Construction of a nomogram for predicting the prognosis of patients with cervical spondylotic myelopathy: a retrospective study

Abstract Cervical spondylotic myelopathy (CSM) is a neurological disorder characterized by degenerative changes in the spinal cord and compression of the spinal cord and its adjacent structures due to various reasons, such as intervertebral disc herniation. The Japan Orthopaedic Association score is...

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Main Authors: He Ling, Gaoyong Deng, Shaohuai Xia, Wencai Li, Rongbin Lu, Mingjian Lin, Zhao Huang
Format: Article
Language:English
Published: Nature Portfolio 2024-12-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-83429-w
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author He Ling
Gaoyong Deng
Shaohuai Xia
Wencai Li
Rongbin Lu
Mingjian Lin
Zhao Huang
author_facet He Ling
Gaoyong Deng
Shaohuai Xia
Wencai Li
Rongbin Lu
Mingjian Lin
Zhao Huang
author_sort He Ling
collection DOAJ
description Abstract Cervical spondylotic myelopathy (CSM) is a neurological disorder characterized by degenerative changes in the spinal cord and compression of the spinal cord and its adjacent structures due to various reasons, such as intervertebral disc herniation. The Japan Orthopaedic Association score is a disease-specific outcome tool that provides quantitative measurements for CSM patients. At present, no scholars have developed a model that can directly predict the prognosis of CSM patients. This study used binary logistic regression analysis to identify clinical independent predictive factors, and then used R language to construct a nomogram. The results showed that Hb (0.71 [0.51, 0.99]), LYM (0.32 [0.22, 0.46]), and ALB (0.32 [0.23, 0.45]) were independent predictive factors. Good prediction performance with modest errors was shown by the nomogram in both the training and validation groups. Hb, LYM, ALB are independent predictors of the prognosis of ACDF in CSM patients. The constructed nomogram can help clinicians assess and treat patients early, benefiting more patients.
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spelling doaj-art-214c1e02862c4f409e52fb717fb0f5f12025-01-05T12:26:46ZengNature PortfolioScientific Reports2045-23222024-12-0114111210.1038/s41598-024-83429-wConstruction of a nomogram for predicting the prognosis of patients with cervical spondylotic myelopathy: a retrospective studyHe Ling0Gaoyong Deng1Shaohuai Xia2Wencai Li3Rongbin Lu4Mingjian Lin5Zhao Huang6Department of Orthopedics Trauma and Hand Surgery, The First Affiliated Hospital of Guangxi Medical UniversityDepartment of Spine Surgery, The Affiliated Hospital of Guilin Medical UniversityDepartment of Neurotumor, Beijing Xiaotangshan HospitalDepartment of Orthopedics Trauma and Hand Surgery, The First Affiliated Hospital of Guangxi Medical UniversityDepartment of Orthopedics Trauma and Hand Surgery, The First Affiliated Hospital of Guangxi Medical UniversityDepartment of Neurosurgery, Gaozhou People’s HospitalDepartment of Orthopedics Trauma and Hand Surgery, The First Affiliated Hospital of Guangxi Medical UniversityAbstract Cervical spondylotic myelopathy (CSM) is a neurological disorder characterized by degenerative changes in the spinal cord and compression of the spinal cord and its adjacent structures due to various reasons, such as intervertebral disc herniation. The Japan Orthopaedic Association score is a disease-specific outcome tool that provides quantitative measurements for CSM patients. At present, no scholars have developed a model that can directly predict the prognosis of CSM patients. This study used binary logistic regression analysis to identify clinical independent predictive factors, and then used R language to construct a nomogram. The results showed that Hb (0.71 [0.51, 0.99]), LYM (0.32 [0.22, 0.46]), and ALB (0.32 [0.23, 0.45]) were independent predictive factors. Good prediction performance with modest errors was shown by the nomogram in both the training and validation groups. Hb, LYM, ALB are independent predictors of the prognosis of ACDF in CSM patients. The constructed nomogram can help clinicians assess and treat patients early, benefiting more patients.https://doi.org/10.1038/s41598-024-83429-wCervical spondylotic myelopathyAnterior cervical discectomy and fusionPrognosisNomogram
spellingShingle He Ling
Gaoyong Deng
Shaohuai Xia
Wencai Li
Rongbin Lu
Mingjian Lin
Zhao Huang
Construction of a nomogram for predicting the prognosis of patients with cervical spondylotic myelopathy: a retrospective study
Scientific Reports
Cervical spondylotic myelopathy
Anterior cervical discectomy and fusion
Prognosis
Nomogram
title Construction of a nomogram for predicting the prognosis of patients with cervical spondylotic myelopathy: a retrospective study
title_full Construction of a nomogram for predicting the prognosis of patients with cervical spondylotic myelopathy: a retrospective study
title_fullStr Construction of a nomogram for predicting the prognosis of patients with cervical spondylotic myelopathy: a retrospective study
title_full_unstemmed Construction of a nomogram for predicting the prognosis of patients with cervical spondylotic myelopathy: a retrospective study
title_short Construction of a nomogram for predicting the prognosis of patients with cervical spondylotic myelopathy: a retrospective study
title_sort construction of a nomogram for predicting the prognosis of patients with cervical spondylotic myelopathy a retrospective study
topic Cervical spondylotic myelopathy
Anterior cervical discectomy and fusion
Prognosis
Nomogram
url https://doi.org/10.1038/s41598-024-83429-w
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