{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T00:18:07Z","timestamp":1763511487607,"version":"3.45.0"},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T00:00:00Z","timestamp":1763424000000},"content-version":"vor","delay-in-days":109,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Resumo<\/jats:title>\n                  <jats:p>Investigar a correla\u00e7\u00e3o entre a pontua\u00e7\u00e3o na escala modificada da Japanese Orthopaedic Association (mJOA) e os achados de resson\u00e2ncia magn\u00e9tica din\u00e2mica (RMD) em pacientes diagnosticados com mielopatia cervical degenerativa (MCD).<\/jats:p>\n                  <jats:p>Conduzimos um estudo de coorte retrospectiva. Todos os pacientes foram submetidos a um exame de RMD da coluna cervical usando o mesmo equipamento. Os par\u00e2metros anat\u00f4micos avaliados foram o di\u00e2metro da medula espinhal (DME) e a largura do canal vertebral (LCV). O DME foi medido como a dist\u00e2ncia entre o ponto m\u00e9dio da por\u00e7\u00e3o posterior do disco intervertebral e a margem anterior do ligamento amarelo. A LCV foi medida como a dist\u00e2ncia entre as margens anterior e posterior da medula espinhal no ponto exato de avalia\u00e7\u00e3o do DME. A escala mJOA foi escolhida para avalia\u00e7\u00e3o do estado funcional. As confiabilidades intra e interobservador dos par\u00e2metros morfom\u00e9tricos da resson\u00e2ncia magn\u00e9tica (RM) foram calculadas segundo o coeficiente de correla\u00e7\u00e3o intraclasse (CCI), e valores de p\u2009&lt;\u20090,05 foram considerados estatisticamente significativos.<\/jats:p>\n                  <jats:p>A avalia\u00e7\u00e3o intraobservador do DME teve concord\u00e2ncia quase perfeita, e a avalia\u00e7\u00e3o interobservador da LCV apresentou forte concord\u00e2ncia. A pontua\u00e7\u00e3o na mJOA variou de 6 a 18. Houve uma correla\u00e7\u00e3o fraca e n\u00e3o estatisticamente significativa entre os par\u00e2metros DME e LCV.<\/jats:p>\n                  <jats:p>N\u00e3o identificamos uma correla\u00e7\u00e3o entre as medidas do canal vertebral cervical obtidas em exames de RMD e a gravidade cl\u00ednica dos pacientes com MCD medida pela escala mJOA. Devido ao pequeno tamanho da amostra, esses achados devem ser interpretados com cautela.<\/jats:p>","DOI":"10.1055\/s-0045-1811929","type":"journal-article","created":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T00:16:03Z","timestamp":1763511363000},"page":"001-007","source":"Crossref","is-referenced-by-count":0,"title":["Achados \u00e0 RM din\u00e2mica e a escala mJOA: Estabelecimento de correla\u00e7\u00f5es na avalia\u00e7\u00e3o cl\u00ednica"],"prefix":"10.1055","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2901-5583","authenticated-orcid":false,"given":"Ricardo Andr\u00e9 Ac\u00e1cio dos","family":"Santos","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Anestesiologia, Faculdade de Medicina de Ribeir\u00e3o Preto, Universidade de S\u00e3o Paulo, Ribeir\u00e3o Preto, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0992-6163","authenticated-orcid":false,"given":"Raphael de Rezende","family":"Pratali","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia, Hospital do Servidor P\u00fablico Estadual, S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5962-1467","authenticated-orcid":false,"given":"Mariana Dem\u00e9trio de Sousa","family":"Pontes","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Anestesiologia, Faculdade de Medicina de Ribeir\u00e3o Preto, Universidade de S\u00e3o Paulo, Ribeir\u00e3o Preto, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3387-4797","authenticated-orcid":false,"given":"Carlos Fernando P. 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