The value of preoperative magnetic resonance imaging in predicting postoperative recovery in patients with cervical spondylosis myelopathy: a meta-analysis

Authors

  • Hui Chen Department of Orthopaedic Surgery; Second Affiliated Hospital of Wenzhou Medical University
  • Jun Pan Department of Orthopaedic Surgery; Second Affiliated Hospital of Wenzhou Medical University
  • Majid Nisar Department of Orthopaedic Surgery; Second Affiliated Hospital of Wenzhou Medical University
  • Huan Bei Zeng Department of Orthopaedic Surgery; Second Affiliated Hospital of Wenzhou Medical University
  • Li Fang Dai Department of Orthopaedic Surgery; Second Affiliated Hospital of Wenzhou Medical University
  • Chao Lou Department of Orthopaedic Surgery; Second Affiliated Hospital of Wenzhou Medical University
  • Si Pin Zhu Department of Orthopaedic Surgery; Second Affiliated Hospital of Wenzhou Medical University
  • Bing Dai Department of Orthopaedic Surgery; Second Affiliated Hospital of Wenzhou Medical University
  • Guang Heng Xiang Department of Orthopaedic Surgery; Second Affiliated Hospital of Wenzhou Medical University

DOI:

https://doi.org/10.6061/clinics/2016(03)10

Abstract

This meta-analysis was designed to elucidate whether preoperative signal intensity changes could predict the surgical outcomes of patients with cervical spondylosis myelopathy on the basis of T1-weighted and T2-weighted magnetic resonance imaging images. We searched the Medline database and the Cochrane Central Register of Controlled Trials for this purpose and 10 studies meeting our inclusion criteria were identified. In total, 650 cervical spondylosis myelopathy patients with (+) or without (-) intramedullary signal changes on their T2-weighted images were examined. Weighted mean differences and 95g% confidence intervals were used to summarize the data. Patients with focal and faint border changes in the intramedullary signal on T2 magnetic resonance imaging had similar Japanese Orthopaedic Association recovery ratios as those with no signal changes on the magnetic resonance imaging images of the spinal cord did. The surgical outcomes were poorer in the patients with both T2 intramedullary signal changes, especially when the signal changes were multisegmental and had a well-defined border and T1 intramedullary signal changes compared with those without intramedullary signal changes. Preoperative magnetic resonance imaging including T1 and T2 imaging can thus be used to predict postoperative recovery in cervical spondylosis myelopathy patients.

Downloads

Download data is not yet available.

Downloads

Published

2016-03-01

Issue

Section

Reviews

How to Cite

Chen, H., Pan, J., Nisar, M., Zeng, H. B., Dai, L. F., Lou, C., Zhu, S. P., Dai, B., & Xiang, G. H. (2016). The value of preoperative magnetic resonance imaging in predicting postoperative recovery in patients with cervical spondylosis myelopathy: a meta-analysis . Clinics, 71(3), 179-184. https://doi.org/10.6061/clinics/2016(03)10