Meeting Banner
Abstract #0617

Spinal Cord Displacement Is Increased in Subjects with Cervical Spondylotic Myelopathy Compared to Controls

Irene M. Vavasour1, Sandra M. Meyers2, Erin L. MacMillan3, Burkhard Maedler4, David KB Li1, Marcel F. Dvorak5, 6, Talia Vertinsky7, Vic Venu7, Alexander Rauscher8, Alex L. MacKay1, 2, Armin Curt9

1Radiology, University of British Columbia, Vancouver, British Columbia, Canada; 2Physics and Astronomy, University of British Columbia, Vancouver, British Columbia, Canada; 3Clinical Research, University of Bern, Bern, Switzerland; 4Neurosurgery, University of Bonn, Bonn, Germany; 5Orthopaedics, University of British Columbia, Vancouver, British Columbia, Canada; 6International Collaboration on Repair Discoveries (ICORD), University of British Columbia, Vancouver, British Columbia, Canada; 7Radiology, Vancouver General Hospital, Vancouver, British Columbia, Canada; 8UBC MRI Research Centre, University of British Columbia, Vancouver, British Columbia, Canada; 9Spinal Cord Injury Center, University of Zurich, Zurich, Switzerland

With cervical spondylotic myelopathy (CSM), spinal cord (SC) damage is caused by narrowing (stenosis) of the spinal canal. The relationship between cord motion and CSM symptoms are unknown. Thirteen CSM subjects and 15 controls underwent velocity imaging using 3D phase-contrast around the stenosis or C5. Tibial and ulnar nerve somatosensory evoked potentials (SSEP) were also measured. Displacement was significantly different between controls and CSM subjects. No significant correlations were found between displacement and clinical scores, however, abnormal SSEP was associated with increased SC movement. Increased SC motion may relate to underlying pathophysiological mechanisms that contribute to SC function deterioration.

Keywords

able abnormal absolute amplitude around array association astronomy bars body canal cardiac caudal cause caused cervical classify clinical closely coil collaboration compression configuration confirm considered continued contribute control controls cord corrected correlated correlation correlations cranial cycle damage deterioration determined diagnosed discoveries displacement distance drawn error evaluated evaluations evoked examinations except extent extracted fifteen flow foundation function furthermore gated gender general health heart height hospital impairment indicate induced initially interestingly international known latency leading levy matched matrix measured measures mechanisms motion movement movements moves narrowing nerve neurosurgery none normally north oriented orthopedic participants patients patterns people perfect peripheral perpendicular person physics plots potentials predictor radiology ranked reason recordings recovers related relationships repair retrospectively score scores scoring separate separated severity significance significantly slice slices smith society spinal spine student subdivided subject subjects support system tailed technologists thank thanks thirteen tibial treatment ulnar undergoing underlying underwent unexpected velocity visually volunteers warranted whereas whether years