Improvements in Neck and Arm Pain Following an Anterior Cervical Discectomy and Fusion

Massel, Dustin H.; Mayo, Benjamin C.; Bohl, Daniel D.; Narain, Ankur S.; Hijji, Fady Y.; Fineberg, Steven J.; Louie, Philip K.; Basques, Bryce A.; Long, William W.; Modi, Krishna; Singh, Kern

doi:10.1097/brs.0000000000001979

Cited by 38 publications

(36 citation statements)

References 14 publications

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“…Previous studies have also demonstrated significant improvements in overall health-related quality of life and could be the underlying factor that may explain the similar improvements among patients who have a more severe disability. 33 However, the current study has accounted for signs of radiculopathy by way of VAS arm and VAS neck and largely found similar significant associations with NDI severity with PROM scores and MCID achievement. These results place a larger emphasis on the notion that a patient's disability may not impede the ability to achieve a significant improvement in pain, disability, physical function, mental health, and overall quality of life.…”

Section: Discussionsupporting

confidence: 60%

Preoperative Neck Disability Severity Limits Extent of Postoperative Improvement Following Cervical Spine Procedures

et al. 2021

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Objective: Our study aims to evaluate the impact of severity of preoperative Neck Disability Index (NDI) on postoperative patient-reported outcome measures (PROMs). Methods: A retrospective review of primary, elective, single or multilevel anterior cervical discectomy and fusion or cervical disc arthroplasty procedures between 2013 and 2019 was performed. Visual analogue scale (VAS) neck and arm, NDI, 12-item Short Form physical and mental composite score (SF-12 PCS and MCS), Patient-Reported Outcome Measurement Information System physical function, and 9-item Patient Health Questionnaire (PHQ-9) were collected preoperatively and postoperatively. Patients were categorized by preoperative NDI: none-to-mild disability ( < 30); moderate disability ( ≥ 30 to < 50); severe disability ( ≥ 50 to < 70); complete disability ( ≥ 70). The impact of preoperative NDI on PROM scores and minimum clinically important difference (MCID) achievement rates were evaluated. Results: The cohort included 74 patients with none-to-mild disability, 95 moderate, 76 severe, and 17 with complete disability. Patients with greater preoperative disability demonstrated significantly different scores for NDI, VAS neck, SF-12 MCS, and PHQ-9 at all timepoints (p < 0.001). Patients with more severe disability demonstrated different magnitudes of improvement for NDI (all p < 0.001), VAS neck (p ≤ 0.009), VAS arm (p = 0.025), and PHQ-9 (p ≤ 0.011). The effect of preoperative severity on MCID achievement was demonstrated for NDI and for PHQ-9 (p ≤ 0.007). Conclusion:Patients with severe neck disability demonstrated differences in pain, disability, physical and mental health. MCID achievement also differed by preoperative symptoms severity. Patients with more severe neck disability may be limited to the degree of improvement in quality of life but perceive them as significant changes.

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Section: Discussionsupporting

confidence: 60%

Preoperative Neck Disability Severity Limits Extent of Postoperative Improvement Following Cervical Spine Procedures

et al. 2021

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“…Numerous studies have shown a positive correlation between postoperative short- and long-term outcomes following surgery. In a recent retrospective study of 89 patients who underwent a 1- or 2-level ACDF, Massel et al 7 found that patients had a significant reduction in neck pain VAS scores at 6 weeks postoperatively compared with preoperative scores. Furthermore, the authors illustrated that the neck pain VAS score at 6 weeks was relatively maintained at 12 weeks, 6 months, and 1 year postoperatively.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, the authors illustrated that the neck pain VAS score at 6 weeks was relatively maintained at 12 weeks, 6 months, and 1 year postoperatively. 7 In a multi-institutional prospective study of 969 patients that underwent lumbar spine surgery, Adogwa et al 6 demonstrated that patient-centered measures of surgical effectiveness obtained at 12 months adequately predict long-term (24-month) outcomes after lumbar spine surgery. Similarly, in a retrospective study examining 40 patients undergoing surgical resection of intradural extramedullary spinal tumors, Zuckerman et al 23 observed that both postoperative 3- and 12-month PROs were improved by the minimum clinically importance difference criteria.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3] Notably, anterior cervical discectomy and fusion (ACDF) has become one of the most commonly performed, and cost-effective, procedures that provide symptomatic relief for patients with cervical myelopathy, radiculopathy, or myeloradiculopathy. [4][5][6][7][8][9] Many studies have demonstrated high success rates and relatively low complication profiles after ACDF. 1,2,10,11 Unfortunately, a subset of patients report persistent refractory neck pain after surgery.…”

