Correlation of blunt cervical spinal cord injury magnetic resonance imaging tractography with the American Spinal Injury Association impairment scale motor scores
SA Journal of Radiology
| Field | Value | |
| Title | Correlation of blunt cervical spinal cord injury magnetic resonance imaging tractography with the American Spinal Injury Association impairment scale motor scores | |
| Creator | Seboco, Orapeleng Gebremariam, Fekade Joubert, Gina | |
| Description | Background: The introduction of the Subaxial Cervical Spine Injury Classification system has created the need for a holistic imaging approach that encompasses both functional (neurological) and morphological information.Objectives: This study aimed to determine if there was a correlation between the blunt cervical spinal cord injury diffusion tensor imaging (DTI) fraction anisotropy (FA) value and the American Spine Injury Association (ASIA) impairment scale motor score.Method: Diffusion tensor imaging was performed on 26 patients with blunt cervical spine injury (all men with a median age of 46 years) admitted to the Pelonomi Tertiary Hospital spinal unit. Imaging was performed using the 1.5T Siemens Magnetom Aera machine’s built-in spine DTI protocol. Sagittal FA values were acquired at four different cervical spine regions (medulla oblongata, above the injury site, at the injury site and below the injury site).Results: Eight of the 26 patients had complete neurological fallout. Of the participants, 30% had injuries at the C4/C5 level, whilst injuries involving segments below and above C4/C5 affected 15% and 55% of participants, respectively. Injury site FA values (median 0.30) were significantly lower (p 0.001) than the above injury site FA (median 0.46, p = 0.26) and below injury site FA (median 0.42 and p = 0.019). A significant correlation was noted between the injury site FA values and the ASIA impairment scale motor scores (p = 0.001, r = 0.87).Conclusion: FA value showed excellent correlation with the ASIA impairment scale motor scores. | |
| Publisher | AOSIS | |
| Date | 2021-04-01 | |
| Identifier | 10.4102/sajr.v25i1.2038 | |
| Source | South African Journal of Radiology; Vol 25, No 1 (2021); 5 pages 2078-6778 1027-202X | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://sajr.org.za/index.php/sajr/article/view/2038/2864
https://sajr.org.za/index.php/sajr/article/view/2038/2863
https://sajr.org.za/index.php/sajr/article/view/2038/2865
https://sajr.org.za/index.php/sajr/article/view/2038/2862
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