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Is the anterior spinal artery occluded in severe cervical compressive myelopathy?
- Source :
- J Spinal Cord Med
- Publication Year :
- 2019
- Publisher :
- Informa UK Limited, 2019.
-
Abstract
- Purpose: The goal of this study was to identify whether the anterior spinal artery (ASA) is occluded in severe cervical compressive myelopathy (CCM) according to computed tomography angiography (CTA); occlusion was defined as spinal canal sagittal diameter compression of more than 80%. Study design: A retrospective study. Setting: Xinqiao Hospital, Chongqing, China. Participants: The sample comprised 11 patients with spinal canal sagittal diameter compression of more than 80%. Interventions: The patient underwent CTA of the ASA after admission. Covisualization of the ASA and the artery of Adamkiewicz was used to identify the ASA. Outcome Measures: Spinal cord compression and decompression were determined with 1.5-Tesla magnetic resonance imaging. The neurologic status was evaluated according to the classification of the American Spinal Injury Association (ASIA). Results: No ASA occlusion was found in all 11 severe CCM patients who presented with chronic or acute onset. All patients demonstrated improved neurological status after the anterior cervical decompression and fusion procedure. Conclusion: ASA occlusion was not observed in CCM patients with spinal canal sagittal diameter compression of more than 80%.
- Subjects :
- medicine.medical_specialty
Decompression
Anterior spinal artery
03 medical and health sciences
0302 clinical medicine
Spinal cord compression
medicine.artery
Occlusion
medicine
Humans
Spinal canal
030212 general & internal medicine
Research Articles
Spinal Cord Injuries
Vertebral Artery
Retrospective Studies
Computed tomography angiography
medicine.diagnostic_test
business.industry
Magnetic resonance imaging
Decompression, Surgical
medicine.disease
medicine.anatomical_structure
Neurology (clinical)
Radiology
Artery of Adamkiewicz
business
Spinal Cord Compression
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 20457723 and 10790268
- Volume :
- 44
- Database :
- OpenAIRE
- Journal :
- The Journal of Spinal Cord Medicine
- Accession number :
- edsair.doi.dedup.....970530a5970c2365f27b0b007bdace40
- Full Text :
- https://doi.org/10.1080/10790268.2019.1693193