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World Journal of Advance Healthcare Research (WJAHR)Honored the authors with best paper award, monthly based on the innovation of research work. Best paper will be selected by our expert panel.
Best Article of current issue
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BENEFIT OF DYNAMIC MR IMAGES IN EVALUATION CERVICAL SPONDYLOTIC MYELOPATHY PATIENTS
Ebaa Saeed Saleem*, Mohamed Abd Alrahman and Fawaz Badoor
Background: cervical spondylotic myelopathy CSM is the most cause of cervical spinal cord dysfunction in people aged over 55 years. even though , our understanding of the etiology of this clinical problem remains incomplete. Methods: A total of 30 patients (M:F=11:19, 60.1±10.7 years), The study population consisted of 23(76.7%) patients with signs of cervical myelopathy (M group) and 7(23.3%) patients without signs of myelopathy (NM group). All patients examined clinically and neurologically. the static and dynamic cervical MRI done by using a 1.5-T MR unit (siemens magetom essenza A tim + dot system). The dynamic exam was performed with as much neck flexion and extension the patient could achieve alone. On T2-weigthed MRI each level was assessed and Muhle scale was applied. Results: Analysis with extension MR images found an increased number of compression levels posterior position 6 fold than static.Clinical factors for increased compression levels in extension MR images were age (p-value=0.002 , r= 0.4). Conclusions: The evaluation of CSM may be better with dynamic MR images. Dynamic MR imaging may be proposed for elderly patients with signs of myelopathy, but an interpretation for asymptomatic cervical spine compressed based exclusively on extension MR image must be done with caution.[Full Text Article]