Patients with spur cells had more advanced liver disease higher Child-Pugh score (9.4 ± 2.2 vs 8.0 ± 1.9, p=0.006) and higher prevalence in Child-Pugh C cirrhosis compared with Child-Pugh B / A cirrhosis (70.8% vs 31.4% and 23.7%, respectively, p<0.05).