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首页> 外文期刊>European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society >Prognostic utility of magnetic resonance imaging (MRI) in predicting neurological outcomes in patients with acute thoracolumbar spinal cord injury
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Prognostic utility of magnetic resonance imaging (MRI) in predicting neurological outcomes in patients with acute thoracolumbar spinal cord injury

机译：磁共振成像（MRI）预测急性胸腰椎肺脊髓损伤患者神经原因的预后效用

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Purpose Utility of MRI for predicting neurological outcomes in acute cervical spinal cord injury (SCI) is well established but its value in thoracolumbar (TL) SCI needs to be evaluated. Methods Seventy-six patients operated for acute TL spinal injuries between January 2014 and March 2016 were reviewed to obtain demographic details, neurology at admission and at the final follow-up. Patients were divided based on the neurology at presentation into group 1 (ASIA A), group 2 (ASIA B, C, D) and group 3 (normal neurology). Preoperative MRI and CT scans were evaluated to measure parameters like osseus canal compromise, spinal cord compression (SCC), spinal cord swelling, length of cord swelling (LOS), length of edema (LOE) and the presence of hemorrhage. The MRI parameters were compared between the groups for their predictive value of neurology on admission and at the final follow-up. Results Of the 38 patients in group 1, six patients recovered by 1 grade, nine patients recovered by 2 grades and there was no recovery in 23 (60.5%) patients. Among group 2 patients, nine (40.9%) out of 22 recovered to ASIA E neurology. On univariate analysis, SCC (P = 0.009), LOS (P = 0.021) and length of edema (P = 0.002) were associated with complete neurological deficit at presentation. However, on multivariate regression analysis only LOE was significant (P = 0.007) in predicting neurology at admission and at follow-up. Conclusion Greater the rostrocaudal LOE, worse is the neurology at presentation, and it is associated with poor neurological recovery at follow-up. Graphic abstract These slides can be retrieved under Electronic Supplementary Material.
机译：用于预测急性颈脊髓损伤（SCI）中神经系统结果的MRI的目的效用是很好的，但需要评估其在胸腰椎（TL）SCI中的价值。方法审查2014年1月至2016年1月至2016年3月期间为急性TL脊柱损伤运营的七十六名患者，以获取人口统计细节，入学神经学和最终随访。患者基于呈现给1组（亚洲A），第2组（亚洲B，C，D）和第3组（正常神经内科）的神经内科分开。评估术前MRI和CT扫描，以测量蛇形管损伤，脊髓压缩（SCC），脊髓肿胀，脐带肿胀长度（LOS），水肿长度（LOE）和出血的情况等参数。将MRI参数进行比较群体在入院中的神经学的预测值和最终随访中。第1次患者38例患者患者1岁，九名患者恢复的患者，2种患者患者，23例（60.5％）患者没有恢复。第2组患者中，九（40.9％）为22名恢复到亚洲电子学。在单变量分析中，SCC（P = 0.009），LOS（P = 0.021）和水肿长度（P = 0.002）与呈现完全神经缺陷相关。然而，在多元回归分析上，只有LOE显着（p = 0.007），以预测入院的神经学和随访。结论较大的rostrocaudal LOE，更糟糕的是呈现的神经病学，它与随访中的神经恢复不良有关。图形摘要可以在电子补充材料下检索这些幻灯片。

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