Neck pain is a common, multifactorial condition. In the case of degenerative cervical spinal disease, it can result from changes in the intervertebral discs, muscles, intervertebral joints, or sagittal imbalance. Anterior cervical discectomy and fusion (ACDF) is a currently widely accepted procedure for treating cervical degenerative spine disease, with a high patient satisfaction rate. In the current state of knowledge, it is not used for treating axial neck pain, but rather in cases of discopathy causing spinal myelopathy or cervical radiculopathy, in which neck pain often coexists or predominates. The current literature provides ample evidence of the significant effect of ACDF in improving axial neck pain in the conditions mentioned previously. However, little information exists on which patients achieve improvement. The aim of this prospective study is to analyze the outcomes of ACDF in patients with neck pain and to identify predictors of reduction in axial neck pain after ACDF.
Study Type
OBSERVATIONAL
Enrollment
60
Department of Orthopaedics, J. Dietl Specialist Hospital
Krakow, Lesser Poland Voivodeship, Poland
RECRUITINGDepartment of Neurosurgery, Medical University of Warsaw
Warsaw, Masovian Voivodeship, Poland
RECRUITINGPredictors of the reduction of axial neck pain following ACDF.
Change in VAS neck pain ( visual analog scale), with calculated MCID ( Minimal Clinically Important Difference) as 2.5
Time frame: On the day of discharge from the hospital, at 6 months, 1 year, 2 years
Predictors of functional outcomes following ACDF.
Change in NDI ( neck disability index), with calculated MCID as 7.5
Time frame: On the day of discharge from the hospital, at 6 months, 1 year, 2 years
Predictors of the reduction of axial neck pain following ACDF in population with predominant neck pain.
Change in VAS neck pain ( visual analog scale), with calculated MCID ( Minimal Clinically Important Difference) as 2.5 in population with predominant neck pain. (VAS neck - VAS arm ≥ 1.0 point)
Time frame: On the day of discharge from the hospital, at 6 months, 1 year, 2 years
Predictors of functional outcomes following ACDF in population with predominant neck pain.
Change in NDI ( neck disability index), with calculated MCID as 7.5 in population with predominant neck pain. (VAS neck - VAS arm ≥ 1.0 point)
Time frame: On the day of discharge from the hospital, at 6 months, 1 year, 2 years
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