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Órgano Oficial de difusión científica de la Asociación Mexicana de Cirujanos de Columna A. C.

2024, Number 4

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Cir Columna 2024; 2 (4)

Correlation between cervical spondylotic myelopathy with the degree of medullar stenosis in Mexican population

Albavera-Gutiérrez RR, Martínez-Tapia AG, Gutiérrez-Cortés JC, Vega-Rosas A

Language: Spanish
References: 21
Page: 217-222
PDF size: 265.88 Kb.


ABSTRACT

Introduction: cervical spondylotic myelopathy (CSM) is the most common form of spinal cord injury in adults. We sought to evaluate the relationship between the degree of narrowness of the spinal canal and the degree of clinical severity of CSM in Mexican population. Material and methods: an observational, comparative and cross-sectional study was carried out where the association between the degree of stenosis of the cervical spinal canal measured by the Torg-Pavlov index in lateral cervical spine radiography and the level of clinical affection of the ECM by Nurick scale, in patients with this diagnosis and controls without cervical spine disease. Results: 79 participants over 55 years of age were recruited, of which 39 had a diagnosis of CSM and 40 were controls without cervical spine conditions. An average Torg-Pavlov index of 0.8256 cm was found in participants with CSM and 1.021 in controls (p < 0.0001), which was congruent at the different levels between C3-C7. A positive correlation was found between the Torg-Pavlov index and the Nurick scale in patients with CSM (p < 0.0001) and a ROC curve with an area of 0.8186 when comparing the Torg-Pavlov index of participants with CSM and controls. Conclusions: the Torg-Pavlov index is a useful and cost-effective method in the initial approach to CSM in Mexican population, since it positively correlates the narrowness of the cervical spinal canal with the degree of clinical severity using the Nurick scale.


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