Role of MRI in the Evaluation of Spina Trauma.
Material and methods: The present prospective observational study was on 50 patients with clinical suspicion of spinal trauma referred to Department of Radio diagnosis, from OPD/IPD of C.S.S.Hospital, Subharti Medical College, Meerut. After obtaining clinical history relevant clinical examination was done. MRI examinations were done on GE – Signa HDe contour GE 1.5 Tesla Feiloversikt, whole body MR scanner with sense surface coil and then evaluation of M R Imaging was done by using different pulse sequences. The findings were viewed in the light of complete clinical and radiographic data.
Results: 78%, subjects were male, hence there was male preponderance with age group of 31-40 years with compression fracture in 72% & retropulsion of vertebral body. Spinal cord oedema was found among78% with maximum no of cases, having cord oedema >3 cm. AIS grade A, B, C, D and E was found among 20%, 20%,16%, 22% and 22% of cases respectively. Sensory & Motor loss in 24% & 74% of cases. Sensory loss was corresponded with level of spinal cord oedema & level of vertebrae fracture.
Discussion: MRI plays a crucial role in evaluating and detecting spinal trauma. Subtle bone marrow, soft-tissue, and spinal cord abnormalities, which may not be apparent on other imaging modalities, can be readily detected on MRI. Early detection often leads to prompt and accurate diagnosis, expeditious management, and avoidance of unnecessary procedures. The depiction of parenchymal SCI on MRI not only correlates well with the degree of neurologic deficit, but it also bears significant implications in regard to prognosis and potential for neurologic recovery.
Conclusion: With this study we concluded that MRI findings in spinal trauma correlate with the clinical findings according to ASIA impairment scale and can be helpful to clinician in predicting the outcome.