Carol M, Ducker T B, Byrnes D P
Neurosurgery. 1980 Sep;7(3):219-24. doi: 10.1227/00006123-198009000-00003.
Fifty-eight patients with a clinical or radiographic diagnosis of cervical spinal cord injury underwent Pantopaque myelography on an emergency basis. Twenty-five per cent of these patients demonstrated evidence of spinal cord compression after reduction by spinal traction, as evidenced by the presence of a myelographic defect. Less than half of these patients had a defect that the authors thought required emergency surgical decompression. Two of the five patients so operated upon demonstrated an improvement in neurological function after operation that was much greater than that which would have been predicted before operation. The finding of these few patients who made a significant improvement after operation may justify the myelographic investigation of all patients with evidence of serious cervical spinal cord injury. Based on our experience, Pantopaque myelography may offer adequate, accurate, and useful information for the immediate management of spinal cord-injured patients.
58例临床或影像学诊断为颈脊髓损伤的患者接受了紧急碘苯酯脊髓造影检查。这些患者中有25%在进行脊柱牵引复位后显示出脊髓受压的迹象，脊髓造影缺损可证明这一点。这些患者中不到一半存在作者认为需要紧急手术减压的缺损。接受手术的5例患者中有2例术后神经功能改善程度远大于术前预期。这少数术后有显著改善的患者的发现可能证明对所有有严重颈脊髓损伤证据的患者进行脊髓造影检查是合理的。根据我们的经验，碘苯酯脊髓造影可为脊髓损伤患者的即刻治疗提供充分、准确且有用的信息。
