Publication:
Assessment of increased T2 signal activity in patients with cervical spondylotic myelopathy undergoing posterior cervical fusion

dc.contributor.coauthorOlguner S.K., Gezercan Y., Boga Z., Ozer M., Secer M., Harman F., Kivrak C., Karaoglu D., Koktekir E., Karabagli H., Oktay K., Erman T., Ates O., Savasci M., Ogrenci A., Dalbayrak S., Oktenoglu T., Ozer A.F.
dc.contributor.departmentKUH (Koç University Hospital)
dc.contributor.kuauthorAkgün, Mehmet Yiğit
dc.contributor.schoolcollegeinstituteKUH (KOÇ UNIVERSITY HOSPITAL)
dc.date.accessioned2025-03-06T21:01:21Z
dc.date.issued2024
dc.description.abstractAIM: To compare the preoperative and postoperative increased signal intensity (ISI) outcomes of cervical spondylotic myelopathy (CSM) patients who underwent posterior decompression and fusion, and to assess the correlation between ISI changes and postsurgical clinical prognosis. MATERIAL and METHODS: The results from 123 patients were evaluated. In addition to demographic data, such as age and gender, factors, including body mass index (BMI);smoking history;duration of symptoms;follow-up periods;levels of decompression and fusion;comorbidities, such as diabetes, coronary artery disease, and hypertension;ISI grading;cervical sagittal vertical axis;C2-7 cervical lordosis parameters;and Modified Japanese Orthopedic Association (mJOA) scores, were statistically analyzed preoperatively and postoperatively. RESULTS: ISI improved in 39 patients (31.7%), remained unchanged in 53 patients (latent, 43.1%), and deteriorated in 31 patients (25.2%). There were no statistically significant differences in terms of age, gender, BMI, or levels of decompression and fusion between patients with ISI improvement, latent ISI, and worsened ISI. Patients with ISI improvement had the highest postoperative C2-7 lordosis values and shortest duration of symptoms. There was no statistically significant difference in the mJOA scores between patients with and without ISI improvement. CONCLUSION: ISI improvement in CSM patients undergoing posterior cervical decompression and fusion is influenced by symptom duration and preoperative–postoperative cervical lordosis values. However, this study did not find a correlation between ISI improvement and clinical recovery based on the mJOA scores.
dc.description.indexedbyScopus
dc.description.indexedbyPubMed
dc.description.publisherscopeNational
dc.description.sponsoredbyTubitakEuN/A
dc.identifier.doi10.5137/1019-5149.JTN.45402-23.2
dc.identifier.issn1019-5149
dc.identifier.issue5
dc.identifier.quartileN/A
dc.identifier.scopus2-s2.0-85204246863
dc.identifier.urihttps://doi.org/10.5137/1019-5149.JTN.45402-23.2
dc.identifier.urihttps://hdl.handle.net/20.500.14288/27979
dc.identifier.volume34
dc.keywordsCervical spondylotic myelopathy
dc.keywordsIncreased signal intensity
dc.keywordsMagnetic resonance imaging
dc.keywordsPosterior fusion
dc.keywordsPrognosis
dc.language.isoeng
dc.publisherTurkish Neurosurgical Society
dc.relation.ispartofTurkish Neurosurgery
dc.subjectNeurosurgery
dc.titleAssessment of increased T2 signal activity in patients with cervical spondylotic myelopathy undergoing posterior cervical fusion
dc.typeJournal Article
dspace.entity.typePublication
local.contributor.kuauthorAkgün, Mehmet Yiğit
local.publication.orgunit1KUH (KOÇ UNIVERSITY HOSPITAL)
local.publication.orgunit2KUH (Koç University Hospital)
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