Soft-Tissue Damage and Segmental Instability in Adult Patients With Cervical Spinal Cord Injury Without Major Bone Injury

Spine ◽  
2012 ◽  
Vol 37 (25) ◽  
pp. E1560-E1566 ◽  
Author(s):  
Takeshi Maeda ◽  
Takayoshi Ueta ◽  
Eiji Mori ◽  
Itaru Yugue ◽  
Osamu Kawano ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Soft Tissue ◽  
Tissue Damage ◽  
Cervical Spinal Cord ◽  
Cervical Spinal Cord Injury ◽  
Adult Patients ◽  
Segmental Instability ◽  
Bone Injury ◽  
Cord Injury

scholarly journals New Grading System for Cervical Paraspinal Soft Tissue Damage After Traumatic Cervical Spinal Cord Injury Without Major Fracture Based on the Short-T1 Inversion Recovery Mid-Sagittal MRI for Prediction of Neurological Improvements: The STIR-MRI Grade

2021 ◽  
pp. 219256822110101
Author(s):  
Kotaro Aburakawa ◽  
Toru Yokoyama ◽  
Kazunari Takeuchi ◽  
Takuya Numasawa ◽  
Kanichiro Wada ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Soft Tissue ◽  
Tissue Damage ◽  
Cervical Spinal Cord ◽  
Cervical Spinal Cord Injury ◽  
Soft Tissue Damage ◽  
Cord Injury ◽  
Nuchal Ligament

Study Design: Retrospective cohort study. Objective: To develop a grading method for cervical paraspinal soft tissue damage after cervical spinal cord injury (CSCI) without major fracture based on the short T1 inversion recovery (STIR) mid-sagittal magnetic resonance image (MRI) for prediction of neurological improvements. Methods: This study included 34 patients with CSCI without major fracture, treated conservatively for at least 1 year and graded using the STIR-MRI Grade. This system consists of anterior grades; A0: no high-intensity area (HIA), A1: linear HIA, and A2: fusiform HIA, and posterior grades; P0: no HIA, P1: HIA not exceeding the nuchal ligament, and P2: HIA exceeding the nuchal ligament, within 24 hours postinjury. The American Spinal Injury Association impairment scale (AIS) and the Japanese Orthopedic Association (JOA) scores were examined. Results: Anterior grades were not significantly correlated with the AIS and JOA score. At both injury and final follow-up, the AIS in P2 patients was significantly more severe ( P = 0.007, P = 0.015, respectively) than that in P0 patients. At the injury, the AIS in P2 patients was significantly more severe ( P = 0.008) than that in P1 patients. Among P2 patients only, the JOA score at the injury (1.4 points) did not improve by the final follow-up (3.9 points). The final follow-up JOA score (3.9 points) in P2 patients was significantly lower than that (13.6 points) in P0 patients ( P = 0.016). Conclusions: Grade P2 led to poor neurological outcomes. The STIR-MRI Grade is a prognostic indicator for neurological improvements past-CSCI.

scholarly journals Cervical Spinal Cord Injury without Bone Injury in Elderly Patients

2013 ◽  
Vol 27 (2) ◽  
pp. 161-165
Author(s):  
Yuichi Takahashi ◽  
Yasukazu Hijikata ◽  
Takao Yasuhara ◽  
Takashi Sennari ◽  
Akira Kusumegi ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Elderly Patients ◽  
Cervical Spinal Cord ◽  
Cervical Spinal Cord Injury ◽  
Bone Injury ◽  
Cord Injury

Prognostic factors and optimal management for patients with cervical spinal cord injury without major bone injury

2019 ◽  
Vol 24 (2) ◽  
pp. 230-236
Author(s):  
Hideaki Nakajima ◽  
Ai Takahashi ◽  
Ippei Kitade ◽  
Shuji Watanabe ◽  
Kazuya Honjoh ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Prognostic Factors ◽  
Cervical Spinal Cord ◽  
Cervical Spinal Cord Injury ◽  
Optimal Management ◽  
Bone Injury ◽  
Cord Injury

scholarly journals Time Course of Respiratory Dysfunction and Motor Paralysis for 12 Weeks in Cervical Spinal Cord Injury without Bone Injury

2019 ◽  
Vol 3 (1) ◽  
pp. 37-42
Author(s):  
Chikara Ushiku ◽  
Kota Suda ◽  
Satoko Matsumoto ◽  
Miki Komatsu ◽  
Masahiko Takahata ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Time Course ◽  
Cervical Spinal Cord ◽  
Cervical Spinal Cord Injury ◽  
Respiratory Dysfunction ◽  
Bone Injury ◽  
Motor Paralysis ◽  
Cord Injury
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