TORG-PAVLOV INDEX ON RADIOGRAPH AND MAGNETIC RESONANCE IMAGING OF PATIENTS UNDERGOING SURGERY FOF MULTILEVEL CERVICAL SPONDYLOTIC MYELOPATHY AT BACH MAI HOSPITAL

Nguyễn Văn Trung1,2,, Đào Xuân Thành1,2, Hoàng Gia Du2, Nguyễn Lê Bảo Tiến3
1 Hanoi Medical University
2 Bach Mai Hospital
3 Vietnam-Germany Friendship Hospital

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Abstract

Objective: Study to evaluate Torg-Pavlov index in patients undergoing surgery for multilever cervical spondylotic myelopathy and its relationship with cervical myelopathy preoperation and postoperation. Methods: A cross-sectional descriptive study included 30 consecutive patients who underwent surgical treatment for M-CSM from June, 2019 to Aug, 2021 at Orthopedic and Spine department, Bach Mai hospital. Results: Mean age 63.10 ± 9.82 years old, (from 39 - 79 years old), 19 male patients (63.3%), 11 female patients (36.7%). Male/Female ratio ≈ 2/1. The mean Torg-Pavlov index of C3-C6 and C3-C7 segments on radiographs was 0.74 ± 0.09, 0.74 ± 0.09 and on MRI respectively 0.76 ± 0.07, 0.77 ± 0.07. The average Torg-Pavlov index in patients < 60 years old, female tends to be higher than patients ≥ 60 years old, male. Patients with Torg-Pavlov index measured on X-ray ≥0.8 all had the mean values ​​of mJOA preoperation, mJOA postoperation, recovery rate (RR) postoperation and follow-up greater than the group <0.8, however, the difference was not statistically significant with p>0.05. Conclusion: Torg-Pavlov index in patients undergoing surgery for multilevel cervical spondylotic myelopathy was lower than in normal Vietnamese. Torg-Pavlov index in patients < 60 years old, female tends to be higher than patients ≥60 years old, male.

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References

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