Dynamic cervical myelopathy in young adults - Université de Rennes Accéder directement au contenu
Article Dans Une Revue European Spine Journal Année : 2014

Dynamic cervical myelopathy in young adults

Résumé

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.
Fichier non déposé

Dates et versions

hal-01213985 , version 1 (09-10-2015)

Identifiants

Citer

Lotfi Hattou, Xavier Morandi, Pierre-Jean Le Reste, Raphaël Guillin, Laurent Riffaud, et al.. Dynamic cervical myelopathy in young adults. European Spine Journal, 2014, 23 (7), pp.1515--1522. ⟨10.1007/s00586-014-3321-z⟩. ⟨hal-01213985⟩
106 Consultations
0 Téléchargements

Altmetric

Partager

Gmail Facebook X LinkedIn More