Predictors of Axial Pain Improvement After Anterior Cervical Discectomy and Fusion

Recruiting

• Conditions: Neck Pain; Cervical Spondylosis; Cervical Disc Disease

• Registration Number: NCT06601634
• Lead Sponsor: Medical University of Warsaw

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2024-09-14
• Study First Submitted QC: 2024-09-14
• Study First Posted: 2024-09-19
• Study Start: 2024-11-17
• Status Verified: 2025-03
• Last Update Submitted: 2025-03-25
• Last Update Posted: 2025-03-26
• Primary Completion: 2027-11-17
• Study Completion: 2027-12

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• Ability to provide informed consent
• Patients who are qualified for one- or two-level ACDF for the treatment of degenerative cervical pathology

Exclusion Criteria

• Previous cervical spine surgery
• Previous cervical spine trauma
• Other diseases causing neck pain include rheumatoid arthritis, lupus, polymyalgia rheumatica, myositis, seronegative inflammatory diseases, and fibromyalgia
• Drug abuse
• Myelopathy
• Spinal infection
• VAS neck pain score less than 3 (Inability to achieve an MCID which is calculated as 2.5 for the VAS scale)

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Predictors of the reduction of axial neck pain following ACDF.	On the day of discharge from the hospital, at 6 months, 1 year, 2 years	Change in VAS neck pain ( visual analog scale), with calculated MCID ( Minimal Clinically Important Difference) as 2.5
Predictors of functional outcomes following ACDF.	On the day of discharge from the hospital, at 6 months, 1 year, 2 years	Change in NDI ( neck disability index), with calculated MCID as 7.5

Secondary Outcome Measures

Name	Time	Method
Predictors of the reduction of axial neck pain following ACDF in population with predominant neck pain.	On the day of discharge from the hospital, at 6 months, 1 year, 2 years	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)
Predictors of functional outcomes following ACDF in population with predominant neck pain.	On the day of discharge from the hospital, at 6 months, 1 year, 2 years	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)

Trial Locations

Locations (2)

Department of Orthopaedics, J. Dietl Specialist Hospital; 🇵🇱 Kraków, Lesser Poland Voivodeship, Poland

Department of Neurosurgery, Medical University of Warsaw; 🇵🇱 Warsaw, Masovian, Poland