The value of dynamic MRI in cervical spondylotic myelopathy: About 24 cases

Makhchoune, Marouane; Triffaux, Michel; Bouras, Triantafyllos; Lonneville, S.; Marie-Anne, Labaisse

doi:10.1016/j.amsu.2022.104717

Cited by 5 publications

(2 citation statements)

References 13 publications

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“…However, the sample size was small which may have affected the generalisability of the findings. The findings of Breig et al [ 24 ] have been supported in vivo by dynamic MRI studies in patients with DCM [ 25 , 26 ]. These studies are valuable as they explored the effect of dynamic movement on the spinal cord.…”

Section: Reviewmentioning

confidence: 89%

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Degenerative Cervical Myelopathy: An Overview

Saunders,

Sandhu,

McBride

et al. 2023

Cureus

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Degenerative cervical myelopathy (DCM) is a spinal condition of growing importance due to its increasing prevalence within the ageing population. DCM involves the degeneration of the cervical spine due to various processes such as disc ageing, osteophyte formation, ligament hypertrophy or ossification, as well as coexisting congenital anomalies. This article provides an overview of the literature on DCM and considers areas of focus for future research. A patient with DCM can present with a variety of symptoms ranging from mild hand paraesthesia and loss of dexterity to a more severe presentation of gait disturbance and loss of bowel/bladder control. Hoffman’s sign and the inverted brachioradialis reflex are also important signs of this disease. The gold standard imaging modality is MRI which can identify signs of degeneration of the cervical spine. Other modalities include dynamic MRI, myelography, and diffusion tensor imaging. One important scoring system to aid with the diagnosis and categorisation of the severity of DCM is the modified Japanese Orthopaedic Association score. This considers motor, sensory, and bowel/bladder dysfunction, and categorises patients into mild, moderate, or severe DCM. DCM is primarily treated with surgery as this can halt disease progression and may even allow for neurological recovery. The surgical approach will depend on the location of degeneration, the number of cervical levels involved and the pathophysiological process. Surgical approach options include anterior cervical discectomy and fusion, corpectomy, or posterior approach (laminectomy ± fusion). Conservative management is also considered for some patients with mild or non-progressive DCM or for patients where surgery is not an option. Conservative treatment may include physical therapy, traction, or neck immobilisation. Future recommendations include research into the prevalence rate of DCM and if there is a difference between populations. Further research on the benefit of conservative management for patients with mild or non-progressive DCM would be recommended.

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Section: Reviewmentioning

confidence: 89%

“…Dynamic MRI can be more sensitive than static MRI; however, the technique for dynamic MRI is not yet standardised which may lead to confounding factors in studies. The technique also requires specialised equipment and knowledge [ 25 , 26 ].…”

Section: Reviewmentioning

confidence: 99%