PMID- 9495005
OWN - NLM
STAT- MEDLINE
DCOM- 19980423
LR  - 20191102
IS  - 1362-4393 (Print)
IS  - 1362-4393 (Linking)
VI  - 36
IP  - 2
DP  - 1998 Feb
TI  - Post-traumatic syringomyelia and post-traumatic spinal canal stenosis: a direct 
      relationship: review of 75 patients with a spinal cord injury.
PG  - 137-43
AB  - This study aims to demonstrate predictive factors for post traumatic 
      syringomyelia (PTS), and in particular to correlate the role of insufficiency of 
      reduction of a spinal fracture with the occurrence of syringomyelia. One hundred 
      and twenty-eight spinal cord injured patients (SCI) were studied during the years 
      1992 and 1993. Among them, 75 underwent a complete and reliable evaluation 
      including: review of the initial vertebral lesion, and of the surgery report, and 
      a radiological study of the lesion site with standard X-rays, a CT scan, and an 
      MRI. The CT Scan included slices in sagittal reconstructions and in the axial 
      plane at the site of injury with the calculation of a percentage of canal 
      stenosis in the two planes of the space. An MRI was carried out with T1 and T2 
      weighted images, including sagittal entire cord images in addition to sagittal 
      and axial slices centred on the site of injury. A syrinx was diagnosed in 28% of 
      the patients. The occurrence of a syrinx is significantly correlated with spinal 
      canal stenosis in the sagittal plane (delta D) with a P < 0.001 and in the axial 
      plane (delta S) (P < 0.05). This present study demonstrates the major role of the 
      insufficiency of reduction of the vertebral lesion in the genesis of a syrinx. 
      The quality of the initial treatment of the vertebral injury is the first step in 
      the prevention of a syrinx. The treatment of a syrinx, besides techniques of 
      drainage, must also take into account the spinal realignment.
FAU - Perrouin-Verbe, B
AU  - Perrouin-Verbe B
AD  - Department of Physical Medicine and Rehabilitation, Nantes, France.
FAU - Lenne-Aurier, K
AU  - Lenne-Aurier K
FAU - Robert, R
AU  - Robert R
FAU - Auffray-Calvier, E
AU  - Auffray-Calvier E
FAU - Richard, I
AU  - Richard I
FAU - Mauduyt de la Greve, I
AU  - Mauduyt de la Greve I
FAU - Mathe, J F
AU  - Mathe JF
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
PL  - England
TA  - Spinal Cord
JT  - Spinal cord
JID - 9609749
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Female
MH  - Humans
MH  - Magnetic Resonance Imaging
MH  - Male
MH  - Middle Aged
MH  - Spinal Cord Injuries/*complications/diagnostic imaging/pathology
MH  - Spinal Stenosis/diagnostic imaging/*etiology/pathology
MH  - Syringomyelia/diagnostic imaging/*etiology/pathology
MH  - Tomography, X-Ray Computed
EDAT- 1998/03/12 00:00
MHDA- 1998/03/12 00:01
CRDT- 1998/03/12 00:00
PHST- 1998/03/12 00:00 [pubmed]
PHST- 1998/03/12 00:01 [medline]
PHST- 1998/03/12 00:00 [entrez]
AID - 10.1038/sj.sc.3100625 [doi]
PST - ppublish
SO  - Spinal Cord. 1998 Feb;36(2):137-43. doi: 10.1038/sj.sc.3100625.