Correlação clinica entre a mielopatia cervical e o índice de Torg

Abstract

ObjectiveCervical myelopathy is a spinal cord dysfunction related to degeneration typical of aging. Its primary pathology is related to ischemia and spinal cord compression. Patients with myelopathy present many clinical problems; more severe cases may lead to quadriplegia if not treated in a timely manner. Because the primary pathology of this disease is caused by compression, thus generating spinal cord ischemia, we believed there must be a correlation between the degree of compression and the clinical assessment of patients with cervical myelopathy, but we did not find any study in the literature that made this correlation. Because there is doubt the literature we aimed, in our study, to analyze the correlation between the degree of clinical impairment of patients with cervical myelopathy and the Torg index.MethodsA prospective, descriptive study, evaluating 46 patients, in which radiographic measurements of the Torg index were performed, with clinical analysis through the Nurick and JOA scale.ResultsOf the 46 study patients included in the study, 100% presented a Torg score <0.8. The decrease in Torg values was directly proportional to clinical worsening on the Nurick and JOA scale.ConclusionsThe degree of clinical impairment in patients with cervical myelopathy is directly related to the degree of spinal canal stenosis. Level of Evidence I, Prognostic Studies - Investigating the effect of the characteristics of a patient on the outcome of the disease.

Patients with cervical spondylotic myelopathy and dependency in activities of daily living during hospitalization—descriptive and correlational study

“…4 With an average age of 64.43 years (SD 11.65) and predominantly men (58.3%), the participants of this study fit the characterization of patients with CSM highlighted in the literature, which is between fifty and seventy years of age. 1,5,22 Although this pathology is related to degenerative causes, some studies find average ages around fifty years, involving people at the peak of their working career, reinforcing the importance of effective management of the disease, not only to improve function and quality of life but also to reduce the costs to society and the global economy. 13 Lifestyle and occupational factors, such as exposure to frequent axial loads and repeated physical efforts, are described in the literature as predictors of CSM, 14 and in this study, 37.5% of patients had this type of work activity.…”

“…CSM is a prevalent condition, causing progressive functional disability and impairment covering several health domains. 4,5 A multidisciplinary approach guarantees comprehensive and personalized treatment directed to the multiple needs of these patients in different stages of their care pathway, from assessment and diagnosis to therapeutic decision making to the perioperative period and rehabilitation. 4 With an average age of 64.43 years (SD 11.65) and predominantly men (58.3%), the participants of this study fit the characterization of patients with CSM highlighted in the literature, which is between fifty and seventy years of age.…”

“…[1][2][3][4] It appears mainly in men between the fifth and seventh decade of life. [1][2][3][4][5] The exact prevalence is unknown; however, it is estimated that 1.6 in 100,000 people have clinically symptomatic CSM requiring surgery and that these values will increase significantly in the coming years as the population ages. 6,7 The level of neurological impairment with CSM is directly related to the degree of stenosis of the spinal canal, 8 and the disease course involves upper motor neuron alterations characterized by hyperreflexia, gait, and coordination disorders.…”

“…1-4 It appears mainly in men between the fifth and seventh decade of life. 1-5 The exact prevalence is unknown; however, it is estimated that 1.6 in 100,000 people have clinically symptomatic CSM requiring surgery and that these values will increase significantly in the coming years as the population ages. 6,7…”

Overview of Subaxial Cervical Spine Fractures and Dislocations

“…Radiological examinations including profile, anteroposterior, oblique, and transoral views of the cervical spine should be performed. CT can be used to clarify unclear findings on plain radiographs, reveal an occult injury, and further evaluate an identified fracture or a dislocated fracture [21][22][23].…”