Cervical spondylotic radiculopathy: the role of conservative management
BACKGROUND Cervical spondylotic radiculopathy is common and most patients experiencing an acute episode of unilateral radiculopathy without major motor de�cit and no evidence of cord compression can be managed by non-operative measures. OBJECTIVE This study aimed to determine the severity of d...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Kulliyyah of Medicine, International Islamic University Malaysia
2018
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/70755/ http://irep.iium.edu.my/70755/ http://irep.iium.edu.my/70755/1/70755_Cervical%20spondylotic%20radiculopathy.pdf |
| Summary: | BACKGROUND
Cervical spondylotic radiculopathy is common and most patients experiencing an acute episode of unilateral radiculopathy
without major motor de�cit and no evidence of cord compression can be managed by non-operative measures.
OBJECTIVE
This study aimed to determine the severity of degenerative changes on plain radiograph among patients with cervical spondylotic
radiculopathy and patients’ rated outcomes following conservative treatment. It will also study the correlation between pain and
disability of patients with severity of degenerative changes of the cervical spine and different level of root compression among
them.
MATERIALS AND METHODS
An observative cohort study where all patients with a clinical diagnosis of cervical spondylotic radiculopathy were recruited from
Dec 2016 to Jan 2018. Patients rated pain score and neck disability index at presentation and three months after conservative
treatment were evaluated. Demographic data, radiographic severity grade, neck disability index and pain score were analyzed via
Pearson correlation test to determine the correlation after conservative management.
RESULT
There were total of 29 patients, with mean age of 49 years old. In this study, 41% patients had Grade 2 radiographic severity
changes. Patients’ rated outcomes with neck disability index(NDI) and pain score showed moderate improvement after
conservative treatment with Pearson Correlation (r = 0.523). There is statistically significant correlation between pain score and
NDI (p-value <0.001). However, there are no statistically significantly between radiographic severity grade and pain score and
patient rated outcome of neck disability index.
CONCLUSION
Patient with cervical spondylotic radiculopathy who treated conservatively show favorable clinical outcome. |
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