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Some clinical features and image diagnosis features in patients with multi-level cervical stenosis

Objectives: To describe some clinical and imaging diagnosis features of patients with multilevels cervical stenosis. Subjects and methods: Prospective study, clinical and imaging diagnosis description of 31 cases that had multi-levels cervical stenosis at 108 Central Military Hospital from February, 2011 to October, 2015. | Journal of military pharmaco-medicine n08-2017 SOME CLINICAL FEATURES AND IMAGE DIAGNOSIS FEATURES IN PATIENTS WITH MULTI-LEVEL CERVICAL STENOSIS Nguyen Khac Hieu*; Pham Hoa Binh*; Vu Van Hoe** SUMMARY Objectives: To describe some clinical and imaging diagnosis features of patients with multilevels cervical stenosis. Subjects and methods: Prospective study, clinical and imaging diagnosis description of 31 cases that had multi-levels cervical stenosis at 108 Central Military Hospital from February, 2011 to October, 2015. Results and conclusion: The average age of patients was 56.8 years. The male/female ratio was 2.1/1. The average illness duration was 16.19 months. The patient's clinical condition was evaluated by JOA scale before surgery with 0 an average JOA score of 7.65 ± 4.28. The median lordosis angle was 22.35 and average ROM 0 angle was 45.26 . Torg- avlov’s ratio of C5 was 0.64. The average diameter of anteroposterior (AP) of the cervical spinal canal on CT-Scanner at C3 was 10.52 mm, C4: 9.78 mm; C5: 9.57 mm; C6: 9.95 mm; C7: 11.63 mm. Spinal cord hyperintensity on T2-weighted magnetic resonance imaging (MRI) was 96.8%. * Keywords: Cervical stenosis; Clinical features; Imaging diagnosis. INTRODUCTION Cervical stenosis resulting from degeneration is a common spine disease in middle-aged people. It has various clinical symptoms at varying degrees such as neck pain, shoulder pain, radiculopathy or myelopathy. Treatment of cervical stenosis restores neurological functions, relieves pain, helps patients recuperate and bring them back to normal life. There are many treatment procedures that depend on the stage of the disease such as conservative treatment to operation. The diagnosis of cervical stenosis resulting from degeneration is based on clinical examination and imaging diagnostic tests. The right diagnosis of this disease helps to make appropriate treatment. Based on these reasons, the aim of this study is: To describe some clinical and .