Asian Spine J.  2018 Apr;12(2):224-231. 10.4184/asj.2018.12.2.224.

Pathophysiology and Grading of the Ventral Displacement of Dorsal Spinal Cord Spectrum

• Chellathurai A
• Balasubramaniam S
• Gnanasihamani S
• Ramasamy S
• Durairajan J

• KMID: 2410840
• DOI: http://doi.org/10.4184/asj.2018.12.2.224

Abstract

STUDY DESIGN: A retrospective study of the ventral displacement of dorsal spinal cord (VDDSC) spectrum pathophysiology and grading. PURPOSE: This study aimed at examining the pathophysiology of VDDSC between D3 and D7, using magnetic resonance imaging (MRI) correlation and severity grading. OVERVIEW OF LITERATURE: The pathologies that lead to VDDSC were previously discussed in various articles. We attempted to group these pathological conditions under a single spectrum, and grade them according to their severity.
METHODS
We reviewed the MRI images of the dorsal spines of 1,350 patients over a period of 4 years (February 2013-February 2017); all MRI images were analyzed by two experienced radiologists.
RESULTS
Of the 1,350 patients, 28 exhibited VDDSC between D3 and D7. Additional findings included ventral transdural herniation of the spinal cord (n=10), anterior spinal cord adhesion (n=7), arachnoid web (n=6), and arachnoid cyst (n=5).
CONCLUSIONS
We grouped the pathologies that lead to VDDSC at the thoracic level into a single spectrum of varying severity and graded VDDSC, from mild to severe.

Keyword

Dorsal spinal cord; Ventral displacement; Adhesion; Arachnoid web; Arachnoid cyst

MeSH Terms

Arachnoid
Humans
Magnetic Resonance Imaging
Pathology
Retrospective Studies
Spinal Cord*
Spine