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Prevertebral space

From Wikipedia, the free encyclopedia
Prevertebral space
Section of the neck at about the level of the sixth cervical vertebra. Showing the arrangement of the fascia coli.
Sagittal section of nose mouth, pharynx, and larynx.
Anatomical terminology

Theprevertebral space is a space in the neck.

On one side it is bounded by theprevertebral fascia.[1]

On the other side, some sources define it as bounded by thevertebral bodies,[2] and others define it as bounded by thelongus colli.[1]

It includes theprevertebral muscles (longus colli andlongus capitis),vertebral artery,vertebral vein,scalene muscles,phrenic nerve and part of thebrachial plexus.[3]

In trauma, an increased thickness of the prevertebral space is a sign of injury, and can be measured withmedical imaging.[4]

Clinical significance

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On plain radiography, prevertebral space should be less than 6 mm at C3 vertebral level in children; while in adults, the space should be less than 6 mm at C2 level and less than 22 mm at C6 level. Causes of enlarged prevertebral space could be edema, hematoma, abscess, tumors, and post surgical changes.[5]

  • CT scan with upper limits of the thickness of the prevertebral space at different levels.[4]
    CT scan with upper limits of the thickness of the prevertebral space at different levels.[4]

References

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  1. ^ab"eMedicine - Retropharyngeal Abscess : Article by Todd J Berger, MD". Retrieved2008-02-18.
  2. ^"Deep Neck Space Infections: Changing Trends". Archived fromthe original on March 19, 2007. Retrieved2008-02-18.
  3. ^"Prevertebral space cervical".Medcyclopaedia.GE.[dead link]
  4. ^abRojas, C.A.; Vermess, D.; Bertozzi, J.C.; Whitlow, J.; Guidi, C.; Martinez, C.R. (2009)."Normal Thickness and Appearance of the Prevertebral Soft Tissues on Multidetector CT".American Journal of Neuroradiology.30 (1):136–141.doi:10.3174/ajnr.A1307.ISSN 0195-6108.PMC 7051716.
  5. ^Debnam JM, Guha-Thakurta N (December 2012)."Retropharyngeal and prevertebral spaces: anatomic imaging and diagnosis".Otolaryngologic Clinics of North America.45 (6):1293–310.doi:10.1016/j.otc.2012.08.004.PMC 3994542.PMID 23153750.
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