Detection of cerebral reorganization associated with degenerative cervical myelopathy using diffusion spectral imaging (DSI).

作者: Benjamin M. Ellingson , Langston T. Holly , Catalina Raymond , Jingwen Yao , Chencai Wang

DOI: 10.1016/J.JOCN.2021.01.011

关键词: AsymptomaticCardiologyOrthopedic surgeryFractional anisotropyMyelopathySpinal cordMedicineInternal medicineCervical spondylosisSpinal cord compressionSpinal Cord Disorder

摘要: Abstract Degenerative Cervical Myelopathy (DCM) is a spinal cord disorder that causes significant physical disabilities in older patients. While most DCM research focuses on the cord, widespread reorganization of brain may occur to compensate for functional impairment. This observational study used diffusion spectrum imaging (DSI) examine cerebral white matter associated with neurological impairment as measured by modified Japanese Orthopedic Association (mJOA), and severity neck disability Neck Disability Index (NDI) score. A total 47 patients were included cervical spondylosis (CS) cohort: 38 (mean mJOA = 14.6, mean NDI = 12.0), 9 neurologically asymptomatic compression (mJOA = 18, NDI = 7.0). 28 healthy volunteers (HCs) served control group. Lower generalized fractional anisotropy (GFA) was observed throughout much compared HCs (p

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