TORG-PAVLOV INDEX ON RADIOGRAPH AND MAGNETIC RESONANCE IMAGING OF PATIENTS UNDERGOING SURGERY FOF MULTILEVEL CERVICAL SPONDYLOTIC MYELOPATHY AT BACH MAI HOSPITAL
Main Article Content
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.
Article Details
Keywords
Torg-Pavlov index, multilevel cervical spondylotic myelopathy, cervical degeneration
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