Outpatient Posterior Cervical Fusion: Outcomes of the First 100 Consecutive Cases

NeuroSpine Center of Wisconsin100 enrolled

Overview

Observational study regarding outcomes, complications, and patient acceptance for 100 consecutive patients undergoing outpatient posterior cervical decompression, instrumentation and fusion.

Study Type

OBSERVATIONAL

Enrollment

100

Conditions

Cervical Stenosis

Interventions

Enhanced recovery after surgery protocolOTHER

This is the only study evaluating OUTPATIENT posterior cervical decompression, instrumentation, and fusion patients in a prospective fashion with a median follow-up of 2.5 years.

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: * patients with neurological signs and symptoms related to cervical stenosis, confirmed by MRI, who have failed to improve with appropriate conservative management. Exclusion Criteria: * patients who represent an inordinate risk to undergo general anesthesia in the outpatient setting.

Locations (1)

NeuroSpine Center of Wisconsin

Neenah, Wisconsin, United States

Outcomes

Primary Outcomes

Neurologic Function (Modified JOA Score)

Neurologic status will be assessed using the Modified Japanese Orthopaedic Association (mJOA) Score (1-18), with higher scores indicating better neurologic function.

Time frame: Baseline and 3 months post-operative

Myelopathy Severity (Nurick Grade)

Myelopathy severity will be measured using the Nurick Scale (Grades 0-5), with higher grades indicating greater impairment.

Time frame: Baseline and 3 months post-operative

Pain Severity (VAS Neck and Arm Pain Scores)

Pain will be assessed using the Visual Analog Scale (VAS) for neck and arm pain (0-10).

Time frame: Baseline, 3 months post-operative, and final follow-up (average 5 years)

Functional Disability (Oswestry Neck Pain Index)

Functional impairment will be assessed using the Oswestry Neck Pain Index (0-100%).

Time frame: Baseline and 3 months post-operative

Surgical Outcome Rating (Odom Criteria)

Patient-reported surgical outcome will be graded using Odom Criteria (Excellent, Good, Fair, Poor).

Time frame: 3 months post-operative and extended follow-up (average 5 years)

Secondary Outcomes

Number of Participants With Postoperative Complications or Readmissions

All postoperative medical and surgical complications-including ER visits, unplanned admissions, and reoperations-will be recorded.

Time frame: Day of surgery through study completion (average 5 years)

Number of Participants With Radiographic Evidence of Fusion or Hardware Failure

Data from ClinicalTrials.gov

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