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Preoperative T1 magnetic resonance imaging changes carry a poor postoperative prognosis in cervical myelopathy: A retrospective study of 182 patients

BACKGROUND: T2 scans are widely used to determine the prognosis for patients undergoing surgery for cervical myelopathy. In this study, we determined whether T1 MR changes in addition to T2 MR changes could have prognostic importance. METHODS: This retrospective analysis involved 182 patients underg...

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Autores principales: Shakya, Akash, Sharma, Ayush, Singh, Vijay, Jaiswal, Ajay, Marathe, Nandan, Garje, Vinayak
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8942198/
https://www.ncbi.nlm.nih.gov/pubmed/35350821
http://dx.doi.org/10.25259/SNI_1151_2021
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author Shakya, Akash
Sharma, Ayush
Singh, Vijay
Jaiswal, Ajay
Marathe, Nandan
Garje, Vinayak
author_facet Shakya, Akash
Sharma, Ayush
Singh, Vijay
Jaiswal, Ajay
Marathe, Nandan
Garje, Vinayak
author_sort Shakya, Akash
collection PubMed
description BACKGROUND: T2 scans are widely used to determine the prognosis for patients undergoing surgery for cervical myelopathy. In this study, we determined whether T1 MR changes in addition to T2 MR changes could have prognostic importance. METHODS: This retrospective analysis involved 182 patients undergoing surgery for cervical myelopathy (2017–2020). There were 110 patients in Group 1 (only T2 MR changes) and 72 in Group 2 (both T1 and T2 MR changes). In addition, demographic, visual analog score (VAS), modified Japanese Orthopaedic Association (mJOA) scores, and operative details were recorded at 1 month, 3 months, 6 months, and 1 year postoperatively. RESULTS: Notably, VAS scores were comparable at each point in time and were significantly better than the preoperative scores at 1 year postoperatively. Although mJOA scores were comparable at 1 month in both groups, they were better thereafter for Group 1 patients. CONCLUSION: The presence of T1 changes on the preoperative magnetic resonance imaging represented a poor prognostic indicator for the postoperative outcome compared to the presence of T2 changes alone.
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spelling pubmed-89421982022-03-28 Preoperative T1 magnetic resonance imaging changes carry a poor postoperative prognosis in cervical myelopathy: A retrospective study of 182 patients Shakya, Akash Sharma, Ayush Singh, Vijay Jaiswal, Ajay Marathe, Nandan Garje, Vinayak Surg Neurol Int Original Article BACKGROUND: T2 scans are widely used to determine the prognosis for patients undergoing surgery for cervical myelopathy. In this study, we determined whether T1 MR changes in addition to T2 MR changes could have prognostic importance. METHODS: This retrospective analysis involved 182 patients undergoing surgery for cervical myelopathy (2017–2020). There were 110 patients in Group 1 (only T2 MR changes) and 72 in Group 2 (both T1 and T2 MR changes). In addition, demographic, visual analog score (VAS), modified Japanese Orthopaedic Association (mJOA) scores, and operative details were recorded at 1 month, 3 months, 6 months, and 1 year postoperatively. RESULTS: Notably, VAS scores were comparable at each point in time and were significantly better than the preoperative scores at 1 year postoperatively. Although mJOA scores were comparable at 1 month in both groups, they were better thereafter for Group 1 patients. CONCLUSION: The presence of T1 changes on the preoperative magnetic resonance imaging represented a poor prognostic indicator for the postoperative outcome compared to the presence of T2 changes alone. Scientific Scholar 2021-12-30 /pmc/articles/PMC8942198/ /pubmed/35350821 http://dx.doi.org/10.25259/SNI_1151_2021 Text en Copyright: © 2021 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Shakya, Akash
Sharma, Ayush
Singh, Vijay
Jaiswal, Ajay
Marathe, Nandan
Garje, Vinayak
Preoperative T1 magnetic resonance imaging changes carry a poor postoperative prognosis in cervical myelopathy: A retrospective study of 182 patients
title Preoperative T1 magnetic resonance imaging changes carry a poor postoperative prognosis in cervical myelopathy: A retrospective study of 182 patients
title_full Preoperative T1 magnetic resonance imaging changes carry a poor postoperative prognosis in cervical myelopathy: A retrospective study of 182 patients
title_fullStr Preoperative T1 magnetic resonance imaging changes carry a poor postoperative prognosis in cervical myelopathy: A retrospective study of 182 patients
title_full_unstemmed Preoperative T1 magnetic resonance imaging changes carry a poor postoperative prognosis in cervical myelopathy: A retrospective study of 182 patients
title_short Preoperative T1 magnetic resonance imaging changes carry a poor postoperative prognosis in cervical myelopathy: A retrospective study of 182 patients
title_sort preoperative t1 magnetic resonance imaging changes carry a poor postoperative prognosis in cervical myelopathy: a retrospective study of 182 patients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8942198/
https://www.ncbi.nlm.nih.gov/pubmed/35350821
http://dx.doi.org/10.25259/SNI_1151_2021
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