All subjects underwent examination of the cervical spine on a 1.5 Tesla MRI device with a 16-channel head and neck coil. The standardised imaging protocol included conventional pulse sequences in sagittal-T1, -T2 and STIR (short-tau inversion recovery) and axial planes (gradient-echo T2). The imaging criterion for cervical cord compression was defined as a change in spinal cord contour at the level of an intervertebral disc on axial or sagittal MRI scan compared with that at midpoint level of neighbouring vertebrae [11]. Compression ratio (CR) was calculated by taking the anterior–posterior diameter of the spinal cord divided by the transverse diameter of the cord on the axial image [11]. Lower CR values indicate worse cord deformation. This measurement was taken at the level of maximum spinal cord compression identified as maximum reduction in antero/posterior spinal canal diameter in comparison with other segments. The level of maximal spinal cord compression and signs of myelopathy (signal changes of the spinal cord on T1- and T2-weighted imaging) were also established (Figure 1).

Patient with severe cervical spinal cord compression. (A) Sagittal T2-MRI sequence shows a level of maximal compression—C5/6 (arrow); (B) Compression ratio: anterior–posterior diameter (solid line double arrow) divided by the transverse diameter (dashed line double arrow) of the spinal cord on the axial T2 MRI image (taken at the level of maximum spinal cord compression; the result is 0.37 in this patient).

Note: The content above has been extracted from a research article, so it may not display correctly.

Please log in to submit your questions online.
Your question will be posted on the Bio-101 website. We will send your questions to the authors of this protocol and Bio-protocol community members who are experienced with this method. you will be informed using the email address associated with your Bio-protocol account.

We use cookies on this site to enhance your user experience. By using our website, you are agreeing to allow the storage of cookies on your computer.