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Global Spine J. 2018 May;8(3):231-236. doi: 10.1177/2192568217706700. Epub 2017 May 31.

Immediate Postoperative Pain Scores Predict Neck Pain Profile up to 1 Year Following Anterior Cervical Discectomy and Fusion.

Author information

1
Rush University Medical Center, Chicago, IL, USA.
2
Duke University Medical Center, Durham, NC, USA.
3
The University of Illinois at Chicago, Chicago, IL, USA.
4
University of Kentucky, Lexington, KY, USA.
5
Yale University, New Haven, CT, USA.
6
University of Texas Southwestern, Dallas, TX, USA.

Abstract

Study Design:

Retrospective cohort review.

Objective:

To assess whether immediate postoperative neck pain scores accurately predict 12-month visual analog scale-neck pain (VAS-NP) outcomes following Anterior Cervical Discectomy and Fusion surgery (ACDF).

Methods:

This was a retrospective study of 82 patients undergoing elective ACDF surgery at a major academic medical center. Patient reported outcomes measures VAS-NP scores were recorded on the first postoperative day, then at 6-weeks, 3, 6, and 12-months after surgery. Multivariate correlation and logistic regression methods were utilized to determine whether immediate postoperative VAS-NP score accurately predicted 1-year patient reported VAS-NP Scores.

Results:

Overall, 46.3% male, 25.6% were smokers, and the mean age and body mass index (BMI) were 53.7 years and 28.28 kg/m2, respectively. There were significant correlations between immediate postoperative pain scores and neck pain scores at 6 weeks VAS-NP (P = .0015), 6 months VAS-NP (P = .0333), and 12 months VAS-NP (P = .0247) after surgery. Furthermore, immediate postoperative pain score is an independent predictor of 6 weeks, 6 months, and 1 year VAS-NP scores.

Conclusion:

Our study suggests that immediate postoperative patient reported neck pain scores accurately predicts and correlates with 12-month VAS-NP scores after an ACDF procedure. Patients with high neck pain scores after surgery are more likely to report persistent neck pain 12 months after index surgery.

KEYWORDS:

ACDF; VAS-NP; anterior cervical discectomy and fusion; neck pain; pain score; patient-reported outcomes; spine surgery

Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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