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European Spine Journal

Erschienen in:

01.07.2014 | Original Article

Dynamic cervical myelopathy in young adults

verfasst von: Lotfi Hattou, Xavier Morandi, Pierre-Jean Le Reste, Raphaël Guillin, Laurent Riffaud, Pierre-Louis Hénaux

Erschienen in: European Spine Journal | Ausgabe 7/2014

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Abstract

Purpose

Non-traumatic cervical chronic joint instability in young adults is a rare and underexplored entity. We assessed the diagnostic relevance of dynamic MRI, and the clinical and radiological outcome after anterior cervical interbody fusion (ACIF) in these cases.

Methods

Six young patients (mean age 34 years) with cervical myelopathy without compression on static imaging had a dynamic MRI. Joint instability was defined by a reduction of the canal diameter on dynamic sequences. Clinical and radiological outcomes were assessed after surgery by examination, cervical X-rays, static and dynamic MRI.

Results

All the patients had joint instability. Four patients underwent surgery. Clinical status improved 1 year after surgery. All patients had a satisfactory fusion at 6-month follow-up and no residual compression at 1 year.

Conclusion

Dynamic MRI can help detect a joint instability in young patients with cervical myelopathy without compression. ACIF seems to be efficient in these cases.

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Titel: Dynamic cervical myelopathy in young adults
verfasst von: Lotfi Hattou
Xavier Morandi
Pierre-Jean Le Reste
Raphaël Guillin
Laurent Riffaud
Pierre-Louis Hénaux
Publikationsdatum: 01.07.2014
Verlag: Springer Berlin Heidelberg
Erschienen in: European Spine Journal / Ausgabe 7/2014
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-014-3321-z

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Springer Medizin

Dynamic cervical myelopathy in young adults

Abstract

Purpose

Methods

Results

Conclusion

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Springer Medizin

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