Section: Introductionmentioning

confidence: 99%

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Immediate Postoperative Pain Scores Predict Neck Pain Profile up to 1 Year Following Anterior Cervical Discectomy and Fusion

Adogwa

Elsamadicy

Vuong

et al. 2017

Global Spine Journal

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Study Design:Retrospective cohort review.Objective:To assess whether immediate postoperative neck pain scores accurately predict 12-month visual analog scale–neck pain (VAS-NP) outcomes following Anterior Cervical Discectomy and Fusion surgery (ACDF).Methods:This was a retrospective study of 82 patients undergoing elective ACDF surgery at a major academic medical center. Patient reported outcomes measures VAS-NP scores were recorded on the first postoperative day, then at 6-weeks, 3, 6, and 12-months after surgery. Multivariate correlation and logistic regression methods were utilized to determine whether immediate postoperative VAS-NP score accurately predicted 1-year patient reported VAS-NP Scores.Results:Overall, 46.3% male, 25.6% were smokers, and the mean age and body mass index (BMI) were 53.7 years and 28.28 kg/m2, respectively. There were significant correlations between immediate postoperative pain scores and neck pain scores at 6 weeks VAS-NP (P = .0015), 6 months VAS-NP (P = .0333), and 12 months VAS-NP (P = .0247) after surgery. Furthermore, immediate postoperative pain score is an independent predictor of 6 weeks, 6 months, and 1 year VAS-NP scores.Conclusion:Our study suggests that immediate postoperative patient reported neck pain scores accurately predicts and correlates with 12-month VAS-NP scores after an ACDF procedure. Patients with high neck pain scores after surgery are more likely to report persistent neck pain 12 months after index surgery.

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“…Yazarlar, otogreftin yeni geliştirilmiş cerrahi malzemeleri göze alamayan hastalar için hala en iyi seçim olduğu sonucuna varmışlardır. [9,10] Lied ve arkadaşları, ASDF yaptıkları non-randomize kontrollü ileriye dönük tek merkezli çalışmalarında, trikortikal iliak krest grefti ile PEEK kafes uygulamalarını karşılaştırmışlar; her iki yöntemle yapılan füzyon uygulama sonuçlarının benzer olduğu sonucuna varmışlar; bununla birlikte, PEEK kafes uygulanan hastalarda donör alan morbiditesinin bulunmaması nedeni ile otolog kemik grefti yerine PEEK kafesi ile füzyonu önermişlerdir. [11] Shao ve arkadaşları, servikal dejeneratif disk hastalarında ASDF uygulanan titanyum kafes veya iliak kanat otogrefti kullanılan prosedürlerin etkinliğini ve güvenilirliği-ni karşılaştırmak için yapmış oldukları çalışmalarında, titanyum kafes kullanılmasının, füzyon ile anterior servikal diskektomi için iliak kanat kemik otogreftlerine göre daha güvenli ve etkili bir alternatif oluşturduğunu bildirmişlerdir.…”

Section: Cerrahiunclassified

Servikal radikülopatide anterior servikal diskektomi ve füzyon

Erdoğan¹,

Ofluoglu²

2017

TOTBID

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Improvements in Neck and Arm Pain Following an Anterior Cervical Discectomy and Fusion

Abstract: 4.

Cited by 38 publications

References 14 publications

Preoperative Neck Disability Severity Limits Extent of Postoperative Improvement Following Cervical Spine Procedures

Preoperative Neck Disability Severity Limits Extent of Postoperative Improvement Following Cervical Spine Procedures

Immediate Postoperative Pain Scores Predict Neck Pain Profile up to 1 Year Following Anterior Cervical Discectomy and Fusion

Servikal radikülopatide anterior servikal diskektomi ve füzyon

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