Psychological predictors of quality of life after anterior cervical discectomy and fusion for degenerative cervical spine disease.
Anxiety
Cervical Vertebrae
/ surgery
Cohort Studies
Depression
Diskectomy
/ methods
Female
Follow-Up Studies
Forecasting
Humans
Intervertebral Disc
/ surgery
Male
Pain Measurement
Perioperative Period
Prospective Studies
Quality of Life
/ psychology
Recovery of Function
Spinal Diseases
/ psychology
Spinal Fusion
/ methods
Time Factors
Treatment Outcome
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
07 08 2020
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
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