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首页> 外文期刊>Journal of Emergencies, Trauma and Shock >Evaluation of Traumatic Spine by Magnetic Resonance Imaging and Its Correlation with Cliniconeurological Outcome
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Evaluation of Traumatic Spine by Magnetic Resonance Imaging and Its Correlation with Cliniconeurological Outcome

机译：磁共振成像对创伤性脊柱的评估及其与临床结果的相关性

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Background: Spinal trauma is associated with long-term disability. Early detection can lead to prompt and accurate diagnosis, expeditious management, and avoidance of unnecessary procedures. Magnetic resonance imaging (MRI) helps to accurately depict the presence and extent of spinal cord injury (SCI) in these patients. Purpose: This study was aimed to look for various MRI findings which are predictive of initial neurological deficit in patients with spinal trauma and to correlate the findings with resultant neurological outcome. Materials and Methods: The present study was conducted over a period of 18 months from January 2016 to June 2017 in 57 patients with spinal trauma who underwent MRI spine. Neurological status of patients was assessed at the time of admission and discharge in accordance with the American Spine Injury Association (ASIA) impairment scale. Various MRI parameters were evaluated for correlation with the severity of the spinal injury. Results: Patients with cord transection, cord hemorrhage, and epidural hematoma had initial high-grade ASIA impairment scale. Patients with cord transection and cord hemorrhage did not show any improvement in their neurological status during their hospital stay. Patients with only cord edema and epidural hematoma showed favorable neurological outcome. Cord contusion showed lesser neurological recovery, as compared with cord edema and normal cord. Conclusion: MRI findings in acute SCI correlated well with the initial neurological deficits on admission and at the time of discharge. MRI should be recommended in all patients with suspected spinal trauma both as a diagnostic and prognostic indicator.
机译：背景：脊柱创伤与长期残疾有关。尽早发现可以导致迅速而准确的诊断，迅速的管理以及避免不必要的程序。磁共振成像（MRI）有助于准确描述这些患者中脊髓损伤（SCI）的存在和程度。目的：本研究旨在寻找可预示脊柱外伤患者最初神经功能缺损的各种MRI表现，并将这些发现与所产生的神经学结果相关联。材料与方法：本研究自2016年1月至2017年6月，为期18个月，共57例接受MRI脊柱手术的脊柱外伤患者。根据美国脊柱损伤协会（ASIA）损伤量表在入院和出院时评估患者的神经系统状况。评估各种MRI参数与脊柱损伤严重程度的相关性。结果：脐带横断，脐带出血和硬膜外血肿的患者最初具有高度的ASIA损伤量表。脐带横断和脐带出血的患者在住院期间神经系统状况没有任何改善。仅脐带水肿和硬膜外血肿的患者表现出良好的神经学预后。与脐带水肿和正常脐带相比，脊髓挫伤显示出较少的神经功能恢复。结论：急性SCI的MRI表现与入院时和出院时的初始神经功能缺损密切相关。在所有疑似脊柱外伤的患者中均应建议使用MRI作为诊断和预后指标。

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