MAGNETIC-RESONANCE-IMAGING STUDY ON THE RESULTS OF SURGERY FOR CERVICAL COMPRESSION MYELOPATHY

被引:175
作者
OKADA, Y
IKATA, T
YAMADA, H
SAKAMOTO, R
KATOH, S
机构
[1] Department of Orthopaedic Surgery, School of Medicine, University of Tokushima, Tokushima
关键词
MAGNETIC RESONANCE IMAGING; OSSIFICATION OF THE POSTERIOR LONGITUDINAL LIGAMENT; CERVICAL SPONDYLOTIC MYELOPATHY;
D O I
10.1097/00007632-199310001-00016
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The morphologic changes and signal intensity of the spinal cord on preoperative magnetic resonance images were correlated with postoperative outcomes in 74 patients undergoing decompressive cervical surgery for compressive myelopathy. The transverse area of the spinal cord on T1-weighted images at the level of maximum compression was closely correlated with the severity of myelopathy, duration of disease, and recovery rate as determined by the Japanese Orthopaedic Association score. In patients with ossification of the posterior longitudinal ligament or cervical spondylotic myelopathy, the increased intramedullary T2-weighted magnetic resonance imaging signal at the site of maximal cord compression and duration of disease significantly influenced the rate of recovery. A multiple regression equation was then developed with these three variables to predict surgical outcomes.
引用
收藏
页码:2024 / 2029
页数:6
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