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12-04-2023 | Syringomyelia | Original article

A novel scoring system for assessing adult syringomyelia associated with CM I treatment outcomes

Authors: Jian Guan, Chenghua Yuan, Qingyu Yao, Yueqi Du, Zeyu Fang, Lei Zhang, Shanhang Jia, Can Zhang, Zhenlei Liu, Kai Wang, Wanru Duan, Zuowei Wang, Xingwen Wang, Hao Wu, Zan Chen, Fengzeng Jian

Published in: Acta Neurologica Belgica | Issue 3/2023

Abstract

Background

A specific scoring system for syringomyelia is lacking. Our objective was to investigate the value of a novel scoring system (Syringomyelia Outcome Scale of Xuanwu hospital, SOS-XW) in assessing surgical outcomes in the treatment of syringomyelia (SM) associated with Chiari malformation type I (CM I).

Methods

A quantitative evaluation system (SOS-XW) of SM includes 4 parameters: pain (P), sensation (S), movement (M), and syringomyelia tension index (STI). The clinical data of 88 patients with CM I-related syringomyelia treated by foramen magnum and Magendie dredging (FMMD) from January 2018 to January 2019 were retrospectively analysed with a mean follow-up of 14.3 months, and the SOS-XW score was used to assess the efficacy.

Results

The higher the SOS-XW score, the more severe was the SM and related symptoms. The mean preoperative score was 5.97, and the postoperative score was 2.66. The symptom improvement rates were 77.78% for P, 69.01% for S, 31.82% for M, and 95.06% for the syringomyelia tension index (STI). The symptom improvement rate of the PSM score was weakly correlated with the improvement rate of STI, R² = 0.0016. The percentage of PSM (P + S + M) improvement was lower in patients with an STI of 0. The postoperative SOS-XW score was positively correlated with the postoperative JOA score, R² = 0.8314. The positive detection rate of SOS-XW was higher than that of the JOA score.

Conclusions

To evaluate the surgical procedure efficacy in the treatment of syringomyelia, the SOS-XW score can provide a more objective, detailed, and comprehensive analysis, especially STI. A reduction in STI is the practical standard for assessing the effectiveness of surgery.

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Title: A novel scoring system for assessing adult syringomyelia associated with CM I treatment outcomes
Authors: Jian Guan
Chenghua Yuan
Qingyu Yao
Yueqi Du
Zeyu Fang
Lei Zhang
Shanhang Jia
Can Zhang
Zhenlei Liu
Kai Wang
Wanru Duan
Zuowei Wang
Xingwen Wang
Hao Wu
Zan Chen
Fengzeng Jian
Publication date: 12-04-2023
Publisher: Springer International Publishing
Keywords: Syringomyelia
Chiari Malformation
Chiari Malformation
Published in: Acta Neurologica Belgica / Issue 3/2023
Print ISSN: 0300-9009
Electronic ISSN: 2240-2993
DOI: https://doi.org/10.1007/s13760-023-02264-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A novel scoring system for assessing adult syringomyelia associated with CM I treatment outcomes

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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