P66. The impact of anxiety/depression on outcomes following 1-2 level anterior cervical surgery

In 1961, President John F. Kennedy declared that the United States would send a man to the moon and safely bring him home before the end of the decade. Astronaut Michael Collins was one of those men. He flew to the moon on the historic flight of Apollo 11 while Neil Armstrong and Buzz Aldrin walked on its surface. However, this was not supposed to be the case.Astronaut Collins was scheduled to fly on Apollo 8. While training, in 1968, he started developing symptoms of cervical myelopathy. He underwent evaluation at Wilford Hall Air Force Hospital in San Antonio and was noted to have a C5–6 disc herniation and posterior osteophyte on myelography. Air Force Lieutenant General (Dr.) Paul W. Myers performed an anterior cervical discectomy with placement of iliac bone graft. As a result, Astronaut James Lovell took his place on Apollo 8 flying the uncertain and daring first mission to the moon. This had a cascading effect on the rotation of astronauts, placing Michael Collins on the Apollo 11 flight that first landed men on the moon. It also placed Astronaut James Lovell in a rotation that exposed him to be the Commander of the fateful Apollo 13 flight.Here, the authors chronicle the history of Astronaut Collins’ anterior cervical surgery and the impact of his procedure on the rotation of astronaut flight selection, and they review the pivotal historic nature of the Apollo 8 spaceflight. The authors further discuss the ongoing issue of cervical disc herniation among astronauts.

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Association between sagittal balance and adjacent segment degeneration in anterior cervical surgery: a systematic review and meta-analysis

BMC Musculoskeletal Disorders ◽

10.1186/s12891-019-2800-0 ◽

2019 ◽

Vol 20 (1) ◽

Cited By ~ 2

Author(s):

Yijian Zhang ◽

Yijie Shao ◽

Hao Liu ◽

Junxin Zhang ◽

Fan He ◽

...

Keyword(s):

Sagittal Balance ◽

Weighted Mean Difference ◽

Meta Analysis ◽

Adjacent Segment Degeneration ◽

Cochrane Library ◽

Adjacent Segment ◽

Primary Surgery ◽

Cervical Surgery ◽

Anterior Cervical Surgery ◽

The Impact

Abstract Background ASD is a relatively common degenerative alteration after cervical surgery which occurs above or below the fused segment. In addition, some patients may need reoperation to treat severe ASD after the primary surgery. It was considered that sagittal balance is correlated with postoperative clinical outcomes; however, few studies have reported the influence of sagittal balance on ASD. The present study is designed to investigate whether sagittal balance impacts the pathology of adjacent segment disease (ASD) in patients who undergo anterior cervical surgery for degenerative cervical disease. Methods Databases including Pubmed, Embase, Cochrane library, and Web of Science were used to search for literature published before June 2018. Review Manager 5.3 was used to perform the statistical analysis. Sagittal balance parameters before and after surgery were compared between patients with and without ASD. Weighted mean difference (WMD) was summarized for continuous data and P < 0.05 was set for the level of significance. Results A total of 221 patients with ASD and 680 patients without ASD from seven articles were studied in this meta-analysis. There were no significant differences in most sagittal balance parameters between the two groups, except for postoperative cervical lordosis (CL) (WMD -3.30, CI -5.91, − 0.69, P = 0.01). Conclusions Some sagittal balance parameters may be associated with the development of ASD after anterior cervical surgery. Sufficient restoration of CL may decrease the incidence of ASD. The results in present study needed to be expanded carefully and further high-quality studies are warranted to investigate the impact of sagittal balance on ASD.

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The Impact of Esophagus Retraction on Early Dysphagia After Anterior Cervical Surgery

Spine ◽

10.1097/01.brs.0000261627.04944.cf ◽

2007 ◽

Vol 32 (10) ◽

pp. 1089-1093 ◽

Cited By ~ 45

Author(s):

Luca Papavero ◽

Oliver Heese ◽

Volker Klotz-Regener ◽

Rüdiger Buchalla ◽

Frank Schröder ◽

...

Keyword(s):

Cervical Surgery ◽

Anterior Cervical Surgery ◽

The Impact

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Gastroesophageal Reflux After Anterior Cervical Surgery: A Controlled, Prospective Analysis

Yearbook of Neurology and Neurosurgery ◽

10.1016/j.yneu.2012.01.005 ◽

2012 ◽

Vol 2012 ◽

pp. 290-291

Author(s):

R. Riesenburger

Keyword(s):

Gastroesophageal Reflux ◽

Prospective Analysis ◽

Cervical Surgery ◽

Anterior Cervical Surgery

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Stress, anxiety, depression and burnout in frontline health care workers during COVID-19 pandemic: a brief systematic review and new data from Russia

10.31234/osf.io/je3ch ◽

2021 ◽

Author(s):

Ekaterina Mosolova ◽

Dmitry Sosin ◽

Sergey Mosolov

Keyword(s):

