186 / 225
186
· DOS Abstracts
Patient reported outcomes after surgical treatment
for cervical radioculopathy.
Andreas Kiilerich Andresen, Rune Paulsen, Frederik Busch, Alexander Isenberg-
Jørgensen, Leah Carreon, Mikkel Østerheden Andersen
Center for Spine Surgery and Research, Middelfart Hospital; Center for Spine
Surgery and Research, Middelfart Hospital
Background:
It is estimated that 10.000 patients seek medical care due to cer-
vical radiculopathy every year in Denmark. Although the natural course is usually
favorable, around 20 % undergo surgery for cervical degenerative disease every
year in Denmark. We evaluated the results of anterior cervical decompression
and fusion over a 4 year period from a single Danish center for spine surgery.
Purpose / Aim of Study:
The purpose of this study is to present how the clini-
cal outcome data correlates to postoperative satisfaction, and how many of our
patients have improved clinically relevant at the 1 year follow up.
Materials and Methods:
This study is a retrospective study based on pro-
spectively collected data from 252 consecutive patients treated with anterior
cervical decompression and fusion over 1- 3 levels. Data in the DaneSpine reg-
istry was collected pre- and postoperatively, and at 1 year after surgery. The
outcome measures were Neck Disability Index (NDI), European Quality of Life
5D (EQ-5D), visual analogue score (VAS) and Short Form-36 Physical Compo-
nent Summary (PCS).
Findings / Results:
Of 252 cases enrolled 201 (79%) had follow-up data
available at a minimum 1-year post-operatively. The mean preoperative NDI
was 40.20 and improved to 23.48. Mean EQ-5D was 0.50 and improved to
0.70, and mean VAS arm was 59.68 improved to 27.31. All improvements were
statistically significant. 72% were back to work 1 year after surgery. 61.5%
were satisfied one year after surgery, and only 6 % were dissatisfied. Postopera-
tive satisfaction was statistically correlated to achieving MCID on all parameters
except EQ-5D.
Conclusions:
Patients who undergo anterior cervical discectomy and fusion
can expect improvement in their pain and disability, with 73% of patients re-
porting a positive change in health status after surgery.
No conflicts of interest reported
138.