Patient Satisfaction After Anterior Cervical Discectomy and Fusion Is Primarily Driven by Relieving Pain

Hessler, C; Boysen, Katharina; Regelsberger, Jan; Vettorazzi, Eik; Winkler, Dietrich; Westphal, Manfred

doi:10.1097/ajp.0b013e318232cddc

Cited by 46 publications

(43 citation statements)

References 24 publications

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“…Such factors may influence a global perceived effect (recovery) score, but do not necessarily describe good functioning or a good daily life. The results of the present study are in line with a previous study which showed that pain reduction was the strongest influence on satisfaction with ACDF surgery (143). Patients' ratings of effect of surgery after ACDF has also been proposed to overestimate positive results (144), indicating that an accurate evaluation of the extent to which the patients' problems are resolved by surgery requires questions regarding symptoms rather than only one general outcome score.…”

Section: Women's Experiences Of Daily Lifesupporting

confidence: 90%

Clinical and patient-reported outcomes after anterior cervical decompression and fusion surgery : A focus on functioning and daily life

Hermansen

2015

Linköping University Medical Dissertations

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Section: Women's Experiences Of Daily Lifesupporting

confidence: 90%

Clinical and patient-reported outcomes after anterior cervical decompression and fusion surgery : A focus on functioning and daily life

Hermansen

2015

Linköping University Medical Dissertations

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“…Hessler et al 12 reported that 62% of the patients with motor deficit completely recovered after surgery. The rate of complete recovery in this study was much higher than that reported previously.…”

Section: Discussionmentioning

confidence: 98%

“…Motor deficit can lead to disabilities, and some studies have reported that 78.4% of such patients showed an improvement in motor function and 21.6% showed neither improvement nor impairment even after surgery. 12 Patients with motor deficit require early surgical intervention; however, only a few studies aimed directly at establishing the choice and timing of treatment have been performed. If the risk factors for motor deficit and its prognosis can be clarified, the treatment should be initiated at an early stage.…”

mentioning

confidence: 99%

Predictors of Motor Weakness and Delayed Recovery in Cervical Disk Herniation

Nam

Lee

Goh

et al. 2015

Journal of Spinal Disorders &Amp; Techniques

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“…[1][2][3][4] Despite high success rates following ACDF, the risks for pseudarthrosis and adjacent segment disease have raised questions regarding its role as the first-line surgical treatment for cervical degenerative disease. [5][6][7][8][9] The fusion of cervical vertebrae is thought to reduce motion at the operated level, increasing stress on adjacent cervical disc levels.…”

Section: Introductionmentioning

confidence: 99%

Two-level cervical disc replacement: perspectives and patient selection

Narain¹,

Hijji²,

Bohl³

et al. 2017

OAS

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Introduction: Cervical disc replacement (CDR) is an emerging treatment option for cervical degenerative disease. Postulated benefits of cervical disc replacement compared to anterior cervical discectomy and fusion include preserved motion at the operative segments and decreased motion at adjacent levels. Multiple studies have been performed investigating the outcomes of CDR in single-level pathology. The investigation of the use of CDR in two-level pathology is an emerging topic within the literature. Purpose: To critically evaluate the literature regarding two-level CDR in order to determine its utility compared to two-level cervical arthrodesis. Patient selection factors including indications and contraindications will also be explored. Methods: The PubMed database was searched for all articles published on the subject of twolevel CDR up until October 2016. Studies were classified by publication year, study design, sample size, follow-up interval, and conflict of interest. Outcomes were recorded from each study, and included data on patient-reported outcomes, radiographic measurements, range of motion, peri-and postoperative complications, heterotopic ossification, adjacent segment disease, reoperation rate, and total intervention cost. Results: Fourteen studies were included in this review. All studies demonstrated at least noninferiority of two-level CDR compared to both two-level arthrodesis and single-level CDR. Patient selection in two-level CDR is driven by the inclusion and exclusion criteria presented in prospective, randomized controlled trials. The most common indication is subaxial degenerative disc disease over two contiguous levels presenting with radiculopathy or myelopathy. Furthermore, costs analyses trended toward at least noninferiority of two-level CDR. Conclusion: Two-level CDR is noninferior to two-level anterior cervical discectomy and fusion in terms of both outcomes and costs. While a few studies suggested superiority of two-level CDR, the presence of significant conflicts of interest by the study authors may introduce bias. Further prospective, randomized trials without conflicts of interest are necessary to determine if two-level CDR demonstrates truly superior outcomes.

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Patient Satisfaction After Anterior Cervical Discectomy and Fusion Is Primarily Driven by Relieving Pain

Abstract: Improvement in pain seemed to be most important aspect in ACDF patients regarding the subjective SQ. Therefore, we strongly recommend focusing on pain-reducing therapies when choosing treatment for these patients during the postoperative period.

Cited by 46 publications

References 24 publications

Clinical and patient-reported outcomes after anterior cervical decompression and fusion surgery : A focus on functioning and daily life

Clinical and patient-reported outcomes after anterior cervical decompression and fusion surgery : A focus on functioning and daily life

Predictors of Motor Weakness and Delayed Recovery in Cervical Disk Herniation

Two-level cervical disc replacement: perspectives and patient selection

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