Risk Factors ◽

Systematic Review ◽

Female Gender ◽

Assessment Tools ◽

Care Workers ◽

Younger Age ◽

Wide Range ◽

Associated Risk Factors ◽

Anxiety Depression ◽

The Impact

During the COVID-19 pandemic, healthcare workers (HCWs) have been subject to increased workload while also exposed to many psychosocial stressors. In a systematic review we analyze the impact that the pandemic has had on HCWs mental state and associated risk factors. Most studies reported high levels of depression and anxiety among HCWs worldwide, however, due to a wide range of assessment tools, cut-off scores, and number of frontline participants in the studies, results were difficult to compare. Our study is based on two online surveys of 2195 HCWs from different regions of Russia during spring and autumn epidemic outbreaks revealed the rates of anxiety, stress, depression, emotional exhaustion and depersonalization and perceived stress as 32.3%, 31.1%, 45.5%, 74.2%, 37.7% ,67.8%, respectively. Moreover, 2.4% of HCWs reported suicidal thoughts. The most common risk factors include: female gender, nurse as an occupation, younger age, working for over 6 months, chronic diseases, smoking, high working demands, lack of personal protective equipment, low salary, lack of social support, isolation from families, the fear of relatives getting infected. These results demonstrate the need for urgent supportive programs for HCWs fighting COVID-19 that fall into higher risk factors groups.

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Intraoperative O-arm Navigation Guided Anterior Cervical Surgery; A technical note and case series

Interdisciplinary Neurosurgery ◽

10.1016/j.inat.2021.101288 ◽

2021 ◽

pp. 101288

Author(s):

Masato Tanaka ◽

Hardik Suthar ◽

Yoshihiro Fujiwara ◽

Yoshiaki Oda ◽

Koji Uotani ◽

...

Keyword(s):

Case Series ◽

Technical Note ◽

Cervical Surgery ◽

Anterior Cervical Surgery

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Experiences of Mental Distress during COVID-19: Thematic Analysis of Discussion Forum Posts for Anxiety, Depression, and Obsessive-Compulsive Disorder

Illness Crisis & Loss ◽

10.1177/10541373211023951 ◽

2021 ◽

pp. 105413732110239

Author(s):

G. Brewer ◽

L. Centifanti ◽

J. Castro Caicedo ◽

G. Huxley ◽

C. Peddie ◽

...

Keyword(s):

Obsessive Compulsive Disorder ◽

Mental Distress ◽

Psychological Impact ◽

Discussion Forum ◽

Obsessive Compulsive ◽

Compulsive Disorder ◽

Care Workers ◽

Positive Experiences ◽

Anxiety Depression ◽

The Impact

The psychological impact of the COVID-19 pandemic on coronavirus patients, health care workers, and the general population is clear. Relatively few studies have, however, considered the impact of the pandemic on those with pre-existing mental health conditions. Therefore, the present study investigates the personal experiences of those with anxiety, depression, and obsessive-compulsive disorder during COVID-19. We conducted a qualitative study utilising Reddit discussion forum posts. We conducted three separate thematic analyses from 130 posts in subreddit forums aimed for people identifying with anxiety, depression, and obsessive-compulsive disorder. We identified a number of similar discussion forum themes (e.g., COVID-19 intensifying symptoms and a lack of social support), as well as themes that were unique to each forum type (e.g., hyperawareness and positive experiences during the pandemic). Findings should guide future practice and the support provided to those living with mental distress.

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Impact of flooding on health-related quality of life in England: results from the National Study of Flooding and Health

European Journal of Public Health ◽

10.1093/eurpub/ckaa049 ◽

2020 ◽

Vol 30 (5) ◽

pp. 942-948

Author(s):

Charlotte Robin ◽

Charles Beck ◽

Ben Armstrong ◽

Thomas David Waite ◽

G James Rubin ◽

...

Keyword(s):

Quality Of Life ◽

A Priori ◽

National Study ◽

Health Related Quality ◽

Euroqol Group ◽

Related Quality ◽

Health Related ◽

Anxiety Depression ◽

The Impact

Abstract Background Flooding can have extensive effects on the health and wellbeing of affected communities. The impact of flooding on psychological morbidity has been established; however, the wider impacts of flooding exposure, including on health-related quality of life (HRQoL), have not been described. Methods Using data from the English National Study of Flooding and Health cohort, HRQoL 2 and 3 years post-flooding was assessed with the EuroQol Group EQ-5D-5L tool. Associations between exposure groups (flooding and disruption from flooding) and HRQoL were assessed, using ordinal and linear regression, adjusting for a priori confounders. Results For both 2 and 3 years post-flooding, the median HRQoL scores were lower in the flooded and disrupted groups, compared with unaffected respondents. A higher proportion of flooded and disrupted respondents reported HRQoL problems in most dimensions of the EQ-5D-5L, compared with unaffected respondents. In year 2, independent associations between exposure to flooding and experiencing anxiety/depression [adjusted odds ratio (aOR) 7.7; 95% CI 4.6–13.5], problems with usual activities (aOR 5.3; 95% CI 2.5–11.9) and pain/discomfort (aOR 2.4; 95% CI 1.5–3.9) were identified. These problems persisted 3 years post-flooding; associations between exposure to flooding and experiencing anxiety/depression (aOR 4.3; 95% CI 2.5–7.7), problems with usual activities (aOR 2.9; 95% CI 1.5–6.1) and pain/discomfort (aOR 2.5; 95% CI 1.5–4.2) were identified. Conclusions Exposure to flooding and disruption from flooding significantly reduces HRQoL. These findings extend our knowledge of the impacts of flooding on health, with implications for multi-agency emergency response and recovery plans.

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