Cervical spinal canal stenosis first presenting after spinal cord injury due to minor trauma: An insight into the value of preventive decompression

2017 ◽  
Vol 22 (1) ◽  
pp. 22-26 ◽  
Author(s):  
Hideki Shigematsu ◽  
Jason Pui Yin Cheung ◽  
Kin-Cheung Mak ◽  
Mauro Bruzzone ◽  
Keith D.K. Luk
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Spinal Canal ◽  
Spinal Canal Stenosis ◽  
Minor Trauma ◽  
Canal Stenosis ◽  
Cervical Spinal Canal ◽  
Cord Injury ◽  
Insight Into

scholarly journals Post-traumatic syringomyelia and post-traumatic spinal canal stenosis: A direct relationship: Review of 75 patients with a spinal cord injury

Spinal Cord ◽  
1998 ◽  
Vol 36 (2) ◽  
pp. 137-143 ◽  
Author(s):  
B Perrouin-Verbe ◽  
K Lenne-Aurier ◽  
R Robert ◽  
E Auffray-Calvier ◽  
I Richard ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Spinal Canal ◽  
Direct Relationship ◽  
Spinal Canal Stenosis ◽  
Canal Stenosis ◽  
Cord Injury ◽  
Post Traumatic

scholarly journals T1 Mapping Quantifies Spinal Cord Compression in Patients With Various Degrees of Cervical Spinal Canal Stenosis

2020 ◽  
Vol 11 ◽  
Author(s):  
Ilko L. Maier ◽  
Sabine Hofer ◽  
Eva Eggert ◽  
Katharina Schregel ◽  
Marios-Nikos Psychogios ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Spinal Canal ◽  
T1 Mapping ◽  
Cord Compression ◽  
Spinal Canal Stenosis ◽  
Canal Stenosis ◽  
Cervical Spinal Canal

scholarly journals Torg’s ratio in normal adult nepalese population

2017 ◽  
Vol 18 (1) ◽  
pp. 5-9
Author(s):  
Badri Rijal ◽  
R K Pokharel ◽  
S Paudel ◽  
L L Shah
Keyword(s):  
Spinal Cord ◽  
Cervical Spine ◽  
Spinal Stenosis ◽  
Spinal Canal ◽  
Cervical Spinal Cord ◽  
Canal Stenosis ◽  
Cervical Spinal Canal ◽  
Cord Injury ◽  
History Of ◽  
Cervical Spinal Stenosis

Introduction: Acute cervical trauma occasionally leads to cervical canal stenosis in some individuals in spite of minor trauma. The spinal canal-to-vertebral body ratio (Torg-Pavlov ratio) has been proposed for assessing developmental spinal canal stenosis. It is not affected by magnification, and is measured on lateral plain films of cervical vertebrae. The result of this study may help in better understanding of the Torg’s ratio, which is more reliable than direct measuring of the mid-sagittal diameter of the cervical spinal canal in the diagnosis of cervical spinal stenosis or predicting the prognosis of cervical spinal cord injury. If Torg’s ratio is below normal there is risk of cervical cord injury whereas relatively safe in large Torg’s ratio. Torg’s ratio can be accessed even in rural areas where x-rays are easily available and more economical than MRI and CT scan. It can assess the risk of cord injury during sports and outdoor activities and help individuals’ choose safe carrier in sports or others activities.Methods: In order to ascertain the normal values of the Torg’s ratio in adults Nepalese, hundred sets of cervical vertebral columns of hundred adult Nepalese population of age group 20-40 years were examined. Consecutive patients presenting with history of neck pain with normal x-ray findings or history of trauma without cervical spine injury from Orthopaedic OPD (out patients department) and emergency department of Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu from March 2011 to August 2012 were included in the study.Results: There were 48 males and 52 females with age ranging from 20 yrs to 40 yrs with the mean of 30.34±5.36 years. The normal average canal/body ratio of the cervical spine is 0.99 +/- 0.09 in male and 1.01 +/- 0.07 in female. It was observed that the ratio of the antero-posterior diameters of cervical spinal canal and vertebral bodies showed sexual dimorphism.Conclusion: The Torg’s ratio is the same irrespective of gender and height. The result of this study will help in better understanding of the Torg’s ratio, which is more reliable than direct measuring of the mid-sagittal diameter of the cervical spinal canal in the diagnosis of cervical spinal stenosis or predicting the prognosis of cervical spinal cord injury.JSSN 2015; 18 (1), Page: 5-9

scholarly journals Quantification of spinal cord compression using T1 mapping in patients with cervical spinal canal stenosis – Preliminary experience

2019 ◽  
Vol 21 ◽  
pp. 101639 ◽  
Author(s):  
Ilko L. Maier ◽  
Sabine Hofer ◽  
Arun A. Joseph ◽  
K. Dietmar Merboldt ◽  
Eva Eggert ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Spinal Canal ◽  
T1 Mapping ◽  
Cord Compression ◽  
Spinal Canal Stenosis ◽  
Canal Stenosis ◽  
Cervical Spinal Canal

scholarly journals Assessment of spinal cord motion as a new diagnostic MRI-parameter in cervical spinal canal stenosis: study protocol on a prospective longitudinal trial

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Katharina Wolf ◽  
Axel J. Krafft ◽  
Karl Egger ◽  
Jan-Helge Klingler ◽  
Ulrich Hubbe ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Canal ◽  
Diagnostic Marker ◽  
Clinical Course ◽  
Spinal Canal Stenosis ◽  
Diagnostic Process ◽  
Control Group ◽  
Canal Stenosis ◽  
Cervical Spinal Canal ◽  
Prospective Longitudinal

Abstract Background Increased spinal cord motion has been proven to be a relevant finding within spinal canal stenosis disclosed by phase-contrast MRI (PC-MRI). Adapted PC-MRI is a suitable and reliable method within the well deliberated setting. As the decision between conservative and operative treatment can be challenging in some cases, further diagnostic marker would facilitate the diagnostic process. We hypothesize that increased spinal cord motion will correlate to clinical course and functional impairment and will contribute as a new diagnostic marker. Methods A monocentric, prospective longitudinal observational trial on cervical spinal canal stenosis will be conducted at the University Medical Center Freiburg. Patients (n = 130) with relevant cervical spinal canal stenosis, being defined by at least contact to the spinal cord, will be included. Also, we will examine a control group of healthy volunteers (n = 20) as proof-of-principle. We will observe two openly assigned branches of participants undergoing conservative and surgical decompressive treatment (based on current German Guidelines) over a time course of 12 month, including a total of 4 visits. We will conduct a broad assessment of clinical parameters, standard scores and gradings, electrophysiological measurements, standard MRI, and adapted functional PC-MRI of spinal cord motion. Primary endpoint is the evaluation of an expected negative correlation of absolute spinal cord displacement to clinical impairment. Secondary endpoints are the evaluation of positive correlation of increased absolute spinal cord displacement to prolonged evoked potentials, prediction of clinical course by absolute spinal cord displacement, and demonstration of normalized spinal cord motion after decompressive surgery. Discussion With the use of adapted, non-invasive PC-MRI as a quantitative method for assessment of spinal cord motion, further objective diagnostic information can be gained, that might improve the therapeutic decision-making process. This study will offer the needed data in order to establish PC-MRI on spinal cord motion within the diagnostic work-up of patients suffering from spinal canal stenosis. Trial registration German Clinical Trials Register, ID: DRKS00012962, Register date 2018/01/17

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