前部和后部带压缩之间的区别及其在患有退行性椎骨髓病患者的临床含义
Kyung-Chung Kang1, Tae Su Jang1, Sun-Hwan Choi1
1Department of Orthopaedic Surgery, Kyung Hee University Hospital, Kyung Hee University School of Medicine, Kyungheedae-ro 23, Dongdaemun-gu, Seoul 130-872, Republic of Korea.
Journal of clinical medicine
|June 28, 2023
概括
退行性宫髓病 (DCM) 涉及脊髓压缩. 前绳长度小于1毫米与DCM患者的神经缺陷有显著联系.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 放射学 放射学是一门学科.
背景情况:
- 退行性宫髓病 (DCM) 的特征是脊髓压缩.
- 低的前后后脊髓压缩比率与DCM的神经缺陷有关.
研究的目的:
- 在DCM患者中对脊髓压缩进行详细分析.
- 为了研究脊髓压缩和神经缺陷的放射性参数之间的相关性.
主要方法:
- 分析了183名DCM患者的轴性磁共振图像.
- 测量包括脊髓的前 (A),后 (P) 和前后长度和宽度 (W).
- 在放射性参数和日本整形医学协会 (JOA) 的得分之间进行了相关性分析.
主要成果:
- 在DCM中,脊髓压缩主要影响前部.
- 前绳长度 (A) 和A/W比率与JOA得分有显著的相关性 (p < 0.05).
- 前长度小于1毫米的患者表现出明显较低的JOA分数.
结论:
- 前脊髓压缩是DCM相关的神经缺陷的一个关键因素.
- 前弦长度<1毫米是DCM中严重神经损伤的关键指标.
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