Review Article
Cervical Laminoplasty for Multilevel Cervical Myelopathy
Table 1
Evaluation system for cervical myelopathy (compiled by the Japanese Orthopedic Association [
11]).
| Section score |
| | Points |
| (I) Upperextremity function | | Impossible to eat with either chopsticks or spoon | 0 | Possible to eat with spoon, but not with chopsticks | 1 | Possible to eat with chopsticks, but inadequate | 2 | Possible to eat with chopsticks, but awkward | 3 | Normal | 4 | (II) Lower extremity function | | Impossible to walk | 0 | Need cane or aid on flat ground | 1 | Need cane or aid on stairs | 2 | Possible to walk without cane or aids, but slow | 3 | Normal | 4 | (III) Sensory | | A Upper extremity | | Apparent sensory loss | 0 | Minimal sensory loss | 1 | Normal | 2 | B Lower extremity | | Apparent sensory loss | 0 | Minimal sensory loss | 1 | Normal | 2 | C Trunk | | Apparent sensory loss | 0 | Minimal sensory loss | 1 | Normal | 2 | (IV) Bladder function | | Urinary retention or incontinence | 0 | Severe dysuria (sense of retention, straining) | 1 | Slight dysuria (pollakiuria, retardation) | 2 | Normal | 3 |
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|
Normal condition = total of best score (I + II + III + IV) = 17 points.
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