Incidence of discoligamentous injuries in patients with acute central cord syndrome and underlying degenerative cervical spinal stenosis

Melanie Barz; Insa K Janssen; Kaywan Aftahy; Sandro M Krieg; Jens Gempt; Chiara Negwer; Bernhard Meyer

doi:10.1016/j.bas.2022.100882

Incidence of discoligamentous injuries in patients with acute central cord syndrome and underlying degenerative cervical spinal stenosis

Standard

Incidence of discoligamentous injuries in patients with acute central cord syndrome and underlying degenerative cervical spinal stenosis. / Barz, Melanie; Janssen, Insa K; Aftahy, Kaywan; Krieg, Sandro M; Gempt, Jens; Negwer, Chiara; Meyer, Bernhard.

in: Brain & spine, Jahrgang 2, 2022, S. 100882.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Barz, M, Janssen, IK, Aftahy, K, Krieg, SM, Gempt, J, Negwer, C & Meyer, B 2022, 'Incidence of discoligamentous injuries in patients with acute central cord syndrome and underlying degenerative cervical spinal stenosis', Brain & spine, Jg. 2, S. 100882. https://doi.org/10.1016/j.bas.2022.100882

APA

Barz, M., Janssen, I. K., Aftahy, K., Krieg, S. M., Gempt, J., Negwer, C., & Meyer, B. (2022). Incidence of discoligamentous injuries in patients with acute central cord syndrome and underlying degenerative cervical spinal stenosis. Brain & spine, 2, 100882. https://doi.org/10.1016/j.bas.2022.100882

Vancouver

Barz M, Janssen IK, Aftahy K, Krieg SM, Gempt J, Negwer C et al. Incidence of discoligamentous injuries in patients with acute central cord syndrome and underlying degenerative cervical spinal stenosis. Brain & spine. 2022;2:100882. https://doi.org/10.1016/j.bas.2022.100882

Bibtex

@article{6a8a9747b9794a23bed0e977f8ad2836,

title = "Incidence of discoligamentous injuries in patients with acute central cord syndrome and underlying degenerative cervical spinal stenosis",

abstract = "INTRODUCTION: Surgical treatment for CCS in patients with an underlying cervical stenosis without instability remains controversial.RESEARCH QUESTION: The aim was to assess the incidence of concomitant discoligamentous injury (DLI) in patients with CCS and underlying degenerative cervical spinal stenosis and to determine the sensitivity of MRI by comparing intraoperative site inspection to preoperative imaging findings.MATERIAL AND METHODS: We performed a retrospective analysis of our clinical prospective database. Fifty-one patients (39 male, 12 female) between January 2010 and June 2019 were included. Age, sex, neurological deficits, preoperative MRI, and surgical treatment were recorded. Sensitivity was determined by the quotient of patients in whom all levels of DLI were correctly identified on MRI and the total number of patients with intraoperatively confirmed DLI.RESULTS: Mean age at surgery was 64.1 ± 11.3 (range 41-86). DLI was suspected in 33 (62.1%) patients based on MRI findings, which could be confirmed intraoperatively in 29 patients (56.9%). In 2 patients, DLI was detected intraoperatively that was not suspected in preoperative MRI; in 5 patients, another level was affected intraoperatively than was indicated by MRI. The overall specificity and sensitivity of preoperative MRI imaging to identify discoligamentous lesions of the cervical spine was 73% and 79%, respectively.DISCUSSION AND CONCLUSION: The incidence of DLI in patients with traumatic CCS based on preexisting spinal stenosis was 60.78%, which is higher than previously reported. The sensitivity of MRI imaging to detect DLI of 79% suggests that these patients are at risk of missing traumatic DLI on imaging.",

author = "Melanie Barz and Janssen, {Insa K} and Kaywan Aftahy and Krieg, {Sandro M} and Jens Gempt and Chiara Negwer and Bernhard Meyer",

note = "{\textcopyright} 2022 Published by Elsevier B.V. on behalf of EUROSPINE, the Spine Society of Europe, EANS, the European Association of Neurosurgical Societies.",

year = "2022",

doi = "10.1016/j.bas.2022.100882",

language = "English",

volume = "2",

pages = "100882",

journal = "Brain & spine",

issn = "2772-5294",

}

RIS

TY - JOUR

T1 - Incidence of discoligamentous injuries in patients with acute central cord syndrome and underlying degenerative cervical spinal stenosis

