MAGNETIC-RESONANCE-IMAGING STUDY ON SPINAL-CORD PLASTICITY IN PATIENTS WITH CERVICAL COMPRESSION MYELOPATHY

被引:62
作者
FUKUSHIMA, T
IKATA, T
TAOKA, Y
TAKATA, S
机构
[1] Department of Orthopaedic Surgery, School of Medicine, Tokushima University, Tokushima
关键词
NEUROPLASTICITY; SPINAL CORD; CERVICAL COMPRESSION MYELOPATHY; MAGNETIC RESONANCE IMAGING; COMPUTED TOMOGRAPHIC MYELOGRAPHY;
D O I
10.1097/00007632-199110001-00016
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Spinal cord plasticity in 55 patients with cervical compression myelopathy was assessed with magnetic resonance imaging, by which the transverse area of the spinal cord was measured at the site of maximum compression before and after surgery and compared with the conventional modalities of computed tomographic myelography. A high correlation (r = 0.901, P < 0.01) was observed between the preoperative measurements of magnetic resonance imaging and computed tomographic myelography. The preoperative transverse area was in good correlation with the preoperative Japanese Orthopaedic Association score (r = 0.466, P < 0.01). In most patients with a spinal cord area of less than 0.45 cm2, the clinical results were poor despite considerable morphologic restoration of the spinal canal obtained after decompression surgery, reflecting an irreversible pathology developed in the spinal cord.
引用
收藏
页码:S534 / S538
页数:5
相关论文
共 17 条
[1]  
Badami J.P., Norman D., Barbara N.M., Metrizamide CT myelography in ccrvical myelopathy and radiculopathy: Correlation with conventional myelography and surgical findings, Am Neuroradiol, 6, pp. 59-64, (1985)
[2]  
Berkelbach Van Der Sprenkel J.W., Mauser H.W., Huynen C., Knecpkens R., Tulleken C., MRI in neurosurgical diagnosis and management of craniocervical junction and cervical spine pathology, Clin Neurol Neurosurg, 88, pp. 245-251, (1986)
[3]  
Di Chiro G., Schellinger D., Computed tomography of spinal cord after lumbar intrathecal introduction of metrizamide (Computed assisted myelography), Radiology, 120, pp. 101-104, (1976)
[4]  
Fujiwara K., Yonenobu K., Hiroshima K., Et al., Morphometry of cervical spinal cord and its relation to pathology in cases with compression myelopathy, Spine, 13, pp. 1212-1216, (1988)
[5]  
Fujiwara K., Yonenobu K., Ebara S., Yamashita K., Ono K., The prognosis of surgery for cervical compression myelopathy, J Bone Joint Surg, (1989)
[6]  
Hirabayashi K., Miyakawa J., Satomi K., Maruyama T., Wakano K., Operative results and postoperative progression of ossification among patients with ossification of cervical posterior longitudinal ligament, Spine, 6, pp. 354-364, (1981)
[7]  
Kawakami N., A clinical study on the morphological restoration of the spinal cord in cervical myelopathy by CT-myelography and ultrasonography [in Japanese], J Jpn Orthop Assoc, 62, pp. 951-964, (1988)
[8]  
Koyanagi T., Satomi K., Asazuma T., Et al., Prediction of the recovery rate after surgery for cervical myelopathy from the view of CT-myelography [in Japanese], Clin Orthop Surg, 26, pp. 3-10, (1991)
[9]  
Lee K.S., The role of magnetic resonance imaging in the evaluation of spinal disorders, Comprther, 16, pp. 43-53, (1990)
[10]  
Larsson E.M., Holtas S., Cronqvist S., Brandt L., Comparison of myelography, CT myelography and magnetic resonance imaging: Cervical spondylosis and disc herniation, Acta Radiol, 30, pp. 233-239, (1989)