scholarly journals Functional and goniometric outcomes after surgical treatment of odontoid fractures

2015 ◽  
Vol 42 (S1) ◽  
pp. S50-S50
Author(s):  
R Kesarwani ◽  
A Nataraj
Keyword(s):  
Short Form ◽  
Neck Disability Index ◽  
Surgical Approaches ◽  
Type Ii ◽  
Odontoid Fractures ◽  
Neck Function ◽  
Atlantoaxial Fixation ◽  
Neck Rotation ◽  
Neck Disability ◽  
And Function

Background: Surgical approaches to stabilize Type-II odontoid fractures include posterior atlantoaxial fixation (PAF) and anterior screw fixation (ASF). While ASF may theoretically allow for greater preservation of neck motion compared to PAF, there is a lack of evidence that one method preserves rotation and function better than the other. Methods: Single-centre study involving patients under 75 years old who underwent surgery for Type-II odontoid fracture. Following chart review, degree of neck rotation was assessed in patients using goniometric measurements. Participants completed questionnaires to investigate their perception of neck function and overall health (Neck Disability Index, Short Form-12, and EuroQol 5-D). Results: Patient recruitment is ongoing. To date, eleven patients have been reviewed (7 PAF, 4 ASF). Mean patient age was 61+/−12 years in the PAF group and 52+/−16 years in the ASF group. Measured neck rotation was lower in the PAF group compared to the ASF group (mean 58 vs. 110.5 degrees). However, the PAF group also reported fewer functional complaints. Conclusions: Preliminary data suggest that patients who receive ASF tend to be younger. While range of neck rotation is superior in ASF patients, their perception of functional ability does not correlate, suggesting that perceived neck function is multifactorial.

scholarly journals Patient-Reported Outcomes and Patient-Reported Satisfaction After Surgical Treatment for Cervical Radiculopathy

2018 ◽  
Vol 8 (7) ◽  
pp. 703-708 ◽  
Author(s):  
Andreas Kiilerich Andresen ◽  
Rune Tendal Paulsen ◽  
Frederik Busch ◽  
Alexander Isenberg-Jørgensen ◽  
Leah Y. Carreon ◽  
...  
Keyword(s):  
Short Form ◽  
Neck Disability Index ◽  
Visual Analogue Score ◽  
Cervical Radiculopathy ◽  
Strongly Correlated ◽  
Anterior Cervical Decompression ◽  
Sf 36 ◽  
Patient Reported ◽  
Neck Disability ◽  
Cervical Degenerative Disease

Study Design: Retrospective cohort study. Objectives: It is estimated that 10 000 patients seek medical care due to cervical 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 aim to evaluate the patient-reported results and satisfaction of anterior cervical decompression and fusion over a 5-year period from a single Danish center for spine surgery. Methods: This study is a retrospective study based on prospectively collected data from 318 consecutive patients treated with anterior cervical decompression and fusion over 1 to 3 levels. Data in the DaneSpine registry 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 Component Summary (SF-36 PCS). Results: Of 318 cases enrolled, 272 (85.5%) had follow-up data available at a minimum 1-year postoperatively. The mean preoperative NDI was 40.0 and improved to 22.7. Mean EQ-5D was 0.50 and improved to 0.70, and mean VAS arm was 60.4 improved to 26.4. All improvements were statistically significant. A total of 74.3% were back to work 1 year after surgery. Achieving minimal clinically important difference (MCID) in VAS neck and SF-36 PCS was strongly correlated to patient satisfaction. Conclusion: Patients who undergo anterior cervical discectomy and fusion can expect improvement in their pain and disability, with 74.3% of patients reporting a positive change in health status after surgery.

scholarly journals P.229 Epidemiology and Outcomes of Neck Pain Following Surgery for Degenerative Cervical Radiculopathy

2021 ◽  
Vol 48 (s3) ◽  
pp. S86-S86
Author(s):  
MA MacLean ◽  
A Dakson ◽  
F Xavier ◽  
SD Christie ◽  
C Investigators
Keyword(s):  
Neck Pain ◽  
Short Form ◽  
Neck Disability Index ◽  
Cervical Radiculopathy ◽  
Research Network ◽  
Cervical Disc ◽  
Cervical Disc Arthroplasty ◽  
Arm Pain ◽  
Composite Scale ◽  
Neck Disability

