Department of Neurosurgery, Faculty of Medicine, Karabük University, Karabük, Turkiye.
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Karabük University, Karabük, Turkiye.
Turk J Med Sci. 2024 Jun 6;54(4):727-734. doi: 10.55730/1300-0144.5842. eCollection 2024.
BACKGROUND/AIM: This study aimed to examine the relationships between severity of stenosis, pain, functional limitation, disability, and quality of life in patients with cervical spondylotic radiculopathy.
Patients (45 female, 19 male) with radiculopathy due to spondylotic changes in the cervical spine were included in this study. Stenosis severity (thecal sac cross-sectional area (CSA)), numbness, neck and arm pain severity, functional limitation (Cervical Radiculopathy Impact Scale), disability, and quality of life (EQ-5D-3L General Quality of Life Scale) were evaluated. The study was registered at ClinicalTrials.gov as NCT06001359.
According to CSA values, 28 (43.75%) patients had severe stenosis and 36 (56.25%) had moderate stenosis, and the average CSA was 81.65 ± 10.08 mm. Positive correlations were found between both neck and arm pain and neck disability (r = 0.597, r = 0.359), and negative correlations were found for the General Quality of Life Scale index score and EQ-5D-3L visual analog scale (r = -0.787, r = -0.518). There were significant positive correlations between Cervical Radiculopathy Impact Scale subscales and severity of stenosis, neck and arm pain, numbness, and disability (p < 0.05 for all). A significant negative correlation was observed between Cervical Radiculopathy Impact Scale subscales and quality of life (p < 0.01). Stenosis severity was correlated with pain, neck disability, and quality of life (p < 0.01 for all).
There are direct relationships between cervical spondylotic radiculopathy and neck and arm pain, numbness, disability, and quality of life. Additionally, an increase in the severity of cervical stenosis is associated with an increase in pain and disability.
背景/目的：本研究旨在探讨颈椎神经根型颈椎病患者的狭窄严重程度、疼痛、功能受限、残疾和生活质量之间的关系。
本研究纳入了因颈椎退行性改变而导致神经根病的患者（女性 45 例，男性 19 例）。评估狭窄严重程度（硬脊膜囊横截面积（CSA））、麻木、颈部和手臂疼痛严重程度、功能受限（颈椎神经根病影响量表）、残疾和生活质量（EQ-5D-3L 一般生活质量量表）。该研究在 ClinicalTrials.gov 上注册为 NCT06001359。
根据 CSA 值，28 例（43.75%）患者存在严重狭窄，36 例（56.25%）患者存在中度狭窄，平均 CSA 为 81.65 ± 10.08 mm。颈部和手臂疼痛与颈部残疾之间存在正相关（r = 0.597，r = 0.359），一般生活质量量表指数评分和 EQ-5D-3L 视觉模拟量表之间存在负相关（r = -0.787，r = -0.518）。颈椎神经根病影响量表的子量表与狭窄严重程度、颈部和手臂疼痛、麻木和残疾之间存在显著的正相关（p < 0.05）。颈椎神经根病影响量表的子量表与生活质量之间存在显著的负相关（p < 0.01）。狭窄严重程度与疼痛、颈部残疾和生活质量相关（p < 0.01）。
颈椎神经根型颈椎病与颈部和手臂疼痛、麻木、残疾和生活质量之间存在直接关系。此外，颈椎狭窄严重程度的增加与疼痛和残疾的增加有关。