AU - Barz, Melanie

AU - Janssen, Insa K

AU - Aftahy, Kaywan

AU - Krieg, Sandro M

AU - Gempt, Jens

AU - Negwer, Chiara

AU - Meyer, Bernhard

PY - 2022

Y1 - 2022

N2 - INTRODUCTION: Surgical treatment for CCS in patients with an underlying cervical stenosis without instability remains controversial.RESEARCH QUESTION: The aim was to assess the incidence of concomitant discoligamentous injury (DLI) in patients with CCS and underlying degenerative cervical spinal stenosis and to determine the sensitivity of MRI by comparing intraoperative site inspection to preoperative imaging findings.MATERIAL AND METHODS: We performed a retrospective analysis of our clinical prospective database. Fifty-one patients (39 male, 12 female) between January 2010 and June 2019 were included. Age, sex, neurological deficits, preoperative MRI, and surgical treatment were recorded. Sensitivity was determined by the quotient of patients in whom all levels of DLI were correctly identified on MRI and the total number of patients with intraoperatively confirmed DLI.RESULTS: Mean age at surgery was 64.1 ± 11.3 (range 41-86). DLI was suspected in 33 (62.1%) patients based on MRI findings, which could be confirmed intraoperatively in 29 patients (56.9%). In 2 patients, DLI was detected intraoperatively that was not suspected in preoperative MRI; in 5 patients, another level was affected intraoperatively than was indicated by MRI. The overall specificity and sensitivity of preoperative MRI imaging to identify discoligamentous lesions of the cervical spine was 73% and 79%, respectively.DISCUSSION AND CONCLUSION: The incidence of DLI in patients with traumatic CCS based on preexisting spinal stenosis was 60.78%, which is higher than previously reported. The sensitivity of MRI imaging to detect DLI of 79% suggests that these patients are at risk of missing traumatic DLI on imaging.

AB - INTRODUCTION: Surgical treatment for CCS in patients with an underlying cervical stenosis without instability remains controversial.RESEARCH QUESTION: The aim was to assess the incidence of concomitant discoligamentous injury (DLI) in patients with CCS and underlying degenerative cervical spinal stenosis and to determine the sensitivity of MRI by comparing intraoperative site inspection to preoperative imaging findings.MATERIAL AND METHODS: We performed a retrospective analysis of our clinical prospective database. Fifty-one patients (39 male, 12 female) between January 2010 and June 2019 were included. Age, sex, neurological deficits, preoperative MRI, and surgical treatment were recorded. Sensitivity was determined by the quotient of patients in whom all levels of DLI were correctly identified on MRI and the total number of patients with intraoperatively confirmed DLI.RESULTS: Mean age at surgery was 64.1 ± 11.3 (range 41-86). DLI was suspected in 33 (62.1%) patients based on MRI findings, which could be confirmed intraoperatively in 29 patients (56.9%). In 2 patients, DLI was detected intraoperatively that was not suspected in preoperative MRI; in 5 patients, another level was affected intraoperatively than was indicated by MRI. The overall specificity and sensitivity of preoperative MRI imaging to identify discoligamentous lesions of the cervical spine was 73% and 79%, respectively.DISCUSSION AND CONCLUSION: The incidence of DLI in patients with traumatic CCS based on preexisting spinal stenosis was 60.78%, which is higher than previously reported. The sensitivity of MRI imaging to detect DLI of 79% suggests that these patients are at risk of missing traumatic DLI on imaging.

U2 - 10.1016/j.bas.2022.100882

DO - 10.1016/j.bas.2022.100882

M3 - SCORING: Journal article

C2 - 36248153

VL - 2

SP - 100882

JO - Brain & spine

JF - Brain & spine

SN - 2772-5294

ER -