Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Spine J. 2013 Nov;13(11):1650-8. doi: 10.1016/j.spinee.2013.06.020. Epub 2013 Sep 14.

Anterior cervical decompression and fusion on neck range of motion, pain, and function: a prospective analysis.

Author information

  • 1Department of Physical Therapy, University of Nevada, Las Vegas, 4505 Maryland Parkway, Box 453029, Las Vegas, NV 89154, USA. Electronic address: merrill.landers@unlv.edu.

Abstract

BACKGROUND CONTEXT:

Intractable 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.

PURPOSE:

The 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 DESIGN:

Prospective, nonexperimental.

PATIENT SAMPLE:

Forty-six patients.

OUTCOME MEASURES:

The 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.

METHODS:

Patients 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.

RESULTS:

Both 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).

CONCLUSIONS:

Our 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.

Copyright © 2013 Elsevier Inc. All rights reserved.

KEYWORDS:

Cervical; Outcomes; Radiculopathy; Range of motion

PMID:
24041918
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Icon for Elsevier Science
    Loading ...
    Write to the Help Desk