line test in the evaluation of this clinical presentation. MRA Neck The literature search did not identify any studies regarding the use of MRA in the evaluation of this clinical presentation. MRI Cervical Spine MRI has become the preferred method to evaluate the cervical spine in the setting of suspected nerve root impingement [39] because of its superior intrinsic soft-tissue contrast and good spatial resolution.
Cervical Neck Pain or Cervical Radiculopathy PCAs. Myelography Cervical Spine In the absence of radiographic abnormalities or neurological symptoms, myelography is not an appropriate first- line imaging test. CT Cervical Spine CT provides good definition of bony elements and is helpful in the assessment of neuroforaminal stenosis secondary to uncovertebral or facet hypertrophy and is helpful when C6 and C7 are not clearly seen on traditional lateral radiographic views. However, CT is shown to be less sensitive than MRI for evaluation of nerve root compression [35,36]. CT Myelography Cervical Spine MRI has mostly supplanted CT myelography as a first-line imaging modality for complex cervical radiculopathy [37]. However, studies have shown that CT myelography may prove useful in diagnosing foraminal stenosis, bony lesions, and nerve root compression [38] and can be considered in patients with clinically apparent radiculopathy and contraindication to MRI, or in the setting of equivocal MRI findings. CTA Neck The literature search did not identify any studies regarding the use of CTA in the evaluation of this clinical presentation. Cervical Neck Pain or Cervical Radiculopathy Percutaneous Interventions The literature search did not identify any studies regarding the use of cervical facet joint, medial branch blocks, or discography as a first-line test in the evaluation of this clinical presentation. MRA Neck The literature search did not identify any studies regarding the use of MRA in the evaluation of this clinical presentation. MRI Cervical Spine MRI has become the preferred method to evaluate the cervical spine in the setting of suspected nerve root impingement [39] because of its superior intrinsic soft-tissue contrast and good spatial resolution.