Accuracy of Coronal Magnetic Resonance Imaging Diagnosis of Multi-Segmental Lumbar Disc Herniation: A Single-Center Retrospective Analysis

Li, Jiantian; Jia, Jingyu; Wu, Tianlong; Yuan, Jinghong; Tang, Tao; Jiang, Zhangyuan; He, Dingwen; Cheng, Xigao

doi:10.12659/msm.938577

Cited by 1 publication

(1 citation statement)

References 26 publications

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“…Because of its noninvasive nature and reliable characteristics, CMRI is actually superior to CT myelography and MRI in terms of diagnostic efficacy [ 18 ]. In our previous research, CMRI was used for the diagnosis of extraforaminal disc herniation and multi-segmental lumbar disc herniation, as well as for differentiating between mimicking tumor discs and nerve sheath tumors [ 18 – 20 ]. To the best of our knowledge, there have been no reports on the use of CMRI for localizing compressed nerve roots in CSR.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Safety and Efficacy of Preoperative Coronal MRI-Guided Minimally Invasive Surgery for Cervical Spondylotic Radiculopathy

Liu,

Wu,

Yuan

et al. 2023

Med Sci Monit

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Background Key-hole surgery is a minimally invasive technique that has shown promise in various surgical procedures. This study aimed to assess the clinical effectiveness of preoperative coronal MRI-assisted key-hole surgery for the treatment of patients with cervical spondylotic radiculopathy (CSR). Material/Methods A total of 30 patients diagnosed with CSR and undergoing key-hole surgery with CMRI assistance were included in the study. Various parameters, including surgical segments, incision length, disease duration, operative time, intraoperative fluoroscopy times, intraoperative blood loss, complications, and length of hospitalization, were recorded. Precise measurements of Cobb angles and intervertebral space height were taken before and after the surgical procedure. Surgical outcomes were evaluated using modified Macnab criteria, visual analogue scale (VAS), Japanese Orthopaedic Association Scores (JOA), and neck disability index (NDI). Results The average duration of disease was 6.47±3.29 months, with an average incision length of 1.94±0.15 cm and operative time of 57.83±4.34 minutes. The average intraoperative blood loss was 33.70±9.28 ml, with an average of 3.50±0.73 intraoperative fluoroscopies. The average duration of hospitalization was 4.10±1.27 days. Preoperative and postoperative measurements showed no statistically significant difference in C2–C7 Cobb angles and intervertebral space height. However, there were significant improvements in postoperative VAS, NDI, and JOA scores compared to preoperative scores. The surgical effectiveness rate was 100%, with a high rate of good and excellent outcomes. Conclusions The findings of this study suggest that preoperative CMRI-assisted key-hole surgery for single-segment CSR is a safe and effective treatment option with low complication rates. The clinical benefits include high security and good outcomes. Further research and larger studies are warranted to validate these findings.

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Section: Introductionmentioning

confidence: 99%