Anterior cervical decompression and fusion on neck range of motion,pain, and function: a prospective analysis |
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| Authors: | Merrill R Landers Kate A Addis Jason K Longhurst Bree-lyn vom Steeg Emilio J Puentedura Michael D Daubs |
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| Institution: | 1. Department of Physical Therapy, University of Nevada, Las Vegas, 4505 Maryland Parkway, Box 453029, Las Vegas, NV 89154, USA;2. Clackamas Injury Rehab, 8810 SE Sunnybrook Blvd, Suite 100, Clackamas, OR 97015, USA;3. Department of Orthopaedics, UCLA Comprehensive Spine Center, University of California, 1131 Wilshire Blvd, Suite 100, Santa Monica, CA 90401, USA;1. Division of Neurosurgery, Duke University Medical Center, Duke University Medical Center Box 3807, Blue Zone Room 4528, Duke South, Durham, NC 27710, USA;2. Duke University School of Medicine, Durham, NC, USA;1. University of Pittsburgh School of Medicine, Pittsburgh 15213, USA;2. Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh 15213, USA;1. Department of Physiotherapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran;2. Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran;3. Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran;4. Sajad Physiotherapy Clinic, Tehran, Iran;1. Department of Orthopaedics and Traumatology, Tuen Mun Hospital, Tuen Mun, New Territories, Hong Kong;2. Department of Oncology, Tuen Mun Hospital, Tuen Mun, New Territories, Hong Kong |
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| Abstract: | Background contextIntractable cervical radiculopathy secondary to stenosis or herniated nucleus pulposus is commonly treated with an anterior cervical decompression and fusion (ACDF) procedure. However, there is little evidence in the literature that demonstrates the impact such surgery has on long-term range of motion (ROM) outcomes.PurposeThe objective of this study was to compare cervical ROM and patient-reported outcomes in patients before and after a 1, 2, or 3 level ACDF.Study designProspective, nonexperimental.Patient sampleForty-six patients.Outcome measuresThe following were measured preoperatively and also at 3 and 6 months after ACDF: active ROM (full and painfree) in three planes (ie, sagittal, coronal, and horizontal), pain visual analog scale, Neck Disability Index, and headache frequency.MethodsPatients undergoing an ACDF for cervical radiculopathy had their cervical ROM measured preoperatively and also at 3 and 6 months after the procedure. Neck Disability Index and pain visual analog scale values were also recorded at the same time.ResultsBoth painfree and full active ROM did not change significantly from the preoperative measurement to the 3-month postoperative measurement (ps>.05); however, painfree and full active ROM did increase significantly in all three planes of motion from the preoperative measurement to the 6-month postoperative measurement regardless of the number of levels fused (ps≤.023). Visual analog scale, Neck Disability Index, and headache frequency all improved significantly over time (ps≤.017).ConclusionsOur results suggest that patients who have had an ACDF for cervical radiculopathy will experience improved ROM 6 months postoperatively. In addition, patients can expect a decrease in pain, an improvement in neck function, and a decrease in headache frequency. |
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| Keywords: | Cervical Range of motion Radiculopathy Outcomes |
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