Return-to-Work Status Following One- and Two-Level Anterior Cervical Discectomy and Fusions: A Prospective Cohort Study.
| Autor: | Mirzamohammadi E; Occupational Medicine Department, School of Medicine, Iran University of Medical Sciences, Tehran, IRN., Qasemian N; Occupational Medicine Department, School of Medicine, Iran University of Medical Sciences, Tehran, IRN., Kassiri N; Occupational Medicine Department, School of Medicine, Iran University of Medical Sciences, Tehran, IRN., Mohammadi S; Occupational Medicine Department, School of Medicine, Iran University of Medical Sciences, Tehran, IRN., Hatam J; Department of Neurosurgery, Hazrat Rasool Akram Hospital, Iran University of Medical Sciences, Tehran, IRN., Ghandhari H; Bone and Joint Reconstruction Research, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, IRN. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2022 Aug 01; Vol. 14 (8), pp. e27546. Date of Electronic Publication: 2022 Aug 01 (Print Publication: 2022). |
| DOI: | 10.7759/cureus.27546 |
| Abstrakt: | Background: The purpose of this article was to determine the rate of return to work (RTW) and contributing factors after a one- and two-level anterior cervical discectomy and fusion (ACDF), a common spine surgery. Recognizing the contributing factors to RTW of occupationally active patients is important. Methodology: In this study, 68 patients were examined at three, six, and nine months after ACDF by the same team and same spinal surgeon at a single medical center, and the rate of RTW and contributing factors were determined. In this study, relationships were analyzed by the logistic regression method. Results: The results of this study demonstrated that 77.9%, 82.4%, and 82.4% of workers had returned to work after three, six, and nine months, respectively. At nine months, 82.4% of the patients had returned to work, 19.6% returned to part-time work, and 80.4% had returned to their previous work. Conversely, 17.6% of the patients had not returned to work after nine months. In the logistic regression analysis, older age, longer absence from work before surgery, and less employer support were the related factors for no RTW. Conclusions: Per the results, it may be concluded that nearly 82% of patients with ACDF had returned to work after nine months of follow-up. Lack of RTW is affected by older age, longer absence from work before surgery, and employer support. Planning according to these variables can reduce the burden of the problem. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Mirzamohammadi et al.) |
| Databáze: | MEDLINE |
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