.webp&w=384&q=75){kind=logo}
Loading, please wait...
Loading, please wait...
This hospital-based randomized controlled trial evaluated whether dynamic MRI (dMRI) improves surgical planning and outcomes in patients with degenerative cervical myelopathy compared with conventional static MRI. Seventy-four patients were assessed at three months. The mean recovery rate was significantly higher in the dMRI group than in the static MRI group (55.42% ± 29.05% vs 46.76% ± 29.51%; P = 0.044). Recovery of at least 50% was achieved by 91.9% of patients in the dMRI group compared with 59.4% in the static MRI group (P = 0.002). The postoperative modified Japanese Orthopaedic Association score was also higher with dMRI-guided planning (15.47 vs 13.77; P = 0.007). Dynamic MRI changed the planned surgical approach in 59.5% of cases. The difference in Nurick grade improvement was not statistically significant. Conclusion: Dynamic MRI may improve identification of clinically important cord compression and short-term postoperative recovery, although larger studies with longer follow-up are needed to establish its impact on long-term outcomes.
Read summarized clinical updates, watch expert medical content, and earn CME certifications right from your smartphone.
Open your smartphone camera to scan and install.
This hospital-based randomized controlled trial evaluated whether dynamic MRI (dMRI) improves surgical planning and outcomes in patients with degenerative cervical myelopathy compared with conventional static MRI. Seventy-four patients were assessed at three months. The mean recovery rate was significantly higher in the dMRI group than in the static MRI group (55.42% ± 29.05% vs 46.76% ± 29.51%; P = 0.044). Recovery of at least 50% was achieved by 91.9% of patients in the dMRI group compared with 59.4% in the static MRI group (P = 0.002). The postoperative modified Japanese Orthopaedic Association score was also higher with dMRI-guided planning (15.47 vs 13.77; P = 0.007). Dynamic MRI changed the planned surgical approach in 59.5% of cases. The difference in Nurick grade improvement was not statistically significant. Conclusion: Dynamic MRI may improve identification of clinically important cord compression and short-term postoperative recovery, although larger studies with longer follow-up are needed to establish its impact on long-term outcomes.
Today
Depemokimab offers twice-yearly dosing for severe eosinophilic asthma and chronic rhinosinusitis with nasal polyps, significantly cutting exacerbations and hospital admissions.
4 days back
A novel copper metal-organic framework hydrogel remodels the uterine microenvironment to stimulate robust endometrial regeneration, reduce intrauterine fibrosis, and restore reproductive fertility, offering a groundbreaking strategy for managing refractory endometrial damage and Asherman syndrome.
4 days back
New research reveals that non-ablative radiotherapy suppresses ventricular tachycardia by increasing conduction velocity via NaV1.5 upregulation and action potential prolongation. However, sustained sodium current elevation and depressed calcium handling highlight the need for careful clinical translation.
Last week
A single-cell transcriptomic atlas reveals how peripheral nerve injuries cause dorsal root ganglion remodeling. By evaluating proximal nerve crush and resection, researchers identify distinct glial and immune programs that resolve neuropathic pain and promote regeneration.
4 days back
A breakthrough study demonstrates that fullerol-primed extracellular vesicles generated in a 3D SECCS bioreactor attenuate ferroptosis and restore myogenic regeneration in diabetes via the FOXO3 pathway, offering a cell-free therapeutic strategy for diabetic musculoskeletal degeneration.
4 days back
