Navigation Links
Researchers develop new anatomically based classification for diagnosing cervical spinal stenosis
Date:3/19/2013

(CHICAGO) Physician-researchers at the Rothman Institute at Jefferson have developed a new, clinically meaningful scale of severity for diagnosing patients with cervical spinal stenosis. Their goal was to create a more accurate scale than the current "mild, moderate or severe" designations used for patients with this condition, a narrowing of the spinal canal in the neck. Researchers sought to create a reproducible, clinically validated classification of central cervical stenosis.

The group will present their results on Wednesday, March 20th, at 12:18 pm, McCormick Place, Room S102, at the annual American Association of Orthopedic Surgeons (AAOS) meeting in Chicago.

The current scale, researchers contend, does not carry any clinical or anatomical correlation. The presence or absence of cerebrospinal fluid (CSF) around the spinal cord is used as an important clinical decision making factor.

"We wanted to make a scale that defined more accurately the clinical decision making of the cervical spine," says Kristen E. Radcliff, M.D., assistant professor at Jefferson Medical College and lead researcher on the study.

Five fellowship-trained surgeons, three spine surgery fellows and three orthopedic residents reviewed a series of 46 cases and were asked to score each according to the following scale: Grade 0: no loss of CSF; Grade 1: Some loss of CSF; Grade 2: complete loss of CSF space; Grade 3: Loss of CSF space and deformation of the spinal cord greater than 25 percent; Grade 4: Loss of CSF space and signal change in spinal cord, the most severe case.

"CSF space is an important marker for appropriate spinal cord perfusion and presence or absence of compression," says Dr. Radcliff.

Each rated the level of spondylolisthesis, slippage of the bone (vertebrae) onto the bone below; kyphosis, the over curvature or hunching of the upper back; and any symptoms of myelopathy, damage to the spinal cord.

Researchers found a statistically significant number of patients on whom spinal decompression was recommended in higher grades, with 83 percent in Grade 2, 95 percent in grade 3, and 100 percent (44/44) in grade 4.

The result is a new anatomically-based, clinically validated classification of cervical stenosis that aids the surgical decision-making process and allows for swift diagnosis and the most urgent surgical intervention for those with symptomatic Grade 2-4 stenosis. Patients with lower grade stenosis are first recommended and often better suited for nonsurgical treatment.

"It is our hope that this study allows for a more complete diagnosis, improves the accuracy of research and aids in improving communication regarding the severity of patients' conditions," adds Radcliff.


'/>"/>

Contact: Lee-Ann Landis
leeann.landis@jefferson.edu
215-459-2092
Thomas Jefferson University
Source:Eurekalert

Related medicine news :

1. NIH awards $20 million over 5 years to train next generation of global health researchers
2. Researchers develop a new cell and animal model of inflammatory breast cancer
3. Researchers uncover a viable way for colorectal cancer patients to overcome drug resistance
4. Researchers Find Gene Mutations That May Be a Key to Autism
5. Researchers find evidence of banned antibiotics in poultry products
6. NJ stroke researchers report advances in spatial neglect research at AAN Conference
7. Autism by the numbers: Yale researchers examine impact of new diagnostic criteria
8. Researchers Map Brain Regions Linked to Intelligence
9. Researchers ID Genes That May Determine Mental Illness
10. Researchers Develop Blood Test for Depression
11. University of Cincinnati researchers win $3.7M grant from US Department of Defense
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:4/28/2017)... ... April 28, 2017 , ... From April 30 to ... Care Medicine will host industry leaders for the annual spring Convention & Expo, ... the industry adapt to the issues currently affecting urgent care and on-demand healthcare. ...
(Date:4/28/2017)... ... April 28, 2017 , ... ... a pilot study of ActiGraph’s CentrePoint Data Hub in a sample ... provider of clinical-grade wearable activity and sleep monitoring solutions for the global scientific ...
(Date:4/28/2017)... ... April 28, 2017 , ... Rob Lowe is a popular actor that has ... presence to an educational purpose as the host of the “Informed” series. The program ... a recent episode, the series focuses on thyroid cancer. , Although thyroid cancer is ...
(Date:4/27/2017)... ... April 27, 2017 , ... Healthcare companies are trying to meet ... reject an outdated healthcare executive resume. , “If you’re a healthcare executive open to ... and wondering if it’s as ready as you are for a new job search. ...
(Date:4/27/2017)... ... 2017 , ... Goodcents Deli Fresh Subs announced a franchise expansion agreement today ... , The first new location will open at the corner of 27th and ... Northern Lights Drive this fall. And the third location is in the process of ...
Breaking Medicine News(10 mins):
(Date:4/20/2017)... , April 20, 2017 ... platform, the first non-viral gene expression technology that enables ... the eye to address a wide range of ophthalmic ... Medicines and Healthcare products Regulatory Agency (MHRA) to advance ... ...
(Date:4/19/2017)... 2017 The Mobile X-Ray product segment is the ... during the forecast period Mobile X-Ray segment is ... mobile X-Ray devices market, which is estimated to be valued ... a CAGR of 7% over the forecast period. Mobile X-Ray ... than US$ 100 Mn in 2017 over 2016. The segment,s ...
(Date:4/19/2017)... 19, 2017 The Global Effective Microorganisms ... 2022 report has covered and analysed the potential of Global ... market size, shares and growth factors. The report identifies and ... opportunities in the global market. ... Browse 152 Tables and Figures, 6 Major Company Profiles, ...
Breaking Medicine Technology: