The Differences Between Anterior and Posterior Decompression Surgery in Individuals with Cervical Radiculopathy and Headache - a Registry Study with 2-year Follow-up
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 2,889
- 主要终点
- Neck Disability Index
研究概览
简要总结
This is a prospective observational register-based cohort study with 2 years follow-up with data from the national Swedish Spine Register (Swespine). The aim is to study the differences between anterior and posterior decompression surgery on neck-related disability, headache, and neck- and arm pain in individuals with cervical radiculopathy and headache. Secondary, to study predictive factors for an improvement in neck-related disability, headache and neck- and arm pain after decompression srurgery. All individuals underwent either anterior or posterior decompression surgery and were operated between 2014-2021. Patient-reported data was collected preoperatively (baseline), and at 1- and 2-year follow-ups and surgeon-reported data regarding the operation were collected directly after the operation. Primary outcome is self-reported neck-related disability measured with Neck Disability Index and secondary outcomes are headache, measured with an item about headache of Neck Disability Index, and neck- and arm pain, measured with a 0 to 10-point numeric rating scale.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Underwent anterior cervical decompression surgery or posterior cervical foraminotomy with or without laminectomy for cervical radiculopathy 2014 - 2021
- •Age ≥ 18 years
- •Preoperatively rated 1 (I have slight headaches, which come infrequently) - 5 (I have headaches almost all the time) on an item about headache of Neck Disability Index (27)
排除标准
- •Myelopathy
- •Previous neck surgery
结局指标
主要结局
Neck Disability Index
时间窗: Preoperatively to 24 months follow-up
To measure neck-specific disability; 0-100 % (0 % = no disability)
次要结局
- Headache measured with an item of Neck Disability Index(Preoperatively to 24 months follow-up)
- Numeric rating scale(Preoperatively to 24 months follow-up)
- Bakground variables(Preoperatively)
- Duration of neck pain(Preoperatively)
- Duration of arm pain(Preoperatively)
- Work status(Preoperatively)
- Consumption of pain-relieving drugs(Preoperatively)
- Walking ability(Preoperatively)
- Specific questions about operation data(Immediately after the operation)
- Self-reported other diseases that greatly limit the quality of life(Preoperatively)
- EQ-5D-3L index(Preoperatively)
研究者
Jard Svensson
MSc
Linkoeping University