Improvements in Neck and Arm Pain Following an Anterior Cervical Discectomy and Fusion
| Autor: | Benjamin C. Mayo, Philip K. Louie, Dustin H. Massel, Kern Singh, Steven J. Fineberg, Bryce A. Basques, William W. Long, Ankur S. Narain, Krishna D. Modi, Fady Y. Hijji, Daniel D. Bohl |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Visual analogue scale medicine.medical_treatment Anterior cervical discectomy and fusion 03 medical and health sciences 0302 clinical medicine Retrospective analysis Humans Medicine Orthopedics and Sports Medicine Registries 030212 general & internal medicine Radiculopathy Retrospective Studies Neck pain Neck Pain business.industry Retrospective cohort study Middle Aged Surgery Spinal Fusion Treatment Outcome medicine.anatomical_structure Anesthesia Spinal fusion Arm Cervical Vertebrae Female Spinal Diseases Neurology (clinical) medicine.symptom business 030217 neurology & neurosurgery Neck Disability Index Diskectomy Cervical vertebrae |
| Zdroj: | Spine. 42:E825-E832 |
| ISSN: | 1528-1159 0362-2436 |
| DOI: | 10.1097/brs.0000000000001979 |
| Popis: | STUDY DESIGN A retrospective analysis. OBJECTIVE The aim of this study was to quantify improvements in Visual Analogue Scale (VAS) neck and arm pain, Neck Disability Index (NDI), and Short Form-12 (SF-12) Mental (MCS) and Physical (PCS) Composite scores following an anterior cervical discectomy and fusion (ACDF). SUMMARY OF BACKGROUND DATA ACDF is evaluated with patient-reported outcomes. However, the extent to which these outcomes improve following ACDF remains poorly defined. METHODS A surgical registry of patients who underwent primary, one- or two-level ACDF during 2013 to 2015 was reviewed. Comparisons of VAS neck and arm, NDI, and SF-12 MCS and PCS scores were performed using paired t tests from preoperative to each postoperative time point. Analysis of variance (ANOVA) was used to estimate the reduction in neck and arm pain over the first postoperative year. Subgroup analyses were performed for patients with predominant neck (pNP) or arm (pAP) pain, as well as for one- versus two-level ACDF. RESULTS Eighty-nine patients were identified. VAS neck and arm, NDI, and SF-12 PCS improved from preoperative scores at all postoperative time points (P |
| Databáze: | OpenAIRE |
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