Can the acute magnetic resonance imaging features reflect neurologic prognosis in patients with cervical spinal cord injury?

The Spine Journal : Official Journal of the North American Spine Society
A MatsushitaKeiichiro Shiba

Abstract

Several prognostic studies looked for an association between the degree of spinal cord injury (SCI), as depicted by primary magnetic resonance imaging (MRI) within 72 hours of injury, and neurologic outcome. It was not clearly demonstrated whether the MRI at any time correlates with neurologic prognosis. The purpose of the present study was to investigate the relationship between acute MRI features and neurologic prognosis, especially walking ability of patients with cervical spinal cord injury (CSCI). Moreover, at any point, MRI was clearly correlated with the patient's prognosis. Retrospective image study. From January 2010 to October 2015, 102 patients with CSCI were treated in our hospital. Patients who were admitted to our hospital within 3 days after injury were included in this study. The diagnosis was 78 patients for CSCI with no or minor bony injury and 24 patients for CSCI with fracture or dislocation. A total of 88 men and 14 women were recruited, and the mean patient age was 62.6 years (range, 16-86 years). Paralysis at the time of admission was graded as A in 32, B in 15, C in 42, and D in 13 patients on the basis of the American Spinal Injury Association (ASIA) impairment scale. Patients with CSCI with fracture or...Continue Reading

Citations

Feb 17, 2019·Journal of Neurosurgery. Spine·MirHojjat KhorasanizadehVafa Rahimi-Movaghar
Oct 1, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Joshua N MilbyMatthew R Garner
Jan 29, 2019·Neural Regeneration Research·Xin ZhangJian-Jun Li
Apr 3, 2021·The Journal of Spinal Cord Medicine·Jeffrey C BerlinerAndrew C Smith

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