Trauma
Cervical spinal cord injury should be considered in every traumatic delivery, breech delivery, or if a snap is heard during delivery. The study of choice to diagnose cervical spinal cord injury is MRI. Spinal film should not be used to screen for the possibility of spinal cord injury. Spinal films are usually normal even when spinal cord injury is present on MRI. Radiographic evidence of vertebral fractures or dislocations and separation of vertebral epiphysis indicate a high possibility of spinal cord injury and should be followed by MRI.