Cervical spondylotic myelopathy
Conditions
Interventions
traction parameters (such as traction Angle, weight, and time) were adjusted according to the MRI results:None
receiving other conservative treatment except traction:None
Sponsors
The First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine
Eligibility
Sex/Gender
All
Age
18 Years to 60 Years
Inclusion criteria
Inclusion criteria: 1. Meet the diagnostic criteria for cervical spondylotic myelopathy: Refer to the relevant standards in "Surgery" (9th edition) and "Traditional Chinese Medicine Orthopedics and Traumatology," combined with clinical symptoms (limb numbness, weakness, unsteady walking), physical signs (hyperactive tendon reflexes, positive pathological signs), and cervical MRI imaging evidence (spinal cord compression). 2. Age 18-60 years (based on the age at the time of consultation), any gender. 3. Disease course >3 months (calculated from the first occurrence of CSM-related symptoms and confirmed diagnosis, based on the time recorded in the medical record under "chief complaint" and "current medical history"). 4. Received the corresponding treatment in previous diagnosis and treatment with complete records: patients in the experimental group previously received traction therapy, and all underwent dynamic MRI examination before traction to adjust traction parameters (angle, weight, time) according to imaging results; patients in the control group previously received conservative treatment other than traction (such as cervical physiotherapy, oral neurotrophic drugs, non-steroidal anti-inflammatory drugs, etc.), with complete treatment records. 5. No record of oral, intravenous, intramuscular, or soft tissue injection of glucocorticoids in the 4 weeks prior to receiving the corresponding treatment in this study.
Exclusion criteria
Exclusion criteria: 1. Participated in or are currently participating in other clinical studies within the past 3 months (as recorded in the medical record under "Clinical Study Participation History," "Informed Consent Form Signing Record," or based on investigator inquiry records). 2. Previously received standard non-surgical therapy (such as standardized cervical traction, systematic physical therapy, medication treatment, etc.) for at least 6 months without effect, and symptoms continue to worsen (determined based on previous treatment records and symptom descriptions and functional score changes in follow-up logs). 3. Medical records indicate patients who, during prior treatment, used interventions for the current study’s condition without authorization (e.g., experimental group additionally underwent cervical surgery, control group self-administered traction therapy). 4. History of severe cervical trauma (e.g., cervical fracture, dislocation) or cervical surgery (confirmed by "Past History" records and imaging results such as cervical X-ray, CT, MRI). 5. Pregnant or breastfeeding at the time of visit (based on medical records under "Marriage and Childbearing History" or "Medical History Inquiry Records"). 6. Laboratory results within 1 week prior to treatment indicating heart, liver, kidney, or hematopoietic function damage based on blood routine, liver function (ALT, AST), kidney function (creatinine, urea nitrogen), etc. (judged according to the reference ranges of the hospital laboratory). 7. Medical records clearly document a history of opioid analgesics (such as morphine, oxycodone), sedative-hypnotic drugs (such as diazepam, zolpidem), and alcohol abuse.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Modified Japanese Orthopedic Association Cervical Spine and Spinal Cord Function Score; | — |
Secondary
| Measure | Time frame |
|---|---|
| Visual analogue scale score;Cervical disability index; | — |
Countries
China
Contacts
Public ContactZhong Yuanming
The First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine
Outcome results
None listed