Nurick Classification
Introduction[edit | edit source]
The Nurick classification is a widely used scale used to assess functional disability in patients with cervical spondylotic myelopathy.
Signs and Symptoms[edit | edit source]
Clinical signs and symptoms observed in cervical myelopathy patients include: [1]
- Weakness
- Impaired gait
- Hands numbness
- Neck pain
- Arm pain
Nurick Classification[edit | edit source]
The Nurick classification is the oldest classification, proposed in 1972. This is widely used to grade the degree of ambulatory status. Therefore, walking disturbances can be classified based on the Nurick classification. This scale relates lower-limb mobility to employability. Nurick classifies myelopathy symptoms on a 6-grade scale. The categories range from a grade of zero to five, where zero means that the patient only has root symptoms and grade five implies that the patient is either wheelchair-bound or bedridden.[2]
Grade Classification[edit | edit source]
Grade 0: Root symptoms only or normal
Grade 1: Signs of cord compression; normal gait
Grade 2: Gait difficulties but fully employed
Grade 3: Gait difficulties prevent employment; walks unassisted
Grade 4: Unable to walk without assistance.
Garde 5: Wheelchair or bed-bound[1]
Correaltion between Nurick grade and Japanese Orthopedic Association Score[edit | edit source]
mJOA and Nurick grade asssess different modes of fnuctionality.aA correlation was conducted to asseses the relationshpd between these two. The correlatin betweenthe Nurick-Grade mJ Ascore w strongerrt in patients with moderate myelopathy than in those with mild or severe ones. In conclusion, both Nurick n mdnJOA scores are used to check for a more comprehensive scoring systetm hat covres all aspects of function in a patient with cervical spoylitisscyeeklopat.hy[2]
- ↑ 1.0 1.1 Mehmet Zileli, Sachin Borkar, Sinha S, Jutty K B C Parthiban. Cervical Spondylotic Myelopathy: Natural Course and the Value of Diagnostic Techniques –WFNS Spine... [Internet]. ResearchGate. The Korean Spinal Neurosurgery Society (KAMJE); 2019 [cited 2023 Nov 26]. Available from: https://www.researchgate.net/publication/336143566_Cervical_Spondylotic_Myelopathy_Natural_Course_and_the_Value_of_Diagnostic_Techniques_-WFNS_Spine_Committee_Recommendations
- ↑ 2.0 2.1 Muhamad F, Baha A, Haynes G, Zachary Adam Smith. Isolating Neurologic Deficits in Cervical Spondylotic Myelopathy: A Case-Controlled Study, Using the NIH... [Internet]. ResearchGate. American Academy of Orthopaedic Surgeons; 2023 [cited 2023 Nov 26]. Available from: https://www.researchgate.net/publication/369104430_Isolating_Neurologic_Deficits_in_Cervical_Spondylotic_Myelopathy_A_Case-Controlled_Study_Using_the_NIH_Toolbox_Motor_Battery
