Relationship between impairment and magnetic resonance imaging finding in patients with traumatic cervical spinal cord injury after surgery
10.3969/j.issn.1006-9771.2023.06.015
- VernacularTitle:创伤性颈脊髓损伤程度与磁共振成像的关系
- Author:
Yuan YUAN
1
;
Hongjun ZHOU
1
;
Xinying CONG
1
;
Genlin LIU
1
;
Bo WEI
1
;
Ying ZHENG
1
;
Chunxia HAO
1
;
Ying ZHANG
1
;
Yiji WANG
1
;
Haiqiong KANG
1
;
Xiaolei LU
1
;
Qianru MENG
1
Author Information
1. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
- Publication Type:Journal Article
- Keywords:
traumatic cervical spinal cord injury;
American Spinal Injury Association Impairment Scale;
magnetic resonance imaging;
Brain and Spinal Injury Center score
- From:
Chinese Journal of Rehabilitation Theory and Practice
2023;29(6):725-730
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the application of Brain and Spinal Injury Center (BASIC) score in evaluation of traumatic cervical spinal cord injury. MethodsFrom January, 2015 to December, 2021, 175 patients with traumatic cervical spinal cord injury in Beijing Bo'ai Hospital were analyzed. Gender, age, cause of injury, injury mechanism and American Spinal Injury Association Impairment Scale (AIS) grade were collected. The sagittal and axial T2 weighted imaging (T2WI) of the patients were evaluated with BASIC score, single/multi-segment injury, and with/without intramedullary hemorrhage. According to the injury mechanism, the patients were divided into two groups: with fracture/fracture dislocation (n = 92) and without fracture and dislocation (n = 83). The baseline demographic indicators and T2WI evaluation indicators were compared between the two groups, and the relationship between AIS grade and BASIC score, intramedullary hemorrhage, single/multi-segment injury were investigated. ResultsThere were significant differences in gender, age and AIS grade, BASIC score, and the rates of inntramedullary hemorrhage and single segment injury of T2WI between two groups (t = -10.276, χ2 > 8.703, P < 0.01); however, no difference was found in the cause of injury (P > 0.05). The AIS grade was significantly correlated with the BASIC score (r = 0.790, P < 0.001). There was significant difference in AIS grade between intramedullary hemorrhage or not, and single/multi-segment injury (χ2 > 5.516, P < 0.05). ConclusionThe BASIC score of T2WI is a predictor of the severity of spinal cord injury after traumatic cervical spinal cord injury, and is different with the injury mechanisms.
