Reduced pain after surgery for cervical disc protrusion/stenosis: a 2 year clinical follow-up

Abstract

Surgically treated patients experienced pain reduction which was partially maintained for at least 24 months. A sustained improvement in the health status measured by SIP was observed only among operated patients that were not referred via the social insurance offices.

Surgery versus conservative care for neck pain: a systematic review

“…All six CCTs were identified with a high risk of bias (Table 2) [12,13,14,17,19,20]. Two out of three RCTs also had a high risk of bias.…”

“…No significant differences were observed for long-term pain relief between any of the three groups. One CCT (n = 82) found that the surgical group demonstrated less pain at the short and intermediate follow-up [13]. Another CCT (n = 202) which examined patients who were totally or partially disabled at baseline found no differences in self-reported pain between the groups at any follow-up measurement [14].…”

“…Three studies [13][14][15] were identified, all of which with a high RoB, and only one study was an RCT [15].…”

“…In five studies, an ACDF procedure (anterior cervical discectomy with fusion) was described and in one study the surgical procedure was an occipitocervical fusion [20]. Two studies provided no information on the conservative intervention [13,20], one study mentioned a rehabilitation programme (tertiary care) [14] and all others mentioned a physiotherapy programme.…”

“…1). Six studies, four of which were CCTs, were identified which examined surgery versus non-surgical interventions in patients with radiculopathy [12][13][14][15][16][17]. Three studies, of which two CCTs, compared surgery versus nonsurgical interventions in myelopathy patients [18,19,20].…”