Epidemiology of Work-Related Neck Pain Among Spine Surgeons

Abolfotouh, Sameh M.; Alnori, Omar; Choma, Theodore J.; Moore, Don K.; Abolfotouh, Mostafa A.

doi:10.1177/21925682221148685

Cited by 6 publications

(8 citation statements)

References 54 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several studies have been carried out regarding neck disorders among surgeons using endoscopes. 28 29 30 31 These studies serve as meaningful analogies for our research. In the past, line workers handled high voltage electric lines with insulated gloves, but recently, they have been using insulating sticks.…”

Section: Discussionmentioning

confidence: 86%

Impact of neck posture and insulating stick use on neck disability in Korean line workers: a cross-sectional study

Ju,

Lee,

Kim

et al. 2024

Ann Occup Environ Med

View full text Add to dashboard Cite

Background Occupational neck disability is a prevalent issue, especially among line workers, who are often exposed to elevated levels of cervical ergonomic stress. The aim of this study was to investigate the impact of neck posture and insulating stick use on neck disability in a specific occupational group in Korea. Methods This cross-sectional study was conducted among 483 line workers in Gwangju and Jeonnam, Korea. Data were collected using the Neck Disability Index, Cervical Degenerative Index, and a structured questionnaire focusing on demographic and occupational factors. Logistic regression analysis was applied to determine the adjusted odds ratio (OR) and 95% confidence interval (CI) for neck posture and factors related to neck disability. Results Neck disability prevalence was 17.2% among the participants. Multivariate logistic regression analysis showed that factors related to neck disability included age over 60 years (adjusted OR: 3.08; 95% CI: 1.63–5.83), depression (adjusted OR: 8.33; 95% CI: 3.85–18.00), a history of cervical trauma (adjusted OR: 2.13; 95% CI: 1.04–4.40), and radiological degenerative changes in the cervical spine (adjusted OR: 2.33; 95% CI: 1.26–4.33). In particular, the adjusted OR of neck disability among live-line workers was 2.10 (95% CI: 1.12–3.92) when compared with support workers (model 1). Other analysis models showed that use of insulating sticks for more than 10 hours per week (adjusted OR: 2.46; 95% CI: 1.32–4.61) and higher neck extension (adjusted OR: 2.98; 95% CI: 1.14–3.46) were significant work-related risk factors (model 2,3). Conclusions Neck posture, age, depression, cervical trauma history, degenerative changes in the cervical spine, and use of insulating sticks are significant risk factors for neck disability among line workers in Korea. These findings highlight the need to improve the working environment and reduce the burden of cervical ergonomic stress among line workers.

show abstract

Section: Discussionmentioning

confidence: 86%

Impact of neck posture and insulating stick use on neck disability in Korean line workers: a cross-sectional study

Ju,

Lee,

Kim

et al. 2024

Ann Occup Environ Med

View full text Add to dashboard Cite

show abstract

“…Within these 11 articles, six studies collected surgeonreported data derived from 2641 survey responses. 1,[9][10][11][12]14 All 6 survey studies were administered as online questionnaires, largely focused on specific spine-related societies/organizations (Tables 2 and 3). Forst et al and Riccio et al, administered their survey to spine surgeons who were members of the North American Spine Society in 2006 and 2020, respectively.…”

