ArticleSpinal cord2019
The relevance of MRI for predicting neurological recovery following cervical traumatic spinal cord injury.
Article in Spinal cord, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 34 citations in OpenAlex.
- Development of a predictive model for postoperative erectile function recovery in male patients with incomplete traumatic cervical spinal cord injury.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Intramedullary hemorrhage and early motor recovery as predictors of neurological recovery after acute cervical spinal cord injury.Acta neurologica Belgica · 2026Article
- Brain Morphology in Subacute Spinal Cord Injury: Insights Into Functional Recovery Across Brain Networks.Brain and behavior · 2026Article
- Development and validation of an MRI-Based nomogram for predicting neurological recovery after acute cervical spinal cord injury.Spinal cord · 2026Article
- Combined plasma and imaging biomarkers as predictors of neurological outcome in cervical traumatic spinal cord injury.BMC neurology · 2026Article
- The Soleus H-Reflex as a Biomarker of Post-Injury Spasticity in Spinal Cord Injury: A Conceptual Pilot Study.NeuroRehabilitation · 2025Article
- MRI variables and peripheral inflammatory response biomarkers predict severity and prognosis in patients with acute cervical traumatic spinal cord injury.BMC musculoskeletal disorders · 2024Article
- Evaluation of the prognostic value of extra-parenchymal changes in traumatic spinal cord injury, assessed by magnetic resonance imaging.The journal of spinal cord medicine · 2024Observational
- Acute penetrating injury of the spinal cord by a wooden spike with delayed surgery: a case report.Neural regeneration research · 2023Article
- Attention-gated U-Net networks for simultaneous axial/sagittal planes segmentation of injured spinal cords.Journal of applied clinical medical physics · 2023Article
- Predictive values of spinal cord diffusion magnetic resonance imaging to characterize outcomes after contusion injury.Annals of clinical and translational neurology · 2023Article
- Spasticity Predicts Motor Recovery for Patients with Subacute Motor Complete Spinal Cord Injury.Annals of neurology · 2023Article
- The influence of conventional TThe journal of spinal cord medicine · 2023Article
- A Systematic Review of Scoring System Based on Magnetic Resonance Imaging Parameters to Predict Outcome in Cervical Spinal Cord Injury.Spine surgery and related research · 2023Review
- Quantitative electrophysiological assessments as predictive markers of lower limb motor recovery after spinal cord injury: a pilot study with an adaptive trial design.Spinal cord series and cases · 2022Article
- Traumatic cervical spinal cord injury: relationship of MRI findings to initial neurological impairment.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2021Article
- Improving Diagnostic Workup Following Traumatic Spinal Cord Injury: Advances in Biomarkers.Current neurology and neuroscience reports · 2021Review
- Predictive Value of Midsagittal Tissue Bridges on Functional Recovery After Spinal Cord Injury.Neurorehabilitation and neural repair · 2021Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designRetrospective cohort study of 82 patients with cervical traumatic spinal cord injury (TSCI).
objectivesDetermine the relevance of preoperative MRI to predict neurological recovery following cervical TSCI.
settingLevel I trauma center specialized in TSCI.
methodsThe following three MRI parameters were assessed: presence of an intramedullary hemorrhage, intramedullary lesion length and maximal compression of the spinal cord compression (MSCC). Analyses were performed to assess the relationship between MRI parameters and three neurological outcomes: ASIA motor score (AMS), improvement by at least one ASIA impairment scale (AIS) grade (conversion of AIS grade), and reaching AIS grade D or E.
resultsPredicting AMS based on initial AIS grade and intramedullary hemorrhage resulted in a validation R-squared of 0.662, and of 0.636 when using only the initial AIS grade. Predicting conversion of AIS grade based on initial AIS grade, intramedullary hemorrhage and lesion length resulted in a validation c-index of 0.704, and of 0.727 when using only the initial AIS grade. Predicting the likelihood of a follow-up AIS grade D or E based on initial AIS grade and intramedullary hemorrhage in a validation c-index of 0.903, and of 0.873 when using only the initial AIS grade.
conclusionsIntramedullary hemorrhage and lesion length assessed from preoperative MRI were predictors of the neurological recovery following cervical TSCI. However, the clinical benefit of these MRI parameters to predict the neurological recovery remains limited when the initial AIS grade is available, confirming that the initial neurological status remains the most important predictor of the neurological outcome.
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