The Additive Value of MRI in Evaluating Thoracic and Lumbar Spine Trauma
Mostafa, Y., Badran, B., Enayet, A., El-Sayed, H., Bakr, M. (2025). The Additive Value of MRI in Evaluating Thoracic and Lumbar Spine Trauma. EKB Journal Management System, 2025(3), 150-155. doi: https://doi.org/10.21608/aimj.2025.446479
Yomna Salah Ibrahim Mostafa; Bahira Mohamed Fathallah Badran; Alshimaa Ahmed Ezzat Mohammed Enayet; Hekmat Samir Bayoumi Ahmed El-Sayed; Mohammed Mohammed Bakr. "The Additive Value of MRI in Evaluating Thoracic and Lumbar Spine Trauma". EKB Journal Management System, 2025, 3, 2025, 150-155. doi: https://doi.org/10.21608/aimj.2025.446479
Mostafa, Y., Badran, B., Enayet, A., El-Sayed, H., Bakr, M. (2025). 'The Additive Value of MRI in Evaluating Thoracic and Lumbar Spine Trauma', EKB Journal Management System, 2025(3), pp. 150-155. doi: https://doi.org/10.21608/aimj.2025.446479
Mostafa, Y., Badran, B., Enayet, A., El-Sayed, H., Bakr, M. The Additive Value of MRI in Evaluating Thoracic and Lumbar Spine Trauma. EKB Journal Management System, 2025; 2025(3): 150-155. doi: https://doi.org/10.21608/aimj.2025.446479

The Additive Value of MRI in Evaluating Thoracic and Lumbar Spine Trauma

Al-Azhar International Medical Journal
Volume 2025, Issue 3, March 2025, Page 150-155  XML PDF (456.5 K)
Document Type: Original Article
DOI: https://doi.org/10.21608/aimj.2025.446479
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Authors
Yomna Salah Ibrahim Mostafa* 1; Bahira Mohamed Fathallah Badran2; Alshimaa Ahmed Ezzat Mohammed Enayet2; Hekmat Samir Bayoumi Ahmed El-Sayed3; Mohammed Mohammed Bakr4
1Department of Radiodiagnosis, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt
2Department of Radiodiagnosis, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.
3Department of Radiodiagnosis, Damanhour National Medical Institute
4Department of neurosurgery, Damanhour National Medical Institute
Abstract
Background: One of the most distressing injuries in humans is traumatic spinal cord injury (TSCI). It is correlated with a high rate of death, disability, and the need for long-term, expensive rehabilitation therapy.
Aim: To assess the additive value of MRI in the assessment of thoracolumbar spine injury in the setting of spinal trauma.
Patients and methods: The prospective research was conducted on 30 patients with thoracolumbar spine trauma in magnetic resonance imaging at Damanhur Medical National Institute throughout the period from April 2023 to April 2024.
Results: The TLICS averaged 7.4 ± 2.1, indicating severe injuries requiring surgery in 90% of cases. Morphology and PLC integrity scores reflected significant damage (2.9 ± 1.1 and 1.9 ± 1.3). Neurological status at admission averaged 2.6 ± 0.5, with 50% improving at discharge, including 13.3% achieving ASIA E. Complete cord transection and hemorrhage showed no recovery (ASIA A), while cord edema had the highest recovery rate (58%), with 17% achieving ASIA E. Spinal stenosis and epidural hematoma showed 67% recovery. A strong positive correlation was found between injury type, discharge AIS (r-value = 0.668, p-value < 0.001), and recovery rates (r-value = 0.464, p-value = 0.010), emphasizing injury severity's role in outcomes.
Conclusion: MRI is crucial for evaluating traumatic spinal cord injuries (TSCI), providing superior soft-tissue contrast and accurate diagnosis, despite limitations in correlating signal changes with functional outcomes.
 
Keywords
TSCI; Magnetic Resonance Imaging; Spinal Trauma
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