Outcome Evaluation of Operative Management of Cervical Compressive Myelopathy-Comparison between JOA Score and SF-36-

Accession number;05A0860696
Title;Outcome Evaluation of Operative Management of Cervical Compressive Myelopathy-Comparison between JOA Score and SF-36-
Author; NOZAKI KENJI (Shimanedai Seikeigeka) MATSUSAKI MASAHIKO (Shimanedai Seikeigeka) KAKIMARU HIROYUKI (Shimanedai Seikeigeka) UCHIO YUJI (Shimanedai Seikeigeka)
Journal Title;Journal of the Chugoku-Shikoku Orthopaedic Association
Journal Code:L0775A
ISSN:0915-2695
VOL.17;NO.2;PAGE.283-286(2005)
Figure&Table&Reference;FIG.4, TBL.1, REF.4
Pub. Country;Japan
Language;Japanese
Abstract;The authors assessed clinical outcome and health-related quality of life (HRQOL) in patients who have undergone cervical decompression. The study involved a prospective cohort of 10 surgically treated patients (eight men and two women, aged: 51-82 years) with cervical compression myelopathy. The clinical state and HRQOL of the patients were assessed by the scoring system of the Japanese Orthopaedic Association (JOA score) and the MOS 36-item short form health survey (SF-36) before treatment and after 6 months after surgery. The results of both instruments were compared. JOA score showed that clinical state improved after surgery (preoperative score: 10.5.+-.3.4, postoperative score: 14.0.+-.3.0). Three SF-36 categories (VT, SF, and MH) improved after surgery. However, neither the mental nor the physical summary component of the SF-36 score demonstrated improvement. No significant correlation was observed between the improvements in JOA and SF-36 scores. These results suggest that the objective (doctor-oriented) outcome evaluated by the JOA is not correlated to the HRQOL. (author abst.)
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