Section: Surveysmentioning

confidence: 99%

Ergonomics in Spine Surgery

Alostaz,

Bansal,

Gyawali

et al. 2024

Spine

View full text Add to dashboard Cite

Study Design. Systematic Review Objective. This systematic review aims to synthesize existing studies and highlight the significance of ergonomic considerations for spine surgeons’ well-being and the impact on patient outcomes. Summary of Background Data. Spine surgery is a physically demanding field that poses several risks to surgeons, particularly with musculoskeletal disorders. Despite the well-documented consequences of musculoskeletal injuries endured by surgeons, surgical ergonomics in spine surgery has received limited attention. Methods. Following PRISMA guidelines, a comprehensive literature search was conducted in PubMed and Embase. Studies focusing on surgeon ergonomics in spine surgery were selected. Data extracted included study details, surgeon demographics, ergonomic factors, and outcomes. Qualitative analysis was performed due to the heterogeneous nature of study designs and criteria. Results. Eleven studies met inclusion criteria. Six studies utilized surveys to explore physical challenges, prevalence rates of pain, work practices, and ergonomic tools. Two studies employed optoelectronic motion analysis to assess spinal angles of the surgeon during surgery. Two studies assesed ergonomics in different visualization methods using rapid entire body assessment (REBA). One study applied video analysis to scrutinize surgeons’ neck postures during the case. The results demonstrated a varying prevalence and diverse presentations of musculoskeletal disorders, varying impact on surgical performance, and nuanced relationships between experience, workload, and ergonomic concerns. Conclusion. This systematic review summarizes the heterogenous evaluations of ergonomics in spine surgery. Overall, upwards of three-quarters of spine surgeons have reported musculoskeletal discomfort, most commonly presented as back pain, neck pain, and hand/wrist discomfort. These symptoms are often exacerbated by the use of loupes, operating bed height, and extended period of times in various positions. Studies demonstrate that the physical discomfort is associated with the surgeons’ mental and emotional well-being, leading to stress, burnout, and reduced job satisfaction; all of which impact patient care.

show abstract

“…Several studies have found reduced CSA in muscles such as multifidus, semispinalis, and longus coli in individuals with chronic neck pain [17,27,28]. In the early stages of neck pain, patients may experience slight disruptions in their daily activities [29,30]. Zabihhosseinian et al [31] found that individuals with low neck pain experienced challenges while raising their shoulder due to fatigue in the neck muscles compared with healthy subjects.…”

Section: Introductionmentioning

confidence: 99%

Correlation between Neck Muscle Endurance Tests, Ultrasonography, and Self-Reported Outcomes in Women with Low Cervical Disability and Neck Pain

Pardos-Aguilella,

Ceballos-Laita,

Cabanillas-Barea

et al. 2023

Applied Sciences

View full text Add to dashboard Cite

Background: Neck pain (NP) is a frequent condition in women, characterized by exhibiting distinct clinical manifestations such as the presence of deep neck (DN) muscle weakness. Endurance and ultrasonography of the DN muscles, and patient-reported outcome measures, are commonly used outcomes in clinical practice. The aim of this study is to assess and correlate the endurance of the DN muscles and their morphological characteristics with pain intensity, neck disability and headache impact. Methods: An observational and correlational study was carried out. Eighty-two women were recruited, and endurance tests of neck flexor and extensor (chin tuck flexion test and neck extensor muscles endurance test), ultrasonography of the DN muscles, pain intensity, disability (neck disability index) and headache impact (HIT-6) were measured. Spearman’s rho was used to evaluate the correlation between the outcome variables, and a simple linear regression analysis was carried out to explain the model in detail. Results: Statistically significant negative correlations between the chin tuck neck flexion test and neck disability index (NDI) (r = −0.38; p < 0.001) and HIT-6 (r = −0.26; p = 0.02) were found. The neck extensor muscles endurance test showed a negative correlation with NDI (r = −0.27; p = 0.01) and HIT-6 (r = −0.26; p = 0.02). The simple linear regression analysis showed an R squared of 26.7% and was statistically significant (NDI: R squared = 0.267; F = 3.13; p = 0.004) for NDI. Conclusion: A negative correlation between deep neck muscle endurance test results and self-reported outcome measures in women with low cervical disability and neck pain were observed. This suggests that lower endurance in the deep neck muscles may be associated with poorer self-reported symptoms and functionality in these patients. The chin tuck neck flexion test and deep extensor muscles endurance test could predict self-perceived neck disability in women with low cervical disability and NP.

show abstract

Epidemiology of Work-Related Neck Pain Among Spine Surgeons

Cited by 6 publications

References 54 publications

Impact of neck posture and insulating stick use on neck disability in Korean line workers: a cross-sectional study

Impact of neck posture and insulating stick use on neck disability in Korean line workers: a cross-sectional study

Ergonomics in Spine Surgery

Correlation between Neck Muscle Endurance Tests, Ultrasonography, and Self-Reported Outcomes in Women with Low Cervical Disability and Neck Pain

Contact Info

Product

Resources

About