ArticleNeurospine2019
Dynamic Cord Compression Causing Cervical Myelopathy.
Article in Neurospine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 33 citations in OpenAlex.
- Vertebral Body-Level Increased Signal Intensity in Cervical Ossification of the Posterior Longitudinal Ligament: Association with Segmental Hypermobility and Surgical Outcomes.Spine surgery and related research · 2026Article
- Intramedullary Strain During Neck Extension is Associated with Microstructural Spinal Cord Injury in Degenerative Cervical Myelopathy.Annals of biomedical engineering · 2026Article
- Preoperative Disc Height as a Prognostic Factor in Laminoplasty for Cervical Spondylotic Myelopathy with Degenerative Spondylolisthesis.Spine surgery and related research · 2026Article
- Beyond Cord Compression: Instability as a Major Driver for Neurological Deficit in Active Thoracic Spinal Tuberculosis.Global spine journal · 2026Article
- Early Diagnosis of Degenerative Cervical Myelopathy: A Systematic Review of Current Evidence.Global spine journal · 2026Review
- Finite element analysis of the effects of different ossification types and spinal canal occupancy rates on dynamic spinal cord stress in cervical ossification of the posterior longitudinal ligament.Frontiers in bioengineering and biotechnology · 2026Article
- Weight-bearing MRI of the cervical spine: A scoping review of clinical utility and emerging applications.European journal of radiology open · 2025Review
- Quantitative assessment of asymptomatic spinal cord compression using MRI: a multi-center study.GeroScience · 2025Article
- Article
- Evaluating the pivotal role of MRI in craniocervical junction injury diagnosis: A case report.Medicine · 2025Article
- T2-weighted MRI high signal in cervical spondylotic myelopathy is associated with dynamic change.Journal of orthopaedic surgery and research · 2025Article
- Radiological and Clinical Significance of Cervical Dynamic Magnetic Resonance Imaging for Cervical Spondylotic Myelopathy.Neurospine · 2024Article
- Degenerative Cervical Myelopathy: An Overview.Cureus · 2023Review
- Utility of Flexion and Extension MRI for Evaluating Isolated Cervical Spinal Cord Lesions: A Case Series.Cureus · 2023Article
- Correlation and reliability of cervical sagittal alignment parameters between plain radiographs and multipositional MRI images.Spinal cord · 2023Article
- Magnetic Resonance Imaging Grading Systems for Central Canal and Neural Foraminal Stenoses of the Lumbar and Cervical Spines With a Focus on the Lee Grading System.Korean journal of radiology · 2023Review
- Surgical Strategies and Perioperative Considerations for Cervical Deformity With Cerebral Palsy: A Comprehensive Review of the Literature.Neurospine · 2022Article
- Sensitization of Hoffmann's sign in response to a reverse Lhermitte's sign: a case report.The Journal of manual & manipulative therapy · 2022Article
- Are clinical outcomes affected by laminoplasty method and K-line in patients with cervical ossification of posterior longitudinal ligament? A multicenter study.Journal of orthopaedic surgery and research · 2022Article
- Commentary on "Surgical and Functional Outcomes of Expansive Open-Door Laminoplasty for Patients With Mild Kyphotic Cervical Alignment".Neurospine · 2021Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Due to the highly mobile nature of the cervical spine, and the fact that most magnetic resonance imagings (MRIs) and computed tomography scans are obtained only in one single position, dynamic cord compression can be an elusive diagnosis that is often missed and not well-understood. In this context, dynamic MRI (dMRI) has been utilized to improve the diagnostic accuracy of cervical stenosis. We performed a literature review on dynamic cord compression in the context of cervical spondylotic myelopathy (CSM), with particular emphasis on the role of dMRI. Cadaveric studies report that the spinal cord lengthens in flexion and the spinal canal dimension increases, whereas the spinal cord relaxes and shortens in extension and the spinal canal decreases. These changes may lead to biomechanical stress in the spinal cord with movement, especially in patients with critical cervical stenosis. The majority of the studies using dMRI in CSM reported that this imaging modality is more sensitive at detecting cervical cord compression compared to routine MRIs done in a neutral position, especially with the neck in extension. Dynamic MRI was also useful to diagnose dynamic cervical cord compression after laminectomies in patients with clinical deterioration without evident cord compression on neutral static MRI. Finally, dMRI is more sensitive in detecting stenosis in patients with CSM than in those with ossification of the posterior longitudinal ligament (OPLL), likely because OPLL patients often have a more limited range of motion than CSM patients. Thus, dMRI is a promising new tool that can help spine surgeons in diagnosing and treating CSM.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.