Prognostic utility of magnetic resonance imaging (MRI) in predicting neurological outcomes in patients with acute thoracolumbar spinal cord injury
European Spine Journal Sep 15, 2019
Vivekanandaswamy AN, Kannan M, Sharma V, et al. - Researchers focused on the value of MRI in predicting neurological outcomes in thoracolumbar (TL) spinal cord injury. They reviewed 76 patients who underwent surgical management for acute TL spinal injuries between January 2014 and March 2016 and collected data regarding demographic details, neurology at admission and at the final follow-up. Based on the neurology at presentation, they classified patients into group 1 (ASIA A), group 2 (ASIA B, C, D) and group 3 (normal neurology). Between the groups, they compared MRI parameters to determine their predictive utility of neurology on admission and at the final follow-up. The link of spinal cord compression, length of cord swelling and length of edema with a complete neurological deficit at presentation was revealed in univariate analysis. However, the significant predictive ability of only length of edema (LOE) for neurology at admission and at follow-up was revealed in multivariate regression analysis. They found that greater the rostrocaudal LOE, worse was the neurology at presentation, and it was related to poor neurological recovery at follow-up.
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