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Rheumatoid cervical myelopathy: evaluation by computerized tomography with multiplanar reconstruction.
The Journal of Rheumatology
|February 1, 1983
Summary
Computerized tomography with multiplanar reconstruction (CT/MPR) significantly improved the evaluation of rheumatoid cervical myelopathy. This advanced imaging identified previously unsuspected spinal cord compression, altering surgical plans for many patients.
Area of Science:
- Neurosurgery
- Rheumatology
- Radiology
Background:
- Rheumatoid cervical myelopathy can lead to significant neurological deficits.
- Accurate assessment of spinal cord compromise is crucial for surgical planning.
Purpose of the Study:
- To evaluate the utility of computerized tomography with multiplanar reconstruction (CT/MPR) in diagnosing rheumatoid cervical myelopathy.
- To determine if CT/MPR alters surgical management.
Main Methods:
- 14 patients with rheumatoid cervical myelopathy were assessed clinically, radiographically, and with CT/MPR.
- CT/MPR provided multiplanar views of the cervical spine.
Main Results:
- CT/MPR revealed unsuspected spinal cord compromise in 9 of 14 patients.
- Surgical procedures were altered in 7 of these 9 patients based on CT/MPR findings.
- CT/MPR accurately identified rotary subluxation and assessed the spinal nerve canal and foramina.
Conclusions:
- CT/MPR is an essential tool for evaluating rheumatoid cervical myelopathy.
- This advanced imaging technique improves diagnostic accuracy and surgical decision-making.