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Functional outcomes assessment for cervical degenerative disease.
Langston T Holly1, Paul G Matz, Paul A Anderson
1Division of Neurosurgery, David Geffen School of Medicine, University of California at Los Angeles, California, USA.
Journal of Neurosurgery. Spine
|September 23, 2009
Summary
This systematic review identified valid and reliable functional outcome measures for cervical degenerative diseases. Key tools include the Myelopathy Disability Index and Neck Disability Index for assessing myelopathy and radiculopathy.
Area of Science:
- Orthopedics and Neurosurgery
- Evidence-Based Medicine
- Functional Outcome Measurement
Background:
- Cervical degenerative diseases necessitate reliable functional outcome assessment.
- Systematic review methodology was employed to identify validated measures.
- Evidence-based medicine principles guided the selection process.
Framework:
- Systematic literature search of National Library of Medicine and Cochrane Database.
- Inclusion criteria applied to abstracts and full studies.
- Quality of evidence classified using Classes I-III and expert consensus.
Implementation:
- Myelopathy Disability Index, Japanese Orthopaedic Association scale, 36-Item Short Form Health Survey, and gait analysis for cervical spondylotic myelopathy (Class II).
- Patient-Specific Functional Scale, North American Spine Society scale, and Neck Disability Index for nonoperative cervical radiculopathy (Class II).
- Cervical Spine Outcomes Questionnaire for operative cervical radiculopathy (Class II).
Implications:
- Provides clinicians with evidence-based tools for assessing functional outcomes in cervical degenerative disease.
- Facilitates standardized and reliable patient evaluation for myelopathy and radiculopathy.
- Supports informed treatment decisions and outcome tracking in cervical spine care.
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