The presence or absence of midsagittal tissue bridges and walking: a retrospective cohort study in spinal cord injury.
The presence or absence of midsagittal tissue bridges and walking: a retrospective cohort study in spinal cord injury.
复制标题
中矢状组织桥的存在或不存在和行走：脊髓损伤的回顾性队列研究。
DOI：
10.1038/s41393-023-00890-6
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发表时间：
2023
期刊：
影响因子：
2.2
通讯作者：
Smith,AC
中科院分区：
文献类型：
--
作者：
Thornton,WA;Marzloff,G;Ryder,S;Best,A;Rasheed,K;Coons,D;Smith,AC
研究设计：队列研究。回顾性分析t2加权磁共振图像（mri）和临床文献。目的探讨慢性脊髓损伤退伍军人颈椎中矢状面组织桥的存在/缺失及宽度与行走能力的关系。大学研究和医院环境。方法对22例美国退伍军人颈脊髓损伤患者进行st2加权中矢状位mri检查。确定中矢状面组织桥的存在/缺失，并测量当前腹侧和背侧组织桥的宽度。中矢状面组织桥特征与每个参与者的行走能力有关，基于临床文献的检查。结果14张分析的参与者图像显示中矢状面组织桥的存在。其中10人（71%）具有地上行走能力。8例无明显组织桥的个体均不能行走。行走与腹正中矢状面组织桥宽度（r= 0.69, 95%CI: 0.52, 0.92,p< 0.001）和背侧正中矢状面组织桥宽度（r= 0.44, 95%CI: 0.15, 0.73,p= 0.039）有显著相关性。结论正中矢状面组织桥的评估可用于各种康复环境，帮助患者制定护理计划，分配神经调节资源，并适当分层到研究队列中。
Study designCohort study. Retrospective analysis of T2-weighted magnetic resonance images (MRIs) and clinical documentation.ObjectivesTo evaluate the relationship between the presence/absence and widths of midsagittal tissue bridges and walking ability among veterans with cervical, predominantly chronic SCI.SettingUniversity research and hospital setting.MethodsT2-weighted midsagittal MRIs of 22 United States veterans with cervical spinal cord injuries were examined. The presence/absence of midsagittal tissue bridges were determined, and the widths of present ventral and dorsal tissue bridges were measured. Midsagittal tissue bridge characteristics were related to each participant’s ability to walk based off examination of clinical documentation.ResultsFourteen of the analyzed participant images revealed the presence of midsagittal tissue bridges. Ten of those individuals (71%) possessed overground walking ability. The 8 individuals with no apparent tissue bridges were all unable to walk. There was a significant correlation between walking and widths of ventral midsagittal tissue bridges (r= 0.69, 95%CI: 0.52, 0.92,p< 0.001), as well as dorsal midsagittal tissue bridges (r= 0.44, 95%CI: 0.15, 0.73,p= 0.039).ConclusionThe evaluation of midsagittal tissue bridges may be useful in various rehabilitation settings to help inform patients’ plan of care, allocation of neuromodulatory resources, and appropriate stratification into research cohorts.