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

被引：0
作者：
Ling, He [1 ]
Deng, Gaoyong [2 ]
Xia, Shaohuai [3 ]
Li, Wencai [1 ]
Lu, Rongbin [1 ]
Lin, Mingjian [4 ]
Huang, Zhao [1 ]
机构：
[1] Guangxi Med Univ, Affiliated Hosp 1, Dept Orthoped Trauma & Hand Surg, 6 ShuangYong Rd, Nanning 530022, Guangxi, Peoples R China
[2] Guilin Med Univ, Affiliated Hosp, Dept Spine Surg, Guilin 541001, Guangxi, Peoples R China
[3] Beijing Xiaotangshan Hosp, Dept Neurotumor, Beijing 102211, Peoples R China
[4] Gaozhou Peoples Hosp, Dept Neurosurg, Gaozhou 525200, Guangdong, Peoples R China
来源：
SCIENTIFIC REPORTS | 2024年 / 14卷 / 01期
关键词：
Cervical spondylotic myelopathy; Anterior cervical discectomy and fusion; Prognosis; Nomogram; SURVIVAL;
D O I：
10.1038/s41598-024-83429-w
中图分类号：
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号：
07 ; 0710 ; 09 ;
摘要：
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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页数：12
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