Cervical spondylotic radiculopathy: the role of conservative management

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

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Abstract

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.

Item Type:	Article (Electronic Media)
Additional Information:	3660/70755
Uncontrolled Keywords:	Cervical spondylotic radiculopathy, conservative management
Subjects:	R Medicine > RD Surgery > RD701 Orthopedics
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Department of Orthopaedics, Traumatology & Rehabilitation Kulliyyah of Medicine
Depositing User:	Dr RAJANDRA KUMAR KARUPIAH
Date Deposited:	06 Mar 2019 14:30
Last Modified:	06 Mar 2019 14:30
URI:	http://irep.iium.edu.my/id/eprint/70755

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