Heterogeneous influences of emotional disturbances on multi-domain quality of life after anterior cervical spine surgery: A prospective study

Object. Recurrent laryngeal nerve (RLN) palsy is a well-known complication of cervical spine surgery. Nearly all previous studies were performed without laryngoscopy in asymptomatic patients. This prospective study was undertaken to discern the true incidence of RLN palsy. Because not every RLN palsy is associated with hoarseness, the authors conducted a prospective study involving the use of pre- and postoperative laryngoscopy. Methods. Prior to anterior cervical spine surgery preoperative indirect laryngoscopy was performed in 123 patients to evaluate the status of the vocal cords as a sign of function of the RLN. To assess postoperative status in 120 patients laryngoscopy was repeated, and in cases of vocal cord malfunction follow-up examination was conducted 3 months later. In the group of 120 patients who attended follow-up examination, two (1.6%) had experienced a preoperative RLN palsy without hoarseness. Postoperatively the rate of clinically symptomatic RLN palsy was 8.3%, and the incidence of RLN palsy not associated with hoarseness (that is, clinically unapparent without laryngoscopy) was 15.9% (overall incidence 24.2%). At 3-month follow-up evaluation the rate had decreased to 2.5% in cases with hoarseness and 10.8% without hoarseness. Thus, the overall rate of early persisting RLN palsy was 11.3%. Conclusions. Laryngoscopy revealed that the true incidence of initial and persisting RLN palsy after anterior cervical spine surgery was much higher than anticipated. Especially in cases without hoarseness this could be proven, but the initial incidence of hoarseness was higher than expected. Only one third of new RLN palsy cases could be detected without laryngoscopy. Resolution of hoarseness was approximately 70% in those with preoperative hoarseness. The true rate of RLN palsy underscores the necessity to reevaluate the surgery- and intubation-related techniques for anterior cervical spine surgery and to reassess the degree of presurgical patient counseling.

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The incidences and risk factors related to early dysphagia after anterior cervical spine surgery: A prospective study

PLoS ONE ◽

10.1371/journal.pone.0173364 ◽

2017 ◽

Vol 12 (3) ◽

pp. e0173364 ◽

Cited By ~ 5

Author(s):

Jia-Ming Liu ◽

Wei-Lai Tong ◽

Xuan-Yin Chen ◽

Yang Zhou ◽

Wen-Zhao Chen ◽

...

Keyword(s):

Risk Factors ◽

Cervical Spine ◽

Prospective Study ◽

Spine Surgery ◽

Cervical Spine Surgery ◽

Anterior Cervical Spine Surgery ◽

A Prospective Study

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Subjective and Objective Quality-of-Life Assessment of Outcome Measures in Cervical Spine Surgery for Degenerative Changes

Journal of Neurological Surgery Part A Central European Neurosurgery ◽

10.1055/s-0041-1739227 ◽

2021 ◽

Author(s):

Marek Prokopienko ◽

Michał Sobstyl

Keyword(s):

Quality Of Life ◽

Cervical Spine ◽

Spine Surgery ◽

Treatment Options ◽

Life Assessment ◽

Quality Of Life Assessment ◽

Surgical Strategies ◽

Cervical Spine Surgery ◽

Objective Quality

AbstractCervical spine diskectomy is a commonly used procedure in degenerative disease of cervical spine surgery. However, it is difficult to assess the quality of life after this widely applied and variously modified procedure. This literature review presents cervical diskectomy results, according to various scales and measures in multidirectional surgical strategies. Using relevant databases, we tried to find the best treatment options for degenerative disk disease and the best method of quality-of-life assessment, searching for modalities that may influence the outcome.

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Preoperative Nomograms Predict Patient-Specific Cervical Spine Surgery Clinical and Quality of Life Outcomes

Neurosurgery ◽

10.1093/neuros/nyx343 ◽

2017 ◽

Vol 83 (1) ◽

pp. 104-113 ◽

Cited By ~ 8

Author(s):

Daniel Lubelski ◽

Vincent Alentado ◽

Amy S Nowacki ◽

Michael Shriver ◽

Kalil G Abdullah ◽

...