Background: Many studies have demonstrated improved arm pain (AP) following surgery for degenerative cervical radiculopathy (DCR); however, axial neck pain (NP) is generally not felt to improve. The purpose of this study was to determine whether surgery for DCR improves NP. Methods: A ambispective cohort study of the Canadian Spine Outcomes Research Network (CSORN) registry for patients who received 1-level, 2-level, 3-level ADCF (anterior cervical discectomy and fusion) or cervical disc arthroplasty (CDA) for DCR. Outcomes: 12-month post-operative Visual Analogue Scale for NP (VAS-NP), Neck Disability Index (NDI), VAS for AP (VAS-AP), Short-Form Physical Health Composite Scale (SF36-PCS), and Mental Health Composite Scale (SF36-MCS). Results: We identified 603 patients with DCR. CDA patients were the youngest (ANOVA; p<0.001). Patients reported similar pre-operative AP, NP, disability, and health-related quality of life, regardless of procedure (ANOVA; all P>0.05). All procedures offered a statistically significant reduction in VAS-NP, VAS-AP, and NDI (ANOVA; all P<0.001). Mean change from baseline in NP, AP, and disability, were similar across procedures. At 12 months, mean reduction in VAS-AP, VAS-NP, and NDI exceeded minimal clinically important differences for nearly all procedures. Conclusions: Patients undergoing surgery for DCR can expect a clinically significant, approximate 50% reduction in NP, AP, and neck-related disability.

scholarly journals Surgical Strategy for the Management of Cervical Deformity Is Based on Type of Cervical Deformity

2021 ◽  
Vol 10 (21) ◽  
pp. 4826
Author(s):  
Han Jo Kim ◽  
Sohrab Virk ◽  
Jonathan Elysee ◽  
Christopher Ames ◽  
Peter Passias ◽  
...  
Keyword(s):  
Neck Disability Index ◽  
Treatment Strategies ◽  
Surgical Approaches ◽  
Surgical Strategies ◽  
Cervical Deformity ◽  
Related Quality ◽  
Health Related ◽  
Neck Disability

Objectives: Cervical deformity morphotypes based on type and location of deformity have previously been described. This study aimed to examine the surgical strategies implemented to treat these deformity types and identify if differences in treatment strategies impact surgical outcomes. Our hypothesis was that surgical strategies will differ based on different morphologies of cervical deformity. Methods: Adult patients enrolled in a prospective cervical deformity database were classified into four deformity types (Flatneck (FN), Focal kyphosis (FK), Cervicothoracic kyphosis (CTK) and Coronal (C)), as previously described. We analyzed group differences in demographics, preoperative symptoms, health-related quality of life scores (HRQOLs), and surgical strategies were evaluated, and postop radiographic and HROQLs at 1+ year follow up were compared. Results: 90/109 eligible patients (mean age 63.3 ± 9.2, 64% female, CCI 1.01 ± 1.36) were evaluated. Group distributions included FN = 33%, FK = 29%, CTK = 29%, and C = 9%. Significant differences were noted in the surgical approaches for the four types of deformities, with FN and FK having a high number of anterior/posterior (APSF) approaches, while CTK and C had more posterior only (PSF) approaches. For FN and FK, PSF was utilized more in cases with prior anterior surgery (70% vs. 25%). For FN group, PSF resulted in inferior neck disability index compared to those receiving APSF suggesting APSF is superior for FN types. CTK types had more three-column osteotomies (3CO) (p < 0.01) and longer fusions with the LIV below T7 (p < 0.01). There were no differences in the UIV between all deformity types (p = 0.19). All four types of deformities had significant improvement in NRS neck pain post-op (p < 0.05) with their respective surgical strategies. Conclusions: The four types of cervical deformities had different surgical strategies to achieve improvements in HRQOLs. FN and FK types were more often treated with APSF surgery, while types CTK and C were more likely to undergo PSF. CTK deformities had the highest number of 3COs. This information may provide guidelines for the successful management of cervical deformities.

scholarly journals Cervicalgia entre estudantes de medicina: uma realidade multifatorial

2019 ◽  
Vol 21 (2) ◽  
pp. 55-58
Author(s):  
Marcos Iae Sato ◽  
Luiz Fernando Aguiar ◽  
Melissa Nóbrega Vasques de Freitas ◽  
Isabella Guerra ◽  
José Eduardo Martinez
Keyword(s):  
Short Form ◽  
Neck Disability Index ◽  
Sao Paulo ◽  
Medical Outcome Study ◽  
Outcome Study ◽  
Medical Outcome ◽  
Short Form 36 ◽  
Sf 36 ◽  
Neck Disability ◽  
De Medicina

