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999			_c16612 _d16612
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005			20211021113723.0
008			211020b xxu||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_91759 _aMartinez Perez, Rafael _eNeurocirugía
100			_9311 _aParedes Sansinenea, Ígor _eNeurocirugía
100			_92944 _aCepeda Chafla, Santiago _eNeurocirugía
100			_92069 _aCastaño León, Ana María _eNeurocirugía
100			_91296 _aGarcía Fuentes, Carlos _eMedicina Intensiva
100			_9731 _aDíez Lobato, Ramiro _eNeurocirugía
100			_91018 _aGómez López, Pedro Antonio _eNeurocirugía
100			_91756 _aLagares Gómez-Abascal, Alfonso _eNeurocirugía _b
100			_91503 _aRamos González, Ana _eRadiodiagnóstico
245	0	0	_aSpinal cord injury after blunt cervical spine trauma: correlation of soft-tissue damage and extension of lesion. _h[artículo]
260			_bAJNR. American journal of neuroradiology, _c2014
300			_a35(5):1029-34.
500			_aFormato Vancouver: Martínez Pérez R, Paredes I, Cepeda S, Ramos A, Castaño León AM, García Fuentes C et al. Spinal cord injury after blunt cervical spine trauma: correlation of soft-tissue damage and extension of lesion. AJNR Am J Neuroradiol. 2014 May;35(5):1029-34.
501			_aPMID: 24335539 PMC7964523
504			_aContiene 40 referencias
520			_aBackground and purpose: In patients with spinal cord injury after blunt trauma, several studies have observed a correlation between neurologic impairment and radiologic findings. Few studies have been performed to correlate spinal cord injury with ligamentous injury. The purpose of this study was to retrospectively evaluate whether ligamentous injury or disk disruption after spinal cord injury correlates with lesion length. Materials and methods: We retrospectively reviewed 108 patients diagnosed with traumatic spinal cord injury after cervical trauma between 1990-2011. Plain films, CT, and MR imaging were performed on patients and then reviewed for this study. MR imaging was performed within 96 hours after cervical trauma for all patients. Data regarding ligamentous injury, disk injury, and the extent of the spinal cord injury were collected from an adequate number of MR images. We evaluated anterior longitudinal ligaments, posterior longitudinal ligaments, and the ligamentum flavum. Length of lesion, disk disruption, and ligamentous injury association, as well as the extent of the spinal cord injury were statistically assessed by means of univariate analysis, with the use of nonparametric tests and multivariate analysis along with linear regression. Results: There were significant differences in lesion length on T2-weighted images for anterior longitudinal ligaments, posterior longitudinal ligaments, and ligamentum flavum in the univariate analysis; however, when this was adjusted by age, level of injury, sex, and disruption of the soft tissue evaluated (disk, anterior longitudinal ligaments, posterior longitudinal ligaments, and ligamentum flavum) in a multivariable analysis, only ligamentum flavum showed a statistically significant association with lesion length. Furthermore, the number of ligaments affected had a positive correlation with the extension of the lesion. Conclusions: In cervical spine trauma, a specific pattern of ligamentous injury correlates with the length of the spinal cord lesion in MR imaging studies. Ligamentous injury detected by MR imaging is not a dynamic finding; thus it proved to be useful in predicting neurologic outcome in patients for whom the MR imaging examination was delayed.
710			_9312 _aServicio de Neurocirugía
710			_967 _aServicio de Medicina Intensiva
710			_9462 _aServicio de Radiodiagnóstico
856			_uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7964523/ _yAcceso libre
942			_2ddc _cART _n0