Document Detail


Computed tomographic angiography of anterior spinal artery in acute cervical spinal cord injury.
MedLine Citation:
PMID:  23338658     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background:In addition to spinal fracture and/or dislocation, acute traumatic spinal cord injury (SCI) includes neural tissue and vascular damage at the site of contusion. Vascular damage results in spinal cord ischemia, which is a key factor that contributes to secondary pathogenesis. There is a need to identify spinal cord ischemia secondary to anterior spinal artery (ASA) rupture in acute cervical SCI.Methods:After admission, 20 patients with cervical SCI, including 10 cases of central cord syndrome (CCS), four cases of brown-sequard syndrome (BSS) and six cases of tetraplegia (ASIA A), had computed tomographic angiography (CTA) of ASA performed on them. ASA rupture or occlusion was observed.Results:The ASA was visualized in all 20 patients. No ASA rupture was found in CCS and BSS patients, even for sever blunt cervical fracture and dislocation tetraplegia patients, except one stab-wound patient.Conclusion:CTA provides the most detailed, highest resolution imaging of ASA in acute cervical SCI. ASA rupture is not commonly seen in acute blunt cervical SCI.Spinal Cord advance online publication, 22 January 2013; doi:10.1038/sc.2012.179.
Authors:
Z Zhang; H Wang; Y Zhou; J Wang
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-22
Journal Detail:
Title:  Spinal cord     Volume:  -     ISSN:  1476-5624     ISO Abbreviation:  Spinal Cord     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9609749     Medline TA:  Spinal Cord     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Orthopedics, Xinqiao Hospital, Third Military Medical University, Chongqing, China.
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