Saratov JOURNAL of Medical and Scientific Research

A comprehensive evaluation of cervical spine surgery outcomes

Year: 2017, volume 13 Issue: №2 Pages: 266-273
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Ostrovsky W, Schanitsyn IN, Bajanov SP, Fedonnikov AS.
Organization: Saratov State Medical University

Aim: study of diagnostic value of different assessment scales to evaluate outcomes of surgeries in degenerative and post-injury deformities of cervical spine. Material and Methods. Between January and December 2015, 110 consecutive patients with degenerative and traumatic lesions of cervical spine were selected for surgery and results of treatment were followed. Preoperatively and 12 months postoperatively the patients filled in a questionnaire that included a VAS, Odom's scale, NDI, modified JOAand the Zung Depression Scale. To assess the results of the intervention, the concept of "effect size" was used. Distribution of different scores classified according to Odom's criteria as excellent/good and fair/poor. Results. All scores improved in all group of patients. For VAS, NDI and modified JOA scores the effect size was largest. NDI, JOAand ZDS seemed to correlate well with the classification of outcome by Odom. Conclusion. It is suggested many scales to assess the outcomes of the cervical spine surgery based on different criteria; nevertheless, there are no generally accepted and validated methods that can be used to analysis the outcome of cervical spine surgery. We conclude that investigated

1. Shul'ga AE, Norkin IA, Ninel' VG, et al. Contemporary vews on the pathogenesis of trauma to the spinal cord and peripheral nerve trunks. Neurosci Behav Physiol 2015; 45 (7): 811-819
2. Carroll LJ, Hogg-Johnson S, Cote P, et al. Course and prognostic factors for neck pain in workers. Results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. J Manipulative Physiol Ther 2009; 32 (2 Suppl.)
3. Closs SJ, Barr B, Briggs M, et al. A comparison of five pain assessment scales for nursing home residents with varying degrees of cognitive impairment. J Pain Symptom Manage 2004; 27(3): 196-205
4. Odom GL, Finney W, Woodhall B. Cervical disk lesions. J Am Med Assoc 1958; 166 (1): 23-28
5. Bono CM, Ghiselli G, Gilbert TJ, et al. An evidence-based clinical guideline for the diagnosis and treatment of cervical radiculopathy from degenerative disorders. Spine J 2011; 11 (1): 64-72
6. Fernandez-Fairen M, Sala P, Dufoo M, et al. Anterior cervical fusion with tantalum implant: a prospective randomized controlled study. Spine (Phila Pa 1976) 2008; 33 (5): 465-472
7. Zoega B, Karrholm J, Lind B. Outcome scores in degenerative cervical disc surgery. Eur Spine J 2000; 9 (2): 137-143
8. Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther 1991; 14 (7): 409-415
9. Zung WW. A self-rating depression scale. Arch Gen Psychiatry 1965; 12:63-70
10. Kazis LE, Anderson JJ, Meenan RF. Effect sizes for interpreting changes in health status. Med Care 1989; 27 (3 Suppl.): 178-189.

2017_02_266-273.pdf720.21 KB

No votes yet