Introdução: A cervicalgia afeta cerca de 50% da população. Predomina em mulheres e se relaciona a esforços repetitivos e má postura. O tempo de estudos e a utilização de livros, computadores e tablets pode gerar posturas inadequadas que podem causar cervicalgia. Objetivo: Conhecer a prevalência dessa afecção nos alunos de medicina da Pontifícia Universidade Católica de São Paulo (PUC-SP) e o respectivo perfil. Materiais e métodos: Foram avaliados cem estudantes de medicina da PUC-SP e aplicados questionários sobre dados demográficos, características clínicas, o Neck Disability Index (NDI) e o Medical Outcome Study Short Form 36 Survey (SF-36). Resultados: A prevalência de cervicalgia foi de 34%, com predomínio feminino. O quadro foi referido como crônico em 16%, enquanto 19% apresentaram apenas 1 episódio. Em relação ao NDI, observa-se que, entre aqueles com 17 a 19 anos, 3 não apresentaram incapacidade e 3 tinham incapacidade leve. De 20 a 22 anos, 6 não apresentaram incapacidade e 12, leve. De 23 a 25 anos, 2 não apresentaram incapacidade, 7 tinham incapacidade leve e 1, moderada. Acima de 26 anos, 1 apresentou incapacidade leve. Houve impacto na qualidade de vida nos domínios aspectos físicos, dor e vitalidade. A análise mostrou que os escores do SF-36 se correlacionam com os valores do NDI, com exceção do domínio aspectos sociais para ambos os sexos e os domínios vitalidade e saúde mental para o sexo masculino. Conclusão: Existe uma prevalência relevante de cervicalgia entre os alunos do curso de medicina da PUC-SP, gerando impacto na qualidade de vida.

Comparison of Clinical Outcomes of Posterior C1-C2 Temporary Fixation Without Fusion and C1-C2 Fusion for Fresh Odontoid Fractures

Neurosurgery ◽  
2015 ◽  
Vol 78 (1) ◽  
pp. 77-83 ◽  
Author(s):  
Qunfeng Guo ◽  
Yuan Deng ◽  
Jian Wang ◽  
Liang Wang ◽  
Xuhua Lu ◽  
...  
Keyword(s):  
Fracture Healing ◽  
Short Form ◽  
Neck Disability Index ◽  
Visual Analog Scale Score ◽  
Odontoid Fracture ◽  
Atlantoaxial Joint ◽  
Short Form Health Survey ◽  
Neck Stiffness ◽  
Neck Disability ◽  
Short Form Health

Abstract BACKGROUND: Posterior C1-C2 temporary-fixation technique can spare the range of motion (ROM) of the atlantoaxial joint after odontoid fracture healing. However, few studies analyze the difference in clinical outcome between this technique and posterior C1-C2 fusion technique for new odontoid fracture. OBJECTIVE: To verify whether the clinical outcome of the posterior C1-C2 temporary-fixation technique is superior to that of the posterior C1-C2 fusion technique in the treatment of a new odontoid fracture. METHODS: Twenty-one of 22 patients who underwent posterior C1-C2 temporary fixation of an odontoid fracture achieved fracture healing and regained motion of the atlantoaxial joint. The functional outcomes of these 21 patients were compared with that of a control group, which consisted of 21 randomly enrolled cases with posterior C1-C2 fixation and fusion. The differences between the 2 groups in the visual analog scale score for neck pain, neck stiffness, Neck Disability Index, 36-Item Short Form Health Survey, and time to fracture healing were analyzed. RESULTS: Significantly better outcomes were observed in the temporary-fixation group for visual analog scale score for neck pain, Neck Disability Index, and neck stiffness. The outcomes in the temporary-fixation group was superior to those in the fusion group in all dimensions of the 36-Item Short Form Health Survey. There were no significant differences in fracture healing rate and time to fracture healing between the 2 techniques. CONCLUSION: Functional outcomes were significantly better after posterior C1-C2 temporary fixation than after fusion. Temporary fixation can be used as a salvage treatment for an odontoid fracture with an intact transverse ligament in cases of failure of, or contraindication to, anterior screw fixation.

