References

IJMABHR

International Journal of Medical and All Body Health Research

IJMABHR

2582-8940

Anfo Publication House

266

Correlation between MRI Findings and Neurological Deficits in Spinal Trauma: An Evaluation Based on the ASIA Impairment Scale

Patel

Parth

Ghosh

Sumit Kumar

Patel

Hetal

Sylonia

Subhash C

1Post Graduate Student (Radiodiagnosis), Saraswathi Institute of Medical Sciences, Hapur, Uttar Pradesh, India 2Professor and HOD, Department of Radiodiagnosis, Saraswathi Institute of Medical Sciences Hapur, Uttar Pradesh, India 3Professor, Department of Radiodiagnosis, Saraswathi Institute of Medical Sciences Hapur, Uttar Pradesh, India 4Assistant Professor (radiodiagnosis), Saraswathi Institute of Medical Sciences Hapur, Uttar Pradesh, India

2024

5 4 134 138 03102024 06112024

CC BY-NC-SA 4.0

Introduction: Spinal trauma is a major clinical challenge, often leading to significant morbidity and mortality. MRI has become essential in diagnosing spinal injuries due to its superior ability to visualize spinal cord pathologies and surrounding tissues. This study aims to evaluate the correlation between MRI findings and neurological deficits using the ASIA Impairment Scale in patients with spinal trauma. Method: A hospital-based prospective study was conducted on 50 patients with spinal trauma who underwent MRI within four weeks of injury. Exclusion criteria included patients with contraindications to MRI. All patients underwent full-spine MRI, and clinical assessment was made using the ASIA Impairment Scale. MRI findings, including cord hemorrhage, edema, and epidural hematoma, were analyzed. Statistical analysis was performed using IBM SPSS version 25.0. Result: The study cohort included 36 males and 14 females, with the majority aged 21-40 years. The most common MRI findings were cord edema (>3 cm, 34%) and cord hemorrhage (18%). The ASIA Impairment Scale revealed significant improvements in neurological outcomes, with 40% of patients improving to ASIA D and 42% to ASIA E. Cord hemorrhage was significantly associated with poor neurological recovery (p=0.002), while cord edema showed a positive correlation with recovery. Epidural hematoma did not significantly correlate with neurological or sensory improvement. Conclusion: MRI findings, particularly cord hemorrhage and edema, were significantly correlated with neurological and sensory outcomes in spinal trauma patients. The ASIA Impairment Scale was effective in tracking recovery, highlighting MRI’s role in predicting patient prognosis.

Spinal traumaMRI findingsASIA Impairment ScaleCord hemorrhageNeurological outcomesSensory improvement

References 1

Wang TY, Park C, Zhang H, Rahimpour S, Murphy KR, Goodwin CR, et al. Management of Acute Traumatic Spinal Cord Injury: A Review of the Literature. Front Surg; 2021:8. https://doi.org/10.3389/FSURG.2021.698736.

Kumar Y, Hayashi D. Role of magnetic resonance imaging in acute spinal trauma: a pictorial review. BMC Musculoskelet Disord ; 2016:17. https://doi.org/10.1186/S12891-016-1169-6.

Naik BR, Sakalecha AK, Savagave SG. Evaluation of Traumatic Spine by Magnetic Resonance Imaging and Its Correlation with Cliniconeurological Outcome. J Emerg Trauma Shock . 2019;12:101. https://doi.org/10.4103/JETS.JETS_110_18.

Santiago FR, Ramos-Bossini AJL, Wáng YXJ, Barbero JPM, Espinosa JG, Martínez AM. The value of magnetic resonance imaging and computed tomography in the study of spinal disorders. Quant Imaging Med Surg 2022;12:3947-86. https://doi.org/10.21037/QIMS-2022-04/COIF.

Srinivas B, Rajesh A, Purohit A. Factors affecting outcome of acute cervical spine injury: A prospective study. Asian J Neurosurg 2017;12:416 -23. https://doi.org/10.4103/1793-5482.180942.

Gupta R, Mittal P, Parambir S, Saggar K, Gupta K. Correlation of Qualitative and Quantitative Mri Parameters with Neurological Status: A Prospective Study on Patients with Spinal Trauma. J Clin Diagn Res 2014;8:RC13. https://doi.org/10.7860/JCDR/2014/9471.5181.

Ramón S, Domínguez R, Ramírez L, Paraira M, Olona M, Castelló T, et al. Clinical and magnetic resonance imaging correlation in acute spinal cord injury. Spinal Cord 1997;35:664 -73. https://doi.org/10.1038/SJ.SC.3100490.

Gupta A, Dhande R. Role of magnetic resonance imaging in the evaluation of spinal trauma. Journal of Datta Meghe Institute of Medical Sciences University 2020;15:192-6. https://doi.org/10.4103/JDMIMSU.JDMIMSU_15_20.

Miyanji F, Furlan JC, Aarabi B, Arnold PM, Fehlings MG. Acute cervical traumatic spinal cord injury: MR imaging findings correlated with neurologic outcome--prospective study with 100 consecutive patients. Radiology 2007;243:820 -7. https://doi.org/10.1148/RADIOL.2433060583.

Khorasanizadeh MH, Yousefifard M, Eskian M, Lu Y, Chalangari M, Harrop JS, et al. Neurological recovery following traumatic spinal cord injury: a systematic review and meta-analysis. J Neurosurg Spine 2019;30:683-99. https://doi.org/10.3171/2018.10.SPINE18802.

Dziedzic T, Kunert P, Krych P, Marchel A. Management and neurological outcome of spontaneous spinal epidural hematoma. Journal of Clinical Neuroscience 2015;22:726-9. https://doi.org/10.1016/j.jocn.2014.11.010.

Parashari U, Khanduri S, Bhadury S, Kohli N, Parihar A, Singh R, et al. Diagnostic and prognostic role of MRI in spinal trauma, its comparison and correlation with clinical profile and neurological outcome, according to ASIA impairment scale. J Craniovertebr Junction Spine 2011;2:17. https://doi.org/10.4103/0974-8237.85309.Copyright and License © The Author(s). Authors retain the copyright of their published articles. This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution Non Commercial-Share A like 4.0 International (CC BY-NC-SA 4.0) License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.