Traumatic Cervical Spinal Cord Injury: Correlation of Imaging Findings with Neurological Outcome
Background Traumatic spinal cord injury (TSCI) is extremely costly to the global health system. Due to the significant frequency rate of traumatic cervical spinal cord injuries (TCSCI), the possible association between imaging findings and clinical outcome is not yet clear. In this study, we quantif...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2022-09-01
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| Series: | Brazilian Neurosurgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1748869 |
| _version_ | 1811204392611741696 |
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| author | Shahrokh Yousefzadeh-Chabok Khatereh Asadi Javid Jahanbakhsh Enayatollah Homaie Rad Zoheir Reihanian Morteza Modaenama |
| author_facet | Shahrokh Yousefzadeh-Chabok Khatereh Asadi Javid Jahanbakhsh Enayatollah Homaie Rad Zoheir Reihanian Morteza Modaenama |
| author_sort | Shahrokh Yousefzadeh-Chabok |
| collection | DOAJ |
| description | Background Traumatic spinal cord injury (TSCI) is extremely costly to the global health system. Due to the significant frequency rate of traumatic cervical spinal cord injuries (TCSCI), the possible association between imaging findings and clinical outcome is not yet clear. In this study, we quantified maximum spinal cord compression and maximum cord swelling following TCSCI and determined the relevance of imaging findings to clinical outcome in patients.
Materials and Methods This retrospective cohort comprises 20 patients with TCSCIs (C3-C7), classified as complete, incomplete, and no SCI, who were treated at the Poursina Hospital, Iran, from 2018 to 2020, and underwent spinal surgery. Patients with penetrating injuries and multiple trauma were excluded. Imaging findings revealing spinal cord compression, swelling, and canal stenosis, based on the American Spinal Injury Association (ASIA) Impairment Scale (AIS) grades of patients from hospital admission (up to 48 hours after injury) and improvement of postoperative neurological symptoms (6–12 months) were evaluated.
Results Cord compression (p = 0.05) and cord swelling (p = 0.02) were significantly related to predictive neurological outcomes in all cases. Evaluation with AIS at hospital admission and at 6 to 12 months postoperatively showed significant correlation with fracture type (p = 0.05) and the longitudinal length of the intramedullary lesion (IML); p = 0.01, respectively.
Conclusion According to the results obtained in this study, it may be concluded that there is a significant association between cervical spinal cord compression and swelling, and clinical outcomes in patients with complete, incomplete, and no SCI. |
| first_indexed | 2024-04-12T03:12:29Z |
| format | Article |
| id | doaj.art-ac4e2afc75cd4f85ba2e7113917130dc |
| institution | Directory Open Access Journal |
| issn | 0103-5355 2359-5922 |
| language | English |
| last_indexed | 2024-04-12T03:12:29Z |
| publishDate | 2022-09-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Brazilian Neurosurgery |
| spelling | doaj.art-ac4e2afc75cd4f85ba2e7113917130dc2022-12-22T03:50:18ZengThieme Revinter Publicações Ltda.Brazilian Neurosurgery0103-53552359-59222022-09-014103e232e23810.1055/s-0042-1748869Traumatic Cervical Spinal Cord Injury: Correlation of Imaging Findings with Neurological OutcomeShahrokh Yousefzadeh-Chabok0Khatereh Asadi1Javid Jahanbakhsh2Enayatollah Homaie Rad3Zoheir Reihanian4Morteza Modaenama5Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, IranGuilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, IranDepartment of Radiology, School of Medicine, Guilan University of Medical Sciences, Rasht, IranSocial Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, IranGuilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, IranGuilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, IranBackground Traumatic spinal cord injury (TSCI) is extremely costly to the global health system. Due to the significant frequency rate of traumatic cervical spinal cord injuries (TCSCI), the possible association between imaging findings and clinical outcome is not yet clear. In this study, we quantified maximum spinal cord compression and maximum cord swelling following TCSCI and determined the relevance of imaging findings to clinical outcome in patients. Materials and Methods This retrospective cohort comprises 20 patients with TCSCIs (C3-C7), classified as complete, incomplete, and no SCI, who were treated at the Poursina Hospital, Iran, from 2018 to 2020, and underwent spinal surgery. Patients with penetrating injuries and multiple trauma were excluded. Imaging findings revealing spinal cord compression, swelling, and canal stenosis, based on the American Spinal Injury Association (ASIA) Impairment Scale (AIS) grades of patients from hospital admission (up to 48 hours after injury) and improvement of postoperative neurological symptoms (6–12 months) were evaluated. Results Cord compression (p = 0.05) and cord swelling (p = 0.02) were significantly related to predictive neurological outcomes in all cases. Evaluation with AIS at hospital admission and at 6 to 12 months postoperatively showed significant correlation with fracture type (p = 0.05) and the longitudinal length of the intramedullary lesion (IML); p = 0.01, respectively. Conclusion According to the results obtained in this study, it may be concluded that there is a significant association between cervical spinal cord compression and swelling, and clinical outcomes in patients with complete, incomplete, and no SCI.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1748869traumatic cervical spinal cord injuryimaging findingsneurological outcome |
| spellingShingle | Shahrokh Yousefzadeh-Chabok Khatereh Asadi Javid Jahanbakhsh Enayatollah Homaie Rad Zoheir Reihanian Morteza Modaenama Traumatic Cervical Spinal Cord Injury: Correlation of Imaging Findings with Neurological Outcome Brazilian Neurosurgery traumatic cervical spinal cord injury imaging findings neurological outcome |
| title | Traumatic Cervical Spinal Cord Injury: Correlation of Imaging Findings with Neurological Outcome |
| title_full | Traumatic Cervical Spinal Cord Injury: Correlation of Imaging Findings with Neurological Outcome |
| title_fullStr | Traumatic Cervical Spinal Cord Injury: Correlation of Imaging Findings with Neurological Outcome |
| title_full_unstemmed | Traumatic Cervical Spinal Cord Injury: Correlation of Imaging Findings with Neurological Outcome |
| title_short | Traumatic Cervical Spinal Cord Injury: Correlation of Imaging Findings with Neurological Outcome |
| title_sort | traumatic cervical spinal cord injury correlation of imaging findings with neurological outcome |
| topic | traumatic cervical spinal cord injury imaging findings neurological outcome |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1748869 |
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