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  4. Correlation Study Between Clinical Special Tests for Myelopathy and Static MRI Parameters in Patients of Malaysian Population Treated for Cervical Dysfunction

Correlation Study Between Clinical Special Tests for Myelopathy and Static MRI Parameters in Patients of Malaysian Population Treated for Cervical Dysfunction

Cureus, 2021 · DOI: 10.7759/cureus.18826 · Published: October 16, 2021

PhysiologyMedical ImagingOrthopedics

Simple Explanation

Cervical spondylotic myelopathy (CSM) is a common spinal cord problem that can cause issues with movement and sensation. This study looked at how well MRI scans match up with physical exam findings in people with CSM. The study found that certain measurements on the MRI, like the size of the spinal canal and spinal cord, were related to symptoms and signs of CSM. This suggests that these measurements can help doctors understand how severe the CSM is. These MRI measurements could be useful for predicting how well someone with CSM will do and for planning treatment. This study helps to show the connection between what doctors see on an MRI and what patients experience.

Study Duration
Not specified
Participants
30 patients aged 30 to 80 years
Evidence Level
Cross-sectional study

Key Findings

  • 1
    The most common myelopathic signs observed were positive Hoffmann’s sign and the presence of reverse brachioradialis reflex.
  • 2
    There was a positive correlation between the clinical key features with MRI parameters for canal and cord diameter.
  • 3
    The transverse cord diameter, cord compression ratio, and approximate cord area were the only independent variables related to almost all the positive clinical specific tests.

Research Summary

This study aimed to determine the pathoanatomy of CSM in patients and analyze the correlations between clinical key symptoms, myelopathic signs, and MRI findings. The MRI parameters such as canal and cord size of the cervical spine are an objective reflection of compression on the spinal cord. Correlations observed indicate cord compression that plays a major role in the pathophysiology of CSM. These measurements are sensitive indicators of canal stenosis and play a significant role in predicting the severity and outcome of CSM.

Practical Implications

Diagnostic Tool

MRI parameters can be used as objective measures for assessing cord compression in CSM.

Prognostic Indicator

MRI measurements can help predict the severity and outcome of CSM.

Treatment Planning

Understanding the relationship between MRI findings and clinical symptoms can aid in treatment planning.

Study Limitations

  • 1
    Small sample size (30 patients).
  • 2
    Single-center study, limiting generalizability.
  • 3
    Static MRI parameters used, which may not fully represent dynamic stenosis.

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