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:6/26/2016)... ... ... PawPaws brand pet supplements owned by Whole Health Supply is ... of felines. The formula is all-natural and is made from Chinese herbs that have ... Kidney Support Supplement Soft Chews are Astragalus Root Extract and Rehmannia Root Extract ...
(Date:6/25/2016)... , ... June 25, 2016 , ... ... policy issues and applications at AcademyHealth’s Annual Research Meeting June 26-28, 2016, at ... on several important health care topics including advance care planning, healthcare costs and ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... "With 30 ... their specific project," said Christina Austin - CEO of Pixel Film Studios. , ... and all within Final Cut Pro X . Simply select a ProHand generator ...
(Date:6/25/2016)... ... June 25, 2016 , ... Dr. ... from injury. Recently, he has implemented orthobiologic procedures as a method for treating ... one of the first doctors to perform the treatment. Orthobiologics are substances that ...
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... A recent ... that most people are unfamiliar with. The article goes on to state that individuals ... also many of these less common operations such as calf and cheek reduction. The ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)...   Pulmatrix, Inc ., (NASDAQ: PULM ... announced today that it was added to the Russell ... comprehensive set of U.S. and global equity indexes on ... milestone for Pulmatrix," said Chief Executive Officer Robert ... progress in developing drugs for crucial unmet medical needs, ...
(Date:6/23/2016)... Research and Markets has announced the addition of ... report to their offering. ... kidney failure, it replaces the function of kidneys by removing ... thus the treatment helps to keep the patient body,s electrolytes ... Increasing number of ESRD patients & substantial healthcare expenditure ...
(Date:6/23/2016)... , June 23, 2016 Roche (SIX: ... 510(k) clearance for its Elecsys BRAHMS PCT (procalcitonin) assay ... sepsis or septic shock. With this clearance, Roche is ... a fully integrated solution for sepsis risk assessment and ... with bacterial infection and PCT levels in blood can ...
Breaking Medicine Technology: