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...

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Main Authors:	See, Lei Peng, Zakaria@Mohamad, Zamzuri, Karupiah, Rajandra Kumar, Perwira, Marzuki
Format:	Article
Language:	English
Published:	Kulliyyah of Medicine, International Islamic University Malaysia 2018
Subjects:	RD701 Orthopedics
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

id	iium-70755
recordtype	eprints
spelling	iium-707552019-03-06T06:30:02Z http://irep.iium.edu.my/70755/ Cervical spondylotic radiculopathy: the role of conservative management See, Lei Peng Zakaria@Mohamad, Zamzuri Karupiah, Rajandra Kumar Perwira, Marzuki RD701 Orthopedics 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. Kulliyyah of Medicine, International Islamic University Malaysia 2018-08-04 Article PeerReviewed application/pdf en http://irep.iium.edu.my/70755/1/70755_Cervical%20spondylotic%20radiculopathy.pdf See, Lei Peng and Zakaria@Mohamad, Zamzuri and Karupiah, Rajandra Kumar and Perwira, Marzuki (2018) Cervical spondylotic radiculopathy: the role of conservative management. International Medical Journal Malaysia (IMJM), 17 (supp. 1). p. 51. ISSN 1823-4631 http://iiumedic.net/imjm/v1/download/vol_17_no_3_supp_1/MRS2018-52.pdf
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RD701 Orthopedics
spellingShingle	RD701 Orthopedics See, Lei Peng Zakaria@Mohamad, Zamzuri Karupiah, Rajandra Kumar Perwira, Marzuki Cervical spondylotic radiculopathy: the role of conservative management
description	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.
format	Article
author	See, Lei Peng Zakaria@Mohamad, Zamzuri Karupiah, Rajandra Kumar Perwira, Marzuki
author_facet	See, Lei Peng Zakaria@Mohamad, Zamzuri Karupiah, Rajandra Kumar Perwira, Marzuki
author_sort	See, Lei Peng
title	Cervical spondylotic radiculopathy: the role of conservative management
title_short	Cervical spondylotic radiculopathy: the role of conservative management
title_full	Cervical spondylotic radiculopathy: the role of conservative management
title_fullStr	Cervical spondylotic radiculopathy: the role of conservative management
title_full_unstemmed	Cervical spondylotic radiculopathy: the role of conservative management
title_sort	cervical spondylotic radiculopathy: the role of conservative management
publisher	Kulliyyah of Medicine, International Islamic University Malaysia
publishDate	2018
url	http://irep.iium.edu.my/70755/ http://irep.iium.edu.my/70755/ http://irep.iium.edu.my/70755/1/70755_Cervical%20spondylotic%20radiculopathy.pdf
first_indexed	2023-09-18T21:40:27Z
last_indexed	2023-09-18T21:40:27Z
_version_	1777413104172269568

Cervical spondylotic radiculopathy: the role of conservative management

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