Nurick reported a scale for grading the severity of cervical myelopathy. It is similar to the ECOG scale. The author is from Guy’s Hospital and National Hospital in London.
Patient selection: cervical myelopathy
Parameters:
(1) signs and symptoms of root involvement
(2) signs and symptoms of spinal cord disease
(3) difficulty walking
(4) disability
Root Involvement
Cord Disease
Walking
Disability
Grade
yes
no
none
none
0
yes
yes
none
none
1
yes
yes
slight
able to work full time
2
yes
yes
difficult, but does not need assistance
unable to do all work
3
yes
yes
very difficult, need help or the use of a walking frame
significant
4
yes
yes
chair or bed bound
significant
5
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