Correlation of neural foraminal motion after surgical treatment of cervical radiculopathy with long-term patient reported outcomes
| Autor: | Yener N. Yeni, Victor Chang, Daniel Oravec, Azam Basheer, Timothy G. Baumer, Stephen Bartol, Michael J. Bey |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Neck pain Visual analogue scale business.industry medicine.medical_treatment medicine.disease Arthroplasty Correlation 03 medical and health sciences 0302 clinical medicine Spinal fusion Orthopedic surgery medicine Cervical spondylosis Original Study Orthopedics and Sports Medicine Surgery 030212 general & internal medicine Radiology medicine.symptom Range of motion business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Spine Surgery. 6:18-25 |
| ISSN: | 2414-4630 2414-469X |
| Popis: | BACKGROUND: Post-surgical changes in adjacent segment motion are considered a factor in further development of degeneration and cervical radiculopathy. The objective was to examine the extent of correlations between physiological motion of cervical foramina and long-term patient reported outcomes (PRO). METHODS: Biplane X-ray imaging and CT-based markerless tracking were used to measure 3D static and dynamic dimensions during neck axial rotation and extension from 18 patients treated for C5–6 radiculopathy with fusion or arthroplasty. Minimum foraminal height (FH.Min) and width (FW.Min), and their range (FH.Range and FW.Range) achieved during a motion task were calculated for adjacent levels (C4–5 and C6–7) at 2.0±0.6 years post-surgery. The modified Japanese Orthopedic Association score (mJOAS), the Neck Disability Index (NDI) including the visual analogue scale (VAS) for neck and arm pain, and the EuroQol EQ-5D score were recorded at 6.5±1.1 years post-surgery. The relationships between 6.5-year outcomes and 2-year foraminal motion were examined using regression. RESULTS: Worsening patient-reported outcomes were generally associated with lower values of FW.Min (P |
| Databáze: | OpenAIRE |
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