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Magnetic Resonance Imaging plays an essential role in evaluation of acute spinal trauma. It provides adequate information about neural and extra neural injuries requiring surgical interventions. In cases of spinal cord oedema, contusion, haemorrhage and ischemia, MRI findings may serve as prognostic indicators. The aim of this study was to provide a general overview of the standards for initial assessment and to predict the outcome measurement. Material and methods: A prospective study from November 2016 to May 2018 was carried out on 100 patients presenting with acute spinal trauma. MR imaging of spine was done for cases clinically suspected to have acute spinal cord injury. Detailed neurological examination of the patient was done on admission and at the time of discharge. Results: Cord haemorrhage and oedema were the two most common findings on MR Imaging of the injured spinal cord, seen in 25% and 32% of patients respectively. Majority of the MRI findings correlated well with the clinical profile of the patient. Conclusions: MR Imaging is the most sensitive modality for prospective detection of spine cord injuries, the cord findings correlate with the neurological deficit of the patient on admission and discharge. MRI is useful for initial diagnosis of acute spinal cord injury and its prognostication for predicting neurological recovery.

MRI in Acute Post-Traumatic Spinal Cord Injury: Assessment of MRI Findings in Predicting Prognosis