Severity of locomotive syndrome in surgical cervical spondylotic myelopathy patients: a cross-sectional study.

Kurenai Hachiya, Soya Kawabata, Takehiro Michikawa, Sota Nagai, Hiroki Takeda, Daiki Ikeda, Shinjiro Kaneko, Nobuyuki Fujita
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Abstract

Objectives: Although cervical spondylotic myelopathy (CSM) has a marked impact on locomotive function, few studies have evaluated this relationship in terms of locomotive syndrome. Thus, we assessed (i) the stages of locomotive syndrome in preoperative CSM patients using the 25-question geriatric locomotive function scale (GLFS-25), (ii) the correlation between GLFS-25 scores and the Japanese orthopaedic association (JOA) scores or the JOA cervical myelopathy evaluation questionnaire (JOACMEQ) scores, and (iii) the factors associated with stage 3 locomotive syndrome in preoperative CSM patients.

Methods: We used clinical data from 107 patients scheduled for cervical spinal surgery for CSM. Data were collected prior to surgery, and included age, gender, body mass index, medical history, JOA score, and JOACMEQ and GLFS-25 scores.

Results: Of the included CSM patients, 93.5% were diagnosed with locomotive syndrome, of whom 77.6% were stage 3 according to GLFS-25 evaluation. For the correlation between GLFS-25 and JOA or JOACMEQ, the upper and lower extremity function scores of JOACMEQ and the JOA were strongly inversely correlated with the GLFS-25 score. Finally, multivariate analysis suggested that severe lower extremity status in the JOACMEQ was significantly associated with stage 3 locomotive syndrome in preoperative CSM patients.

Conclusions: Using the GLFS-25, we found that lower extremity status had the strongest association with stage 3 locomotive syndrome in preoperative CSM patients. These findings are useful for preventing CSM patients from requiring future nursing care.

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外科脊髓型颈椎病患者运动综合征的严重程度:一项横断面研究。
目的:尽管脊髓型颈椎病(CSM)对机车功能有显著影响,但很少有研究在机车综合征方面评估这种关系。因此,我们使用25题老年机车功能量表(GLFS-25)评估(i)术前CSM患者机车综合征的分期,(ii) GLFS-25评分与日本骨科协会(JOA)评分或JOA颈脊髓病评估问卷(JOACMEQ)评分之间的相关性,以及(iii)术前CSM患者3期机车综合征的相关因素。方法:我们收集了107例颈椎病患者的临床资料。术前收集资料,包括年龄、性别、体重指数、病史、JOA评分、JOACMEQ和GLFS-25评分。结果:纳入的CSM患者中,93.5%诊断为机车综合征,其中77.6%根据GLFS-25评估为3期。对于GLFS-25与JOA或JOACMEQ的相关性,JOACMEQ和JOA的上肢和下肢功能评分与GLFS-25评分呈强负相关。最后,多因素分析表明,JOACMEQ中重度下肢状态与术前CSM患者的3期机车综合征显著相关。结论:使用GLFS-25,我们发现术前CSM患者下肢状态与3期机车综合征的相关性最强。这些发现有助于预防CSM患者今后需要护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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