Comparison of Best Versus Worst Clinical Outcomes for Adult Cervical Deformity Surgery.

adult cervical deformity outcomes surgery

Journal

Global spine journal
ISSN: 2192-5682
Titre abrégé: Global Spine J
Pays: England
ID NLM: 101596156

Informations de publication

Date de publication:
May 2019
Historique:
entrez: 14 6 2019
pubmed: 14 6 2019
medline: 14 6 2019
Statut: ppublish

Résumé

Retrospective cohort study. Factors that predict outcomes for adult cervical spine deformity (ACSD) have not been well defined. To compare ACSD patients with best versus worst outcomes. This study was based on a prospective, multicenter observational ACSD cohort. Best versus worst outcomes were compared based on Neck Disability Index (NDI), Neck Pain Numeric Rating Scale (NP-NRS), and modified Japanese Orthopaedic Association (mJOA) scores. Of 111 patients, 80 (72%) had minimum 1-year follow-up. For NDI, compared with best outcome patients (n = 28), worst outcome patients (n = 32) were more likely to have had a major complication ( Factors distinguishing best and worst ACSD surgery outcomes included patient, surgical, and radiographic factors. These findings suggest areas that may warrant greater awareness to optimize patient counseling and outcomes.

Identifiants

pubmed: 31192099
doi: 10.1177/2192568218794164
pii: 10.1177_2192568218794164
pmc: PMC6542159
doi:

Types de publication

Journal Article

Langues

eng

Pagination

303-314

Déclaration de conflit d'intérêts

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.

Références

Spine (Phila Pa 1976). 2000 Nov 15;25(22):2940-52; discussion 2952
pubmed: 11074683
Rev Chir Orthop Reparatrice Appar Mot. 2003 May;89(3):218-27
pubmed: 12844045
J Bone Joint Surg Am. 1958 Jul;40-A(4):833-43
pubmed: 13549520
Calif Med. 1965 Feb;102:142-4
pubmed: 14254969
Spine (Phila Pa 1976). 2005 Mar 15;30(6):682-8
pubmed: 15770185
Eur Spine J. 2006 Jun;15(6):982-91
pubmed: 15965708
J Spinal Disord. 1991 Sep;4(3):286-95
pubmed: 1802159
J Manipulative Physiol Ther. 1991 Sep;14(7):409-15
pubmed: 1834753
Spine (Phila Pa 1976). 2008 Apr 1;33(7):771-8
pubmed: 18379404
Spine (Phila Pa 1976). 2008 Jul 15;33(16):E559-64
pubmed: 18628698
Spine (Phila Pa 1976). 2009 Sep 15;34(20):2171-8
pubmed: 19752703
Neurosurg Focus. 2010 Mar;28(3):E14
pubmed: 20192659
Spine J. 2010 Jun;10(6):469-74
pubmed: 20359958
Spine (Phila Pa 1976). 2011 May 1;36(10):817-24
pubmed: 20683385
Spine (Phila Pa 1976). 2010 Sep 15;35(20):1849-54
pubmed: 20802383
Eur Spine J. 2011 Apr;20(4):523-36
pubmed: 20967471
Adv Orthop. 2011;2011:415946
pubmed: 22007318
J Neurosurg Spine. 2012 Jun;16(6):547-64
pubmed: 22443546
Neurosurgery. 2012 Sep;71(3):662-9; discussion 669
pubmed: 22653395
J Neurosurg Spine. 2012 Oct;17(4):300-7
pubmed: 22860879
Eur Spine J. 2013 Feb;22(2):402-10
pubmed: 23073746
Spine (Phila Pa 1976). 2013 Jun 1;38(13):E803-12
pubmed: 23722572
J Spinal Disord Tech. 2015 Aug;28(7):E385-93
pubmed: 23732179
J Neurosurg Spine. 2013 Aug;19(2):141-59
pubmed: 23768023
J Neurosurg Spine. 2013 Sep;19(3):269-78
pubmed: 23829287
J Bone Joint Surg Am. 2013 Sep 18;95(18):1651-8
pubmed: 24048552
Spine (Phila Pa 1976). 2013 Oct 15;38(22 Suppl 1):S149-60
pubmed: 24113358
Neurosurgery. 2014 Feb;74(2):206-13; discussion 213-4
pubmed: 24220005
Eur Spine J. 2014 Oct;23 Suppl 6:634-43
pubmed: 25217239
J Neurosurg Spine. 2015 Sep;23(3):349-59
pubmed: 26047345
J Neurosurg Spine. 2015 Dec;23(6):673-83
pubmed: 26273762
Spine (Phila Pa 1976). 2015 Nov;40(21):1653-9
pubmed: 26502097
Neurosurgery. 2016 Sep;79(3):378-88
pubmed: 26595429
J Neurosurg Spine. 2016 Jul;25(1):1-14
pubmed: 26918574
World Neurosurg. 2016 Jul;91:228-37
pubmed: 27086260
Eur Spine J. 2017 Apr;26(4):1111-1120
pubmed: 27437690
Neurosurgery. 2017 Mar 01;80(3S):S70-S85
pubmed: 28350940
Can Nurse. 1972 May;68(5):24-9
pubmed: 5014072
Clin Orthop Relat Res. 1972 Jul-Aug;86:132-43
pubmed: 5047778
Physiotherapy. 1980 Aug;66(8):271-3
pubmed: 6450426

Auteurs

Justin S Smith (JS)

University of Virginia, Charlottesville, VA, USA.

Christopher I Shaffrey (CI)

University of Virginia, Charlottesville, VA, USA.

Han Jo Kim (HJ)

Hospital for Special Surgery, New York, NY, USA.

Peter Passias (P)

NYU Hospital for Joint Diseases, New York, NY, USA.

Themistocles Protopsaltis (T)

NYU Hospital for Joint Diseases, New York, NY, USA.

Renaud Lafage (R)

Hospital for Special Surgery, New York, NY, USA.

Gregory M Mundis (GM)

Scripps Clinic, San Diego, CA, USA.

Eric Klineberg (E)

University of California, Davis, Sacramento, CA, USA.

Virginie Lafage (V)

Hospital for Special Surgery, New York, NY, USA.

Frank J Schwab (FJ)

Hospital for Special Surgery, New York, NY, USA.

Justin K Scheer (JK)

University of Illinois at Chicago, Chicago, IL, USA.

Michael Kelly (M)

Washington University, St Louis, MO, USA.

D Kojo Hamilton (DK)

University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Munish Gupta (M)

Washington University, St Louis, MO, USA.

Vedat Deviren (V)

University of California, San Francisco, San Francisco, CA, USA.

Richard Hostin (R)

Baylor Scoliosis Center, Plano, TX, USA.

Todd Albert (T)

Hospital for Special Surgery, New York, NY, USA.

K Daniel Riew (KD)

Columbia University, New York, NY, USA.

Robert Hart (R)

Swedish Medical Center, Seattle, WA, USA.

Doug Burton (D)

University of Kansas Medical Center, Kansas City, KA, USA.

Shay Bess (S)

Presbyterian St Lukes Medical Center, Denver, CO, USA.

Christopher P Ames (CP)

University of California, San Francisco, San Francisco, CA, USA.

Classifications MeSH