Toh E, Arima T, Mochida J, Omata M, Matsui S
Department of Orthopaedic Surgery, Hakone National Hospital, Kanagawa, Japan.
Spinal Cord. 1998 Jul;36(7):491-6. doi: 10.1038/sj.sc.3100606.
Patient evaluation using Zancolli's classification for cervical cord injuries uses easily understood criteria and accurately defines the state of disability in Frankel grade A or B patients. However, this classification cannot be used in Frankel grade C patients even though they also cannot walk. We compared the Zancolli classification with American Spinal Injury Association (ASIA) motor scores in evaluating self-care in Frankel grade C patients. The Zancoli classification was found to correlate closely with the ASIA motor score. The threshold of ability to perform self-care in areas such as urinary toileting and wheelchair mobility occurred approximately between C6A and C6B 1 in the Zancolli classification in Frankel grade A and B patients and at the level of about 30 points in the ASIA motor score in Frankel grade C patients. The ASIA motor score is helpful in defining functional motor status in Frankel grade C patients with cervical spinal cord injuries.
使用赞科利（Zancolli）颈椎脊髓损伤分类法对患者进行评估，采用的标准易于理解，并且能准确界定弗兰克（Frankel）分级为A或B级患者的残疾状态。然而，即便弗兰克分级为C级的患者也无法行走，但该分类法却不适用于他们。我们比较了赞科利分类法与美国脊髓损伤协会（ASIA）运动评分在评估弗兰克分级为C级患者自理能力方面的情况。结果发现，赞科利分类法与ASIA运动评分密切相关。在弗兰克分级为A和B级的患者中，赞科利分类法中，诸如自行排尿和轮椅移动等自理能力的阈值大约出现在C6A和C6B 1之间；而在弗兰克分级为C级的患者中，ASIA运动评分约为30分时出现该阈值。ASIA运动评分有助于界定颈椎脊髓损伤的弗兰克分级为C级患者的功能性运动状态。
