Functional and Quality of Life Outcomes of Surgery for Degenerative Cervical Myelopathy: A Quality Improvement Study
Background: This study aimed to determine the outcome of surgical treatments in patients with degenerative cervical myelopathy (DCM). During one-year follow-up period, we evaluated patient-reported functional and quality of life (QOL) measures. Methods: In a retrospective single-center study, we col...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2020-05-01
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| Series: | Journal of Orthopedic and Spine Trauma |
| Subjects: | |
| Online Access: | https://jost.tums.ac.ir/index.php/jost/article/view/145 |
| _version_ | 1818779138420375552 |
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| author | Babak Mirzashahi Pejman Mansouri Arvin Najafi Saeed Besharati Mohammad Taha Kouchakinejad Alireza Mohseni Pouria Rezaeian |
| author_facet | Babak Mirzashahi Pejman Mansouri Arvin Najafi Saeed Besharati Mohammad Taha Kouchakinejad Alireza Mohseni Pouria Rezaeian |
| author_sort | Babak Mirzashahi |
| collection | DOAJ |
| description | Background: This study aimed to determine the outcome of surgical treatments in patients with degenerative cervical myelopathy (DCM). During one-year follow-up period, we evaluated patient-reported functional and quality of life (QOL) measures.
Methods: In a retrospective single-center study, we collected data of patients with DCM who underwent cervical fusion surgeries in Imam Khomeini Hospital, Tehran, Iran, from 2011 to 2015. Patients underwent single or multi-level anterior cervical discectomy and fusion (ACDF), anterior cervical corpectomy and fusion (ACCF), or posterior laminectomy and fusion. We utilized patient-reported assessments including Short Form 36 (SF-36), Visual Analogue Scale (VAS), Neck Disability Index (NDI), and Nurick grade. Follow-up was performed at 6 weeks, 3 months, 6 months, and 12 months post-operatively to assess the outcome of the surgery.
Results: Ninety patients (56 men, 34 women) with a mean age of 54.1 (27-87) years were included. Comparison of pre- and post-operative scores showed significant improvement in SF-36 parameters, VAS, NDI, and Nurick grade (P < 0.001). Also, women’s VAS scores improved more than men's VAS scores during the follow-up period (P < 0.050). Age and type of surgery did not significantly affect the SF-36 parameters, VAS, NDI, and Nurick grade (P > 0.05).
Conclusions: Cervical surgeries in patients with different severity of DCM can improve different aspects of QOL during one-year after surgery. |
| first_indexed | 2024-12-18T11:55:51Z |
| format | Article |
| id | doaj.art-b77058e5f6414c9087fec20ffed3240f |
| institution | Directory Open Access Journal |
| issn | 2538-2330 2538-4600 |
| language | English |
| last_indexed | 2024-12-18T11:55:51Z |
| publishDate | 2020-05-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Orthopedic and Spine Trauma |
| spelling | doaj.art-b77058e5f6414c9087fec20ffed3240f2022-12-21T21:09:04ZengTehran University of Medical SciencesJournal of Orthopedic and Spine Trauma2538-23302538-46002020-05-014210.18502/jost.v4i2.2956Functional and Quality of Life Outcomes of Surgery for Degenerative Cervical Myelopathy: A Quality Improvement StudyBabak Mirzashahi0Pejman Mansouri1Arvin Najafi2Saeed Besharati3Mohammad Taha Kouchakinejad4Alireza Mohseni5Pouria Rezaeian6Assistant Professor, Department of Orthopedic Surgery, Joint Reconstruction Research Center, Imam KhomeiniHospital Complex, Tehran University of Medical Sciences, Tehran, IranMedical Student, School of Medicine, Tehran University of Medical Sciences, Tehran, IranAssistant Professor, Department of Orthopedic Surgery, Joint Reconstruction Research Center, Imam KhomeiniHospital Complex, Tehran University of Medical Sciences, Tehran, IranAssistant Professor, Department of Orthopedic Surgery, Joint Reconstruction Research Center, Imam KhomeiniHospital Complex, Tehran University of Medical Sciences, Tehran, IranMedical Student, School of Medicine, Tehran University of Medical Sciences, Tehran, IranMedical Student, School of Medicine, Tehran University of Medical Sciences, Tehran, IranMedical Student, School of Medicine, Tehran University of Medical Sciences, Tehran, IranBackground: This study aimed to determine the outcome of surgical treatments in patients with degenerative cervical myelopathy (DCM). During one-year follow-up period, we evaluated patient-reported functional and quality of life (QOL) measures. Methods: In a retrospective single-center study, we collected data of patients with DCM who underwent cervical fusion surgeries in Imam Khomeini Hospital, Tehran, Iran, from 2011 to 2015. Patients underwent single or multi-level anterior cervical discectomy and fusion (ACDF), anterior cervical corpectomy and fusion (ACCF), or posterior laminectomy and fusion. We utilized patient-reported assessments including Short Form 36 (SF-36), Visual Analogue Scale (VAS), Neck Disability Index (NDI), and Nurick grade. Follow-up was performed at 6 weeks, 3 months, 6 months, and 12 months post-operatively to assess the outcome of the surgery. Results: Ninety patients (56 men, 34 women) with a mean age of 54.1 (27-87) years were included. Comparison of pre- and post-operative scores showed significant improvement in SF-36 parameters, VAS, NDI, and Nurick grade (P < 0.001). Also, women’s VAS scores improved more than men's VAS scores during the follow-up period (P < 0.050). Age and type of surgery did not significantly affect the SF-36 parameters, VAS, NDI, and Nurick grade (P > 0.05). Conclusions: Cervical surgeries in patients with different severity of DCM can improve different aspects of QOL during one-year after surgery.https://jost.tums.ac.ir/index.php/jost/article/view/145Cervical Vertebrae; Intervertebral Disc Degeneration; Spinal Fusion; Patient Outcome Assessment; Quality of Life |
| spellingShingle | Babak Mirzashahi Pejman Mansouri Arvin Najafi Saeed Besharati Mohammad Taha Kouchakinejad Alireza Mohseni Pouria Rezaeian Functional and Quality of Life Outcomes of Surgery for Degenerative Cervical Myelopathy: A Quality Improvement Study Journal of Orthopedic and Spine Trauma Cervical Vertebrae; Intervertebral Disc Degeneration; Spinal Fusion; Patient Outcome Assessment; Quality of Life |
| title | Functional and Quality of Life Outcomes of Surgery for Degenerative Cervical Myelopathy: A Quality Improvement Study |
| title_full | Functional and Quality of Life Outcomes of Surgery for Degenerative Cervical Myelopathy: A Quality Improvement Study |
| title_fullStr | Functional and Quality of Life Outcomes of Surgery for Degenerative Cervical Myelopathy: A Quality Improvement Study |
| title_full_unstemmed | Functional and Quality of Life Outcomes of Surgery for Degenerative Cervical Myelopathy: A Quality Improvement Study |
| title_short | Functional and Quality of Life Outcomes of Surgery for Degenerative Cervical Myelopathy: A Quality Improvement Study |
| title_sort | functional and quality of life outcomes of surgery for degenerative cervical myelopathy a quality improvement study |
| topic | Cervical Vertebrae; Intervertebral Disc Degeneration; Spinal Fusion; Patient Outcome Assessment; Quality of Life |
| url | https://jost.tums.ac.ir/index.php/jost/article/view/145 |
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