Keyword(s):

Quality Of Life ◽

Emergency Department ◽

Cervical Spine ◽

Spine Surgery ◽

Emergency Department Visits ◽

Patient Specific ◽

Median Income ◽

Cervical Spine Surgery ◽

Presenting Symptoms

Abstract BACKGROUND Clinical and quality of life (QOL) outcomes vary depending on the patient's demographics, comorbidities, presenting symptoms, pathology, and surgical treatment used. While there have been individual predictors identified, no comprehensive method incorporates a patient's complex clinical presentation to predict a specific individual postoperative outcome. OBJECTIVE To create tool that predicts patient-specific outcomes among those undergoing cervical spine surgery. METHODS A total of 952 patients at a single tertiary care institution who underwent anterior or posterior cervical decompression/fusion between 2007 and 2013 were retrospectively reviewed. Outcomes included postoperative emergency department visit or readmission within 30 d, reoperation within 90 d for infection, and changes in QOL outcomes. Nomograms were modeled based on patient demographics and surgical variables. Bootstrap was used for internal validation. RESULTS Bias-corrected c-index for emergency department visits, readmission, and reoperation were 0.63, 0.78, and 0.91, respectively. For the QOL metrics, the bias-corrected adjusted R-squared was EQ-5D (EuroQOL): 0.43, for PHQ-9 (Patient Health Questionnaire-9): 0.35, and for PDQ (Pain/Disability Questionnaire): 0.47. Variables predicting the clinical outcomes varied, but included race and median income, body mass index, comorbidities, presenting symptoms, indication for surgery, surgery type, and levels. For the QOL nomograms, the predictors included similar variables, but were significantly more affected by the preoperative QOL of the patient. CONCLUSION These prediction models enable referring physicians and spine surgeons to provide patients with personalized expectations regarding postoperative clinical and QOL outcomes following a cervical spine surgery. After appropriate validation, use of patient-specific prediction tools, such as nomograms, has the potential to lead to superior spine surgery outcomes and more cost effective care.

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Effects of foot massage on relieving pain, anxiety and improving quality of life of patients undergone a cervical spine surgery

Health and Quality of Life Outcomes ◽

10.1186/s12955-021-01667-2 ◽

2021 ◽

Vol 19 (1) ◽

Author(s):

Nana Ren ◽

Guangmin Yang ◽

Xiaofeng Ren ◽

Lekun Li

Keyword(s):

Quality Of Life ◽

Cervical Spine ◽

Spine Surgery ◽

Intervention Group ◽

Neck Disability Index ◽

Daily Basis ◽

Control Group ◽

Cervical Spine Surgery ◽

Significant Difference

Abstract Background Long-term recovery of patients undergone cervical spine surgery is of paramount importance to improve their quality of life. In this study we aimed to evaluate the effects of foot massage on relieving pain and anxiety of patients with anterior cervical discectomy and fusion (ACDF). Methods Enrolled patients undergone ACDF and diagnosed with anxiety disorder at least six months before surgery were treated with 10-min foot massage on a daily basis for four weeks using sweet almond oil. Patients were assessed by neck pain visual analog pain scale (NP-VAS), neck disability index (NDI) and self-rating anxiety scale. Results More significant relief in NP-VAS was observed in patients who received foot massage treatment. No significant difference in NDI reduction was seen in patients with or without the treatment. Intervention group demonstrated less anxiety during follow-up (p = 0.021) compared to the control group and more reduction compared to baseline (p = 0.046). In terms of quality of life, while both groups demonstrated improvement in pain relief (p = 0.015 for the intervention group and p = 0.037 for the control group), only the intervention group showed improved mental function (p = 0.031). Conclusion This study found that foot massage was effective in alleviating pain and anxiety, while improving quality of life in patients undergone ACDF, indicating that this intervention should be considered in the clinical management of these patients.

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Quality of Life and General Health After Elective Surgery for Cervical Spine Pathologies

Neurosurgery ◽

10.1227/neu.0000000000000886 ◽

2015 ◽

Vol 77 (4) ◽

pp. 553-560 ◽

Cited By ~ 15

Author(s):

Silky Chotai ◽

Scott L. Parker ◽

Ahilan Sivaganesan ◽

Saniya S. Godil ◽

Matthew J. McGirt ◽

...