Healthcare students’ mental and physical well-being during the COVID-19 lockdown and distance learning

Work ◽  
2021 ◽  
Vol 70 (1) ◽  
pp. 3-10
Author(s):  
Khader A. Almhdawi ◽  
Alza Alazrai ◽  
Donia Obeidat ◽  
Ahmad A. Altarifi ◽  
Alaa O. Oteir ◽  
...  
Keyword(s):  
Distance Learning ◽  
Nursing Students ◽  
University Students ◽  
Short Form ◽  
Neck Disability Index ◽  
Well Being ◽  
Depression Anxiety Stress Scale ◽  
Cross Sectional ◽  
Healthcare Students ◽  
Neck Disability

BACKGROUND: The sudden shift into distance learning during the coronavirus (COVID-19) lockdown might have impacted university students’ well-being. OBJECTIVE: This study aimed to investigate undergraduate healthcare university students’ health-related quality of life (HRQoL) and its predictors during COVID-19. METHODS: A cross-sectional study used an online self-administered questionnaire. The study targeted undergraduate medical, dental, pharmacy, and nursing students at Jordanian universities. Data collected included demographics,12-item Short Form health survey (SF-12), students’ evaluation of distance learning, Neck Disability Index (NDI), Depression Anxiety Stress Scale (DASS21), and the International Physical Activity Questionnaire (IPAQ). Descriptive analyses were conducted to summarize primary outcome measures data. Predictors of HRQoL were determined using a multiple variable regression analysis. RESULTS: In total, 485 university students successfully completed this study with a mean age of 20.6 (±2.0). Participants’ HRQoL level measured by SF-12 mean scores were 66.5 (±20.2) for physical health component and 44.8 (±21.2) for mental health component. The regression model explained 65.5% of the variation (r2 = 0.655, F = 127.8, P < 0.001) in participants’ HRQoL. Factors significantly associated with HRQoL included depression, neck disability index score, stress, health self-evaluation, average of satisfaction with distance learning, IPAQ score, and weekly studying hours. CONCLUSIONS: This study showed that healthcare students had a relatively low level of HRQoL during COVID-19 pandemic in Jordan. Academic and non-academic factors associated with HRQoL were identified and should be considered by healthcare educational institutions for better academic planning in future similar pandemics.

scholarly journals NuNec™ Cervical Disc Arthroplasty Improves Quality of Life in Cervical Radiculopathy and Myelopathy: A 2-yr Follow-up

Neurosurgery ◽  
2017 ◽  
Vol 83 (3) ◽  
pp. 422-428 ◽  
Author(s):  
Isobel Turner ◽  
David Choi
Keyword(s):  
Heterotopic Ossification ◽  
Clinical Outcomes ◽  
Short Form ◽  
Neck Disability Index ◽  
Disc Replacement ◽  
Cervical Disc ◽  
Range Of Movement ◽  
Short Form 36 ◽  
Cervical Disc Replacement ◽  
Neck Disability

Abstract BACKGROUND Anterior cervical disc replacement is an alternative to fusion for the treatment of selected cases of radiculopathy and myelopathy. We report clinical and radiological outcomes after disc replacement with the NuNec™ artificial cervical disc (Pioneer® Surgical Technology, Marquette, Michigan) with subgroup analysis. OBJECTIVE To review clinical and radiological outcomes after anterior cervical disc replacement with the NuNec™ artificial cervical disc. METHODS A consecutive case series of patients undergoing cervical disc replacement with the NuNec™ artificial disc was conducted. Clinical outcomes were assessed by questionnaires preoperatively and up to 2 yr postoperatively including neck and arm pain, Neck Disability Index, Euroqol 5-dimensions, and Short Form-36; x-rays from the same period were analyzed for range of movement and presence of heterotopic ossification. RESULTS A total of 44 NuNec™ discs were implanted in 33 patients. Clinical improvements were seen in all outcomes; significant improvements on the Neck Disability Index, Euroqol 5-dimensions, and physical domain of the Short Form-36 were maintained at 2 yr. There was a mean of 4° range of movement at the replacement disc level at 2 yr, a significant reduction from baseline; there was also progression in levels of heterotopic ossification. Complications included temporary dysphagia (10%) and progression of disease requiring foraminotomy (6%); no surgery for adjacent level disease was required. There was no significant difference in the outcomes of the radiculopathy and myelopathy groups. CONCLUSION Clinical outcomes using the NuNec™ disc replacement are comparable with other disc replacements. Although the range of movement is reduced, the reoperation rate is very low.

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