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Thread: Early MRI, Surgery May Enhance Spinal Trauma Recovery

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    Early MRI, Surgery May Enhance Spinal Trauma Recovery

    Early MRI, Surgery May Enhance Spinal Trauma Recovery
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    SPINAL TRAUMA DECOMPRESSION SURGERY MRI DIAGNOSIS
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    Early magnetic resonance imaging (MRI) of the injured spinal cord can identify trauma cases that could benefit from surgery.



    Newswise - Early magnetic resonance imaging (MRI) of the injured spinal cord can identify trauma cases that could benefit from surgery, according to a presentation given October 4, 2004, at the 129th annual meeting of the American Neurological Association in Toronto.

    "The extent of spinal cord compression on MRI at the initial time of injury was strongly associated with the initial degree of neurological impairment and was highly predictive of neurological outcome in long term followup," said study author Julio C. Furlan, MD, of the Krembil Neuroscience Program at Toronto Western Hospital.

    By contrast, the results of computed tomography (CT) scans were not useful for long-term prognosis.

    Spinal cord injury (SCI) affects about 13,000 individuals every year in the United States and Canada with devastating effects on the individual and their families. There are about 300,000 people with spinal cord injuries in the United States and Canada.

    A major research focus in spinal trauma is to identify treatments that can improve recovery, as well as to identify which patients are most likely to benefit from those techniques. Because the risk of complications is so great, physicians are reluctant to perform surgery on the spinal cord unless there is a strong chance the procedure will benefit the patient.

    In this study, Furlan and senior author Michael G. Fehlings, MD, PhD, medical director of the Krembil Neuroscience Program at Toronto Western Hospital, examined whether there is an association between the degree of spinal cord compression in the period just after the traumatic injury and clinical neurological outcome. Compression of the spinal cord is one consequence of trauma that can generally be relieved with surgery.

    The researchers also wanted to compare the ability of MRI and CT to identify the degree of compression of the spinal cord.

    The researchers evaluated the records of 22 patients who were admitted to the hospital with spinal cord injuries, an
    http://www.newswise.com/articles/view/507297/

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    Senior Member Max's Avatar
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    Better Recovery for Spinal Cord Injuries

    Better Recovery for Spinal Cord Injuries
    (Ivanhoe Newswire) -- Patients with spinal cord injuries could benefit from early magnetic resonance imaging, according to the findings of a new study.

    Canadian neuroscientists discovered that MRI technology could determine if performing surgery would benefit patients. They found trauma-induced spinal cord compression on MRIs predict a poorer neurological recovery.

    Surgery can relieve spinal cord compression. However, unless surgeons are fairly certain the procedure will benefit the patient, they are generally reluctant to operate because of the risks. Researchers say this study should remove that uncertainty.

    http://www.ivanhoe.com/channels/p_ch...m?storyid=9659

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