Evaluation of the prognostic value of extra-parenchymal changes in traumatic spinal cord injury, assessed by magnetic resonance imaging.

Autor:	Mora-Boga R; Unidad de Lesionados Medulares, Instituto de Investigación Biomédica de A Coruña (INIBIC). Complexo Hospitalario Universitario de A Coruña (CHUAC), A Coruña, Spain., Vázquez-Muíños O; Unidad de Neurorradiología. Servicio de Radiología and Radiodiagnóstico. Complexo Hospitalario Universitario de A Coruña (CHUAC), A Coruña, Spain., Pértega-Díaz S; Unidad de Estadística and Epidemiología Clínica. Spanish Clinical Research Network (SCReN). Complexo Hospitalario Universitario, A Coruña, Spain., Salvador-de la Barrera S; Unidad de Lesionados Medulares, Instituto de Investigación Biomédica de A Coruña (INIBIC). Complexo Hospitalario Universitario de A Coruña (CHUAC), A Coruña, Spain., Ferreiro-Velasco ME; Unidad de Lesionados Medulares, Instituto de Investigación Biomédica de A Coruña (INIBIC). Complexo Hospitalario Universitario de A Coruña (CHUAC), A Coruña, Spain., Rodríguez-Sotillo A; Unidad de Lesionados Medulares, Instituto de Investigación Biomédica de A Coruña (INIBIC). Complexo Hospitalario Universitario de A Coruña (CHUAC), A Coruña, Spain.; Departamento de Fisioterapia, Medicina y Ciencias Biomédicas, Universidad de A Coruña, A Coruña, Spain., Meijide-Failde RM; Grupo de investigación en Terapia Celular y Medicina Regenerativa. Departamento de Fisioterapia, Medicina y Ciencias Biomédicas, Centro de Investigaciones Científicas Avanzadas (CICA), Facultad de Ciencias de la Salud, Universidade da Coruña, A Coruña, Spain., Montoto-Marqués A; Unidad de Lesionados Medulares, Instituto de Investigación Biomédica de A Coruña (INIBIC). Complexo Hospitalario Universitario de A Coruña (CHUAC), A Coruña, Spain.; Departamento de Fisioterapia, Medicina y Ciencias Biomédicas, Universidad de A Coruña, A Coruña, Spain.
Jazyk:	angličtina
Zdroj:	The journal of spinal cord medicine [J Spinal Cord Med] 2024 Jul; Vol. 47 (4), pp. 540-548. Date of Electronic Publication: 2022 Nov 28.
DOI:	10.1080/10790268.2022.2134627
Abstrakt:	Objectives: To analyze the relationship between neurological progression following traumatic spinal cord injury and Spinal Cord Compression (SCC) and Spinal Ligamentous Injury (LI) by magnetic resonance imaging. Design: Retrospective observational study. Setting: Spinal Cord Injury Unit (A Coruña, Spain). Participants: Patients were admitted for traumatic spinal cord injury between January 2010 and December 2018 with a magnetic resonance imaging examination performed during the acute phase. Intervention: Evaluation of SCC and LI by magnetic resonance imaging. Outcome Measures: Comparisons between neurological examination at admission and discharge were made, assessing ASIA Impairment Scale (AIS) grade and motor score. Results: Data from 296 patients were collected. A relationship between SCC and LI and complete injuries were found (P < 0.001). Improvement of the AIS grade was observed in 31.6% of patients with SCC and 31.3% with LI versus 42.7% and 37.8% of subjects without these complications, respectively. Regarding motor score, patients with SCC had lower mean values at the beginning (46.9 ± 26.8 versus 61.1 ± 29.9 in the control group, P < 0.001), as well as less improvement when assessed by the percentage of change (35.1 ± 37.5% versus 49.4 ± 38.1% in the control group, P = 0.010). Similar results were obtained in cases with LI: mean motor score at admission was 45.9 ± 26.7 versus 54.9 ± 29.4 in the control group (P = 0.014) and the percentage of change was 28.5 ± 37.1% in comparison to 46.0 ± 37.5% (P = 0.001) in the controls. Conclusions: There is a relationship between SCC and LI and complete spinal cord injury. This patient population has lower possibilities of improving their AIS grade and motor score.
Databáze:	MEDLINE
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