Volume 21 Issue 5
May  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(5): 753-756
LI Jiaran, GUO Tao. Analysis of preoperative cervical MRI in the prognosis of spinal cord injury without radiological abnormalities in adults after surgery[J]. Chinese Journal of General Practice, 2023, 21(5): 753-756. doi: 10.16766/j.cnki.issn.1674-4152.002975
Citation: LI Jiaran, GUO Tao. Analysis of preoperative cervical MRI in the prognosis of spinal cord injury without radiological abnormalities in adults after surgery[J]. Chinese Journal of General Practice, 2023, 21(5): 753-756. doi: 10.16766/j.cnki.issn.1674-4152.002975
shu

Analysis of preoperative cervical MRI in the prognosis of spinal cord injury without radiological abnormalities in adults after surgery

doi: 10.16766/j.cnki.issn.1674-4152.002975
  • 1.

    Clinical Medicial College, Guizhou Medical University, Guiyang, Guizhou 550025, China

Funds:

 黔科合基础-ZK[2022]一般247

 gzwkj2021-246

 GZSYBS[2021]05号

  • Received Date: 2022-09-05
    Abstract
  •   Objective  To investigate the correlation between recovery of spinal cord function and preoperative cervical MRI after surgery for spinal cord injury (SCI) without radiological abnormalities in adults.  Methods  Fifty-two patients with SCI without radiological abnormalities who underwent surgical treatment in the Department of Spine Surgery of Guizhou Provincial People ' s Hospital from January 2016 to September 2021 were selected, and the patients ' cervical SCI function was evaluated by JOA score and improvement rate. Single-factor logistic regression analysis and multi-factor logistic regression analysis were performed for SCI MRI type and SCI MRI range to analyze their correlation with the postoperative prognosis of adult spinal cord injury without radiological abnormality, and to identify the main influencing factors among them.  Results  There were 52 patients with SCI without radiological abnormalities. There were 41 males and 11 females, aged 36-76 years old, with a mean age of (58.50±10.46) years old. The JOA score was (5.69±2.09) at baseline and (11.84±2.79) at the last follow-up, with an improvement rate of (54.49±20.18)%. Single-factor logistic regression analysis showed that the type of MRI of SCI and the extent of MRI of SCI were associated with the prognosis after surgery for cervical SCI in adults without fracture dislocation (P < 0.05), and multi-factor logistic regression analysis showed that the type of MRI of SCI had a greater effect on recovery of spinal cord function after surgery for cervical SCI in adults without fracture dislocation than the extent of MRI of SCI.  Conclusion  The MRI type of SCI and the MRI extent of SCI were closely related to spinal cord function recovery in patients with SCI without radiological abnormalities, and the prognosis of spinal cord function recovery was worst in patients with edema and hemorrhage type and MRI extent of SCI>4 cm.

     

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