Predictive Values of Magnetic Resonance Imaging Options for Tracheostomy in Traumatic Cervical Spinal Wire Harm.
J Korean Neurosurg Soc. 2018 Sep;61(5):582-591
Authors: Jeong TS, Lee SG, Kim WK, Ahn Y, Son S
OBJECTIVE: To judge the magnetic resonance (MR) imaging options which have a statistically important affiliation with the necessity for a tracheostomy in sufferers with cervical spinal twine damage (SCI) throughout the acute stage of damage.
METHODS: This examine retrospectively reviewed the medical knowledge of 130 sufferers with cervical SCI. We analyzed the components believed to extend the danger of requiring a tracheostomy, together with the severity of SCI, the extent of damage as decided by radiological evaluation, three quantitative MR imaging parameters, and eleven qualitative MR imaging parameters.
RESULTS: Vital variations between the non-tracheostomy and tracheostomy teams have been decided by the next 5 components on multivariate evaluation : full SCI (p=zero.007), the radiological degree of C5 and above (p=zero.038), most canal compromise (MCC) (p=zero.010), lesion size (p=zero.022), and osteophyte formation (p=zero.015). For the MCC, the cut-off worth was 46%, and the danger of requiring a tracheostomy was 3 times larger at an interval between 50-60% and ten instances larger between 60-70%. For lesion size, the cut-off worth was 20 mm, and the danger of requiring a tracheostomy was two instances larger at an interval between 20-30 mm and fourteen instances larger between 40-50 mm.
CONCLUSION: The American Spinal Harm Affiliation grade A, a radiological damage degree of C5 and above, an MCC ?50%, a lesion size ?20 mm, and osteophyte formation on the degree of damage have been thought of to be predictive values for requiring tracheostomy intervention in sufferers with cervical SCI.
PMID: 30196655 [PubMed]