Prevalence of Cervical Spondylotic Myelopathy Among Patients with Cervical Spondylosis

Authors

  • Rafia Shahzadi Student, University of Lahore, Gujrat campus https://orcid.org/0009-0007-6513-8210
  • Raheela Kousar Lecturer, University of Lahore, Gujrat Campus https://orcid.org/0000-0002-1597-4786
  • Muhammad Zain Student, University of Lahore, Gujrat Campus
  • Farooq Islam Assistant professor and HOD, University of Lahore, Gujrat Campus
  • Asim Raza Lecturer, University of Lahore, Gujrat Campus

DOI:

https://doi.org/10.47672/ajhmn.1615

Keywords:

Cervical Spondylosis, Cervical myelopathy, Cervical spondylotic myelopathy, Prevalence

Abstract

Purpose: To calculate the prevalence of cervical spondylotic myelopathy among patients with cervical spondylosis.

Methodology: The cross-sectional study was conducted in district Gujrat and Gujranwala on patients with cervical spondylosis in order to evaluate the prevalence of cervical spondylotic myelopathy among them. Data (n=186) was collected through non-probability convenient sampling using a Japanese orthopedic association cervical myelopathy evaluation questionnaire with the reliability of 0.89-0.96 by making a personal visit to different clinics and hospitals in Gujrat.

Findings: The prevalence of cervical spondylotic myelopathy in patients with cervical spondylosis was 62.37%. The prevalence among different age group varied with the highest prevalence among age group 61-65 years old (30.2%). Moreover, it was higher in males than in females (52.6% vs 47.4%). The study also observed significant association between age and prevalence of cervical spondylotic myelopathy as they have p-value (0.000). This study concluded that the prevalence of cervical spondylotic myelopathy is high in cervical spondylosis patients. It appears that advance age may be the factor responsible for cervical spondylotic myelopathy, as cervical spondylosis is more prevalent in older individuals.

Recommendations: There is a need to investigate the impact of lifestyle factors such as physical activity and posture on the frequency and severity of cervical spondylotic myelopathy. Both clinical assessment and imaging techniques should be considered to accurately diagnose and evaluate the severity of CSM. To explore potential correlation between the duration and progression of cervical spondylosis and development of CSM further studies should be conducted.

Downloads

Download data is not yet available.

References

Singh S, Kumar D, Kumar S. Risk factors in cervical spondylosis. Journal of clinical orthopaedics and trauma 2014; 5(4): 221-6.

Reddy RS, Tedla JS, Dixit S, Abohashrh M. Cervical proprioception and its relationship with neck pain intensity in subjects with cervical spondylosis. BMC musculoskeletal disorders 2019; 20(1): 1-7.

Kuo DT, Tadi P. Cervical spondylosis. StatPearls [Internet]: StatPearls Publishing; 2022.

Lv Y, Tian W, Chen D, Liu Y, Wang L, Duan F. The prevalence and associated factors of symptomatic cervical Spondylosis in Chinese adults: a community-based cross-sectional study. BMC Musculoskeletal Disorders 2018; 19: 1-12.

Iheukwumere N, Okoye E. Prevalence of symptomatic cervical spondylosis in a Nigerian tertiary health institution. Tropical Journal of Medical Research 2014; 17(1): 25.

Alare K, Omoniyo T, Adekanle T. Postural Predisposition to Cervical Spondylosis Among Housewives, Teachers, Computers and Smart Phones Users. International Journal of Neurologic Physical Therapy 2021; 7(2): 14.

Wang S-J, Ma B, Huang Y-F, Pan F-M, Zhao W-D, Wu D-S. Four-level anterior cervical discectomy and fusion for cervical spondylotic myelopathy. Journal of Orthopaedic Surgery 2016; 24(3): 338-43.

Smith ZA, Barry AJ, Paliwal M, Hopkins BS, Cantrell D, Dhaher Y. Assessing hand dysfunction in cervical spondylotic myelopathy. PloS one 2019; 14(10): e0223009.

