The Outcomes of Patients With Neck Pain Following ACDF: A Comparison of Patients With Radiculopathy, Myelopathy, or Mixed Symptomatology
| Autor: | Christopher K. Kepler, David S. Casper, Alexander R. Vaccaro, Srikanth N. Divi, Gregory D. Schroeder, Dhruv K.C. Goyal, Justin D. Stull, John J. Mangan, James C. McKenzie, Alan S. Hilibrand, Kamil Okroj |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Visual analogue scale Anterior cervical discectomy and fusion Physical function Spinal Cord Diseases Cohort Studies 03 medical and health sciences Myelopathy 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine Radiculopathy Pain Measurement Retrospective Studies Health related quality of life 030222 orthopedics Neck pain Neck Pain business.industry Retrospective cohort study Middle Aged medicine.disease Surgery Spinal Fusion Treatment Outcome Cervical Vertebrae Female Neurology (clinical) medicine.symptom business 030217 neurology & neurosurgery Cohort study Diskectomy Follow-Up Studies |
| Zdroj: | Spine. 45(21) |
| ISSN: | 1528-1159 |
| Popis: | STUDY DESIGN Retrospective cohort study. OBJECTIVE The goal of the present study was to determine whether neck pain responds differently to anterior cervical discectomy and fusion (ACDF) between patients with cervical radiculopathy and/or cervical myelopathy. SUMMARY OF BACKGROUND DATA Many patients who undergo ACDF because of radiculopathy/myelopathy also complain of neck pain. However, no studies have compared the response of significant neck pain to ACDF. METHODS Patients undergoing one to three-level primary ACDF for radiculopathy and/or myelopathy with significant (Visual Analogue Scale [VAS] ≥ 3) neck pain and a minimum of 1-year follow-up were included. Based on preoperative symptoms patients were split into groups for analysis: radiculopathy (R group), myelopathy (M group), or both (MR group). Groups were compared for differences in Health Related Quality of Life outcomes: Physical Component Score-12, Mental Component Score (MCS)-12, Neck Disability Index, VAS neck, and VAS arm pain. RESULTS Two hundred thirty-five patients met inclusion criteria. There were 117 patients in the R group, 53 in the M group, and 65 in the MR group. Preoperative VAS neck pain was found to be significantly higher in the R group versus M group (6.5 vs. 5.5; P = 0.046). Postoperatively, all cohorts experienced significant (P |
| Databáze: | OpenAIRE |
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