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Table 2 Modified Frankel grading scale

From: Clinical results of multidisciplinary therapy including palliative posterior spinal stabilization surgery and postoperative adjuvant therapy for metastatic spinal tumor

Grade

Neurological status

A

Complete motor and sensory loss

B

Preserved sensation only, voluntary motor function absent

C

Preserved motor less than fair grade (nonfunctional for any useful purpose)

D1

Preserved motor at lowest functional grade (3 +/5 +) and/or with bowel or bladder dysfunction

D2

Preserved motor at midfunctional grade (3 + to 4 +/5 +) and/or neurologic bowel or bladder dysfunction

D3

Preserved motor at high-function grade (4 + to 5 +) and normal voluntary bowel or bladder function

E

Complete motor and sensory function normal (may still have abnormal reflexes)