Mardhika PE. Cervical spondylotic myelopathy: pathophysiology and surgical approaches. Recent Adv Biol Med 2017; 3(2017): 2657.

SaterenZoller E, Cannella D, Chyatte D, Fogelson J, Sharma M. Diagnosis and medical and surgical management of cervical spondylotic myelopathy. JAAPA 2015; 28(10): 29-36.

Tetreault L, Goldstein CL, Arnold P, et al. Degenerative cervical myelopathy: a spectrum of related disorders affecting the aging spine. Neurosurgery 2015; 77: S51-S67.

Choi SH, Kang C-N. Degenerative cervical myelopathy: pathophysiology and current treatment strategies. Asian spine journal 2020; 14(5): 710.

Iyer A, Azad TD, Tharin S. Cervical spondylotic myelopathy. Clinical spine surgery 2016; 29(10): 408-14.

Bakhsheshian J, Mehta VA, Liu JC. Current diagnosis and management of cervical spondylotic myelopathy. Global spine journal 2017; 7(6): 572-86.

Inoue T, Soshi S, Kubota M, Marumo K. Efficacy of laminoplasty in improving sensory disturbances in patients with cervical spondylotic myelopathy: a prospective study. World Neurosurgery 2020; 134: e581-e8.

Bai J, Yu K, Sun Y, Kong L, Shen Y. Prevalence of and risk factors for Modic change in patients with symptomatic cervical spondylosis: an observational study. Journal of Pain Research 2018: 355-60.

Ahmed SB, Qamar A, Imram M, Fahim MF. Comparison of neck length, relative neck length and height with incidence of cervical spondylosis. Pakistan Journal of Medical Sciences 2020; 36(2): 219.

Houten JK, Lenart C. Diabetes and cervical myelopathy. Journal of Clinical Neuroscience 2016; 27: 99-101.

Wang C, Tian F, Zhou Y, He W, Cai Z. The incidence of cervical spondylosis decreases with aging in the elderly, and increases with aging in the young and adult population: a hospital-based clinical analysis. Clinical interventions in aging 2016: 47-53.

Rahaman K, Asha AC, Islam M, Mandal A, Islam T, Karim NB. Features of neck pain and its related factors among patients with cervical spondylosis. Epidemiology and Health System Journal 2018; 5(3): 92-7.

Moon M-S, Yoon M-G, Park B-K, Park M-S. Age-related incidence of cervical spondylosis in residents of Jeju Island. Asian spine journal 2016; 10(5): 857.

Tian W, LV Y, Liu Y, Xiao B, Han X. A cross-sectional study on cervical spondylosis among adults in Beijing. Chinese Journal of Orthopaedics 2012: 707-13.

Oguntona S. Cervical spondylosis in South West Nigerian farmers and female traders. Annals of African medicine 2014; 13(2): 61-4.

Olarinoye-Akorede SA, Ibinaiye PO, Akano A, Hamidu AU, Kajogbola GA. Magnetic Resonance Imaging findings in cervical spondylosis and cervical spondylotic myelopathy in Zaria, Northern Nigeria. Sub-Saharan African Journal of Medicine 2015; 2(2): 74.

Alshami AM. Prevalence of spinal disorders and their relationships with age and gender. Saudi medical journal 2015; 36(6): 725.

Prabakaran S, Raghvi A, Roselin V, RB NN, Rajasekaran S. Prevalence of Cervical Spondylosis among Cases with Vertigo in a Tertiary Care Center. International Journal of Recent Surgical and Medical Sciences 2022.

Downloads

Published

2023-10-13

How to Cite

Shahzadi, R. ., Kousar, R. ., Zain, M. ., Islam, F. ., & Raza, A. . (2023). Prevalence of Cervical Spondylotic Myelopathy Among Patients with Cervical Spondylosis. American Journal of Health, Medicine and Nursing Practice, 9(3), 28–41. https://doi.org/10.47672/ajhmn.1615