33.8% of adult spinal deformity patients have cervical spinal cord compression — 4 things to know

Written by Shayna Korol | March 22, 2019 | Print  | Email

At 33.8 percent, the prevalence of concurrent cervical spinal cord compression in adult spinal deformity patients is relatively high, and there are several predictive factors, according to a study in Spine.

Four things to know:

1. Of 121 patients with ASD, 41 patients demonstrated significant CSCC on MRI. Intramedullary T2 hyper-intensity, or myelomalacia, was present in 6.6 percent of patients.

2. Of the 41 CSCC patients, 35 were asymptomatic or had difficult-to-detect myelopathy. Significant CSCC was most commonly observed at the C4/5 level.

3. Four patients underwent cervical decompression and fusion prior to thoracolumbar reconstruction.

4. Multivariate regression analysis revealed that older age, increased body mass index and higher pelvic incidence-lumbar lordosis mismatch independently predicted CSCC grade.

More articles on spine:
5 things to know about pediatric back pain in the US
6 trends in single-level cervical radiculopathy treatment
Full-endoscopic TLIF in the outpatient setting: 3 things to know

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