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Title: Predictive value of magnetic resonance imaging in cervical spondylotic myelopathy in prognostic surgical outcome
Authors: Pipat Chiewvit
Siri On Tritrakarn
Anchalee Phawjinda
Areesak Chotivichit
Mahidol University
Keywords: Medicine
Issue Date: 1-Mar-2011
Citation: Journal of the Medical Association of Thailand. Vol.94, No.3 (2011), 346-354
Abstract: Objective: Establish the predictive value of magnetic resonance imaging (MRI) for cervical spondylotic myelopathy as being a good operative outcome. Material and Method: A retrospective study of the 52 consecutive patients with cervical spondylotic myelopathy underwent both magnetic resonance imaging (MRI) cervical spines examination at Siriraj Hospital between January 2005 and June 2007. Surgery was divided into two groups: "Good" operative outcome (35 patients) and "No improvement group" (17 patients). Two neuroradiologists independently identified the MR images data that showed the maximum stenosis on sagittal and axial sections and recorded predictive MRI parameters: T2-weighted signal change of the spinal cord, cross-sectional area of the spinal cord, anteroposterior (AP) diameter of the spinal canal and the spinal cord and AP-compression ratio (AP diameter/transverse diameter of the spinal cord). Results: There were no statistically significant differences between both groups in all parameters. Conclusion: The AP-diameter of the spinal canal and spinal cord, AP-compression ratio and signal change of the spinal cord are not useful in predicting prognosis outcome in patients with cervical spondylotic myelopathy. In addition, cross-sectional area of the spinal cord cannot confidentially be used as predictive factor in CSM patients due to many influent factors of surgical outcome. A further prospective study without patient selective bias may offer more definite results to confirm these findings.
ISSN: 01252208
Appears in Collections:Scopus 2011-2015

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