颈椎退行性脊髓病(CDM)是一种导致脊髓压迫的颈椎疾病,非创伤性的,颈椎管逐渐变窄.常规磁共振成像(MRI)是诊断和评估CDM严重程度的金标准。然而,患者在MRI扫描期间处于中立和静止位置,这可能会降低CDM的动态因素,低估与颈椎屈伸运动相关的脊髓损伤风险。动态MRI是改变这种情况的有前途的技术。因此,本综述旨在回答以下问题:“颈椎动态MRI诊断CDM比常规MRI更准确吗?”我们将在MEDLINE(通过PubMed)中搜索研究,Embase,Scopus,WebofScience,LILACS,和SciELO数据库。搜索策略将包含与颈椎病和磁共振成像相关的术语的组合。两名独立审稿人将选择研究,提取数据,并评估偏差的风险。结果的综合将是描述性的,考虑到有关感兴趣的结果的研究的主要发现。
Cervical degenerative myelopathy (CDM) is a cervical spine condition resulting in clinical manifestations of spinal cord compression related to the chronic, non-traumatic, and progressive narrowing of the cervical spinal canal. Conventional magnetic resonance imaging (MRI) is the gold standard test to diagnose and assess the severity of CDM. However, the patient is in a neutral and static position during the MRI scan, which may devalue the dynamic factors of CDM, underestimating the risk of spinal cord injury related to cervical spine flexion and extension movements. Dynamic MRI is a promising technique to change this scenario. Therefore, the present
review aims to answer the following question: \"Is dynamic MRI of the cervical spine more accurate in diagnosing CDM than conventional MRI?\". We will search for studies in the MEDLINE (via PubMed), Embase, Scopus, Web of Science, LILACS, and SciELO databases. The search strategy will contain a combination of terms related to cervical myelopathy and magnetic resonance imaging . Two independent reviewers will select studies, extract data, and assess the risk of bias. The synthesis of results will be descriptive, considering the main findings of the studies about the outcomes of interest.