Raseshkumar Rasiklal Vyas1, Aparna Vijaysingh Dodia2, Palak Bhikharbhai Patel3, Avichala Surendra Singh Taxak4
BACKGROUND Aim of the study was to find out various causes of compressive myelopathy and to characterise them. MATERIALS AND METHODS
Total of 48 cases were analysed over a period of January 2016 to January 2017 and were evaluated using MRI spine studies. RESULTS
MRI, because of its exemplary tissue characterisation and high contrast resolution, excellently demonstrates the anatomical details and pathological process. Thus, is a superior modality in diagnosing Spinal cord lesions as well as associated soft tissue injuries, inter-vertebral discs and ligaments. In our study, traumatic injuries (43%) were found to be the most common cause of Compressive myelopathy, other were Infections (23%), primary malignancies (17%), and Metastasis (17%). Thoracic spine was found to be the most frequent site in cases of Traumatic injuries. 40 out of total 48 cases had extradural, and the rest 8 had intra-dural compressive lesions.
The study concludes that patients with suspected Compressive myelopathies benefit from evaluation with MRI, which is highly accurate for characterising and identifying the underlying aetiology, as well as associated features. Thus, explicitly helps in stating the long-term prognosis of the patient.
Spinal cord, Spinal cord compression, Myelopathy.