Keyword(s):

Quality Of Life ◽

Cervical Spine ◽

Spine Surgery ◽

General Health ◽

Cost Effective ◽

Meaningful Improvement ◽

Cervical Spine Surgery ◽

Cervical Surgery ◽

Prospective Longitudinal

Abstract BACKGROUND: As part of the Affordable Care Act, health utility metrics are being investigated to define a cost-effective, value-based health care model. EuroQOL-5D (EQ-5D) and Short Form-6D (SF-6D) are commonly used quality-of-life instruments. Domains in the EQ-5D questionnaire are thought to be less responsive in measuring quality of life after cervical surgery. OBJECTIVE: To evaluate the validity and responsiveness of SF-6D and EQ-5D in determining health and quality of life after elective cervical spine surgery. METHODS: A total of 420 patients undergoing elective cervical spine surgery over a period of 2 years were enrolled in a prospective longitudinal registry. Patient-reported outcomes Neck Disability Index (NDI), EQ-5D, and SF-12 were recorded. Based on previously published equations, SF-6D was calculated using NDI and SF-12 scores. Patients were asked whether “surgery met their expectations” (meaningful improvement). The validity and relative responsiveness of SF-6D (NDI), SF-6D (SF-12), and EQ-5D to discriminate between meaningful and nonmeaningful improvement were calculated. RESULTS: Sixty-six percent of patients (277) reported a level of improvement after surgery that met their expectations (meaningful improvement). SF-6D (NDI) (area under the curve [AUC] = 0.69) was a more valid discriminator of meaningful improvement compared with the SF-6D (SF-12) (AUC = 0.65) and EQ-5D (AUC = 0.62). SF-6D (NDI) was also a more responsive measure compared with SF-6D (SF-12) and EQ-5D (standardized response mean difference: 0.66, 0.48, and 0.44, respectively). CONCLUSION: SF-6D is a more valid and responsive measure of general health and quality of life compared with EQ-5D. SF-6D derived from disease-specific disability scores was more valid and responsive than that derived from the generic preference-based SF-12. Cost-effective studies should use SF-6D as a measure of QALY after cervical spine surgery.

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72: Quality of Life and Patient Satisfaction of Care Among Women with Urinary Incontinence: A Prospective Study

The Journal of Urology ◽

10.1016/s0022-5347(18)30337-9 ◽

2007 ◽

Vol 177 (4S) ◽

pp. 25-26

Author(s):

Simon Kim ◽

Rodney L. Dunn ◽

Edward J. McGuire ◽

John O.L. DeLancey ◽

John T. Wei

Keyword(s):

Quality Of Life ◽

Urinary Incontinence ◽

Patient Satisfaction ◽

Prospective Study ◽

A Prospective Study

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Quality of Life Before and After Endovascular and Open Repair of Asymptomatic AAAs: A Prospective Study

Journal of Endovascular Therapy ◽

10.1583/1545-1550(2000)007<0372:qolbaa>2.0.co;2 ◽

2000 ◽

Vol 7 (5) ◽

pp. 372-379 ◽

Cited By ~ 17

Author(s):

Martin Malina ◽

Marie Nilsson ◽

Jan Brunkwall ◽

Krasnodar Ivancev ◽

Timothy Resch ◽

...

Keyword(s):

Quality Of Life ◽

Prospective Study ◽

Open Repair ◽

Before And After ◽

A Prospective Study

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Impact of Diabetes Mellitus on Cervical Spine Surgery for Ossification of the Posterior Longitudinal Ligament

Journal of Clinical Medicine ◽

10.3390/jcm10153375 ◽

2021 ◽

Vol 10 (15) ◽

pp. 3375

Author(s):

Atsushi Kimura ◽

Katsushi Takeshita ◽

Toshitaka Yoshii ◽

Satoru Egawa ◽

Takashi Hirai ◽

...

Keyword(s):

Diabetes Mellitus ◽

Cervical Spine ◽

Postoperative Complications ◽

Spine Surgery ◽

Posterior Longitudinal Ligament ◽

Lower Extremity Function ◽

Cervical Spine Surgery ◽

The Impact

Ossification of the posterior longitudinal ligament (OPLL) is commonly associated with diabetes mellitus (DM); however, the impact of DM on cervical spine surgery for OPLL remains unclear. This study was performed to evaluate the influence of diabetes DM on the outcomes following cervical spine surgery for OPLL. In total, 478 patients with cervical OPLL who underwent surgical treatment were prospectively recruited from April 2015 to July 2017. Functional measurements were conducted at baseline and at 6 months, 1 year, and 2 years after surgery using JOA and JOACMEQ scores. The incidence of postoperative complications was categorized into early (≤30 days) and late (>30 days), depending on the time from surgery. From the initial group of 478 patients, 402 completed the 2-year follow-up and were included in the analysis. Of the 402 patients, 127 (32%) had DM as a comorbid disease. The overall incidence of postoperative complications was significantly higher in patients with DM than in patients without DM in both the early and late postoperative periods. The patients with DM had a significantly lower JOA score and JOACMEQ scores in the domains of lower extremity function and quality of life than those without DM at the 2-year follow-up.

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