Psychological predictors of quality of life after anterior cervical discectomy and fusion for degenerative cervical spine disease.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
07 08 2020
Historique:
received: 10 11 2019
accepted: 29 07 2020
entrez: 10 8 2020
pubmed: 10 8 2020
medline: 10 2 2021
Statut: epublish

Résumé

We aimed to identify independent psychological predictors of quality of life (QOL) and functional outcome after anterior cervical discectomy and fusion (ACDF) for degenerative cervical spine disease. We prospectively included patients undergoing ACDF for degenerative cervical disc herniation and stenosis. Patients completed a structured psychological assessment including the Center for Epidemiological Studies Depression Scale (ADS-K), Post-Traumatic Stress Scale-10 (PTSS-10), State Trait Anxiety Inventory-State Anxiety and - Trait Anxiety (STAI-S and STAI-T) and Anxiety Sensitivity Index-3 (ASI-3) before surgery, after 3 and 12 months. Outcome measures included EuroQol-5D (EQ), Short Form-36 (SF-36) and Oswestry Disability Index (ODI) scores. Of 104 included patients who underwent ACDF between March 2013 and November 2017, 92 completed follow-up after 3 and 12 months. The mean Visual Analogue Scale (VAS) scores for neck pain (- 1.4; p < .001) and arm pain (- 1.8; p = .031) significantly decreased by 12 months. QOL scores significantly increased by 3 months (EQ: + 0.2; p < .001; SF-36 PCS: + 6.2; p < .001; SF-36 MCS: + 2.5; p = .044), a benefit which was retained at 12 months. Linear regression analyses identified statistically significant predictors in preoperative ASI-3, SF-36 MCS and STAI-S for postoperative QOL and ODI scores. There is a benefit for patients in terms of quality of life and function after undergoing surgery for degenerative cervical spine disease. With the ASI-3, SF-36 MCS and STAI-S there exist some predictors for postoperative QOL and ODI scores.

Identifiants

pubmed: 32770143
doi: 10.1038/s41598-020-70437-9
pii: 10.1038/s41598-020-70437-9
pmc: PMC7414876
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

13415

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Auteurs

Arthur Wagner (A)

Department of Neurosurgery, Klinikum Rechts der Isar, Technical University Munich School of Medicine, Ismaninger Str. 22, 81675, Munich, Germany. arthur.wagner@tum.de.

Youssef Shiban (Y)

Department of Clinical Psychology, Private University of Applied Sciences, Göttingen, Germany.

Leonie Zeller (L)

Department of Neurosurgery, Klinikum Rechts der Isar, Technical University Munich School of Medicine, Ismaninger Str. 22, 81675, Munich, Germany.

Kaywan Aftahy (K)

Department of Neurosurgery, Klinikum Rechts der Isar, Technical University Munich School of Medicine, Ismaninger Str. 22, 81675, Munich, Germany.

Nicole Lange (N)

Department of Neurosurgery, Klinikum Rechts der Isar, Technical University Munich School of Medicine, Ismaninger Str. 22, 81675, Munich, Germany.

Stefan Motov (S)

Department of Neurosurgery, Klinikum Rechts der Isar, Technical University Munich School of Medicine, Ismaninger Str. 22, 81675, Munich, Germany.

Ann-Kathrin Joerger (AK)

Department of Neurosurgery, Klinikum Rechts der Isar, Technical University Munich School of Medicine, Ismaninger Str. 22, 81675, Munich, Germany.

Bernhard Meyer (B)

Department of Neurosurgery, Klinikum Rechts der Isar, Technical University Munich School of Medicine, Ismaninger Str. 22, 81675, Munich, Germany.

Ehab Shiban (E)

Department of Neurosurgery, Klinikum Rechts der Isar, Technical University Munich School of Medicine, Ismaninger Str. 22, 81675, Munich, Germany.
Department of Neurosurgery, Universitätsklinikum Augsburg, Augsburg, Germany.

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