![]() ![]() Spurling's test had a sensitivity of 92% and specificity of 95% with positive predictive value (PPV) of 96.4% and negative predictive value (NPV) of 90.9% in predicting a diagnosis of a soft lateral cervical disc prolapse. The results of the Spurling's test were compared with the surgical or MR findings, which were considered as the gold standard. ![]() In Group 2 patients, the MR findings were recorded as positive for a soft disc prolapse or negative (no disc prolapse or osteophyte only). In patients in Group 1, the operative findings were recorded as a soft or hard disc prolapse (osteophyte). A Spurling's test was performed in all patients and scored as positive or negative. A prospective study was performed involving 50 patients with neck and arm pain of these, 25 patients were managed surgically (Group 1) and the other 25 patients were managed conservatively (Group 2). The purpose of this study was to determine the sensitivity and specificity of the Spurling's test in predicting the diagnosis of a soft lateral cervical disc prolapse. ![]()
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