The Establishment Of Spinal Comprehensive Score Management System And Its Clinical Application

objective:(1)To establish spinal comprehensive score management system?(2)To follow the clinical data in patients with LDH at preoperative and after PLIF surgery, then compare the speed of recovery of different sensory symptoms,pain,numbness,and paresthesia.Methods:(1)To establish spinal comprehensive score management system which base on mobile termination to quantify some sensory modality,such as pain,numbness and paresthesia (2)Patients with predominant lumbar radiculopathy treated surgically were reviewed with spinal comprehensive score management system at preoperative and at 3 months,6 months,and 1-yesr follow-up were reviewed.After that recovery rate between different sensory symptoms wereResults:(1)At bbaseline,95patients had pain,78 had numbness,and51 had paresthesia? 32 had all these 3 componentof sensory symptoms.(2)The preoperative mean pain score was 161.3±18.2,which impproved.to 59.2?9.5 at 3months postoperatively(compared with p<0.05). Pain continued to improve at a slow but steady psce,reaching 51.5±10.3(p<0.05) at 6-month follow-up and 44.3±9.2(p>0.05) at 1-year follow-up, but the difference comparative with previous visits were not significant.(3)The monbness seore decreased from 79.5±10.3 to 55.3±10.1 at 3 moaths,and after that,the numbness decreased to 45.2±10.5 at 1-year follow-up.There was no significant changge seen beteen preoperative and each successive postoperative follow-up visit.(4)The mean paresthesin score was 41.3±8.7 at properative visit, which decreased slowly to 20.5±8.3 at 1-yeaar follow-up. No significant change was seen between preoperative and each successive postoperative follow-up visit. (5)The baseline mean ODI score was 56.5 ± 1.9,which decreased to 35.2 ±2.5 at 3 months postoperatively(p<0.05).After that, the changes compared with previous visits were not significant. (6)The mean SF-36 score was improved from 71.2±1.4 to 83.5±1.9 at 3-month follow-up(p<0.05), but further improvement was insignificant.Conclusion:It is more convenient and straightforward to collect patient clinical data with spinal comprehensive score management system. In lumbar radiculopathy patients after surgical decompression, pain recovers fastest, in the first 3 months postoperatively, followed by paresthesia recovery that plateaus at 6 months postoperatively. Numbness recovers at a slower pace but continues until 1 year.