PMID- 35006206
OWN - NLM
STAT- MEDLINE
DCOM- 20220720
LR  - 20230322
IS  - 1524-4040 (Electronic)
IS  - 0148-396X (Linking)
VI  - 90
IP  - 3
DP  - 2022 Mar 1
TI  - Workers' Compensation Association With Clinical Outcomes After Anterior Cervical 
      Diskectomy and Fusion.
PG  - 322-328
LID - 10.1227/NEU.0000000000001820 [doi]
AB  - BACKGROUND: Research has suggested that workers' compensation (WC) status can 
      result in poor outcomes after anterior cervical diskectomy and fusion (ACDF). 
      OBJECTIVE: To determine the influence WC status has on postoperative clinical 
      outcomes after ACDF. METHODS: A surgical database was reviewed for patients 
      undergoing primary or revision single-level ACDF. Patients were grouped into WC 
      vs Non-WC, and differences in baseline characteristics were assessed. 
      Postoperative improvement was assessed for differences in mean scores between WC 
      subgroups for visual analog scale (VAS) arm, VAS neck, 12-item Short Form 
      Physical Composite Score, Patient-Reported Outcomes Measurement Information 
      System physical function (PF), and Neck Disability Index (NDI) at preoperative 
      and postoperative time points. Minimum clinically important difference (MCID) 
      achievement was compared between groups. RESULTS: The patient cohort included 44 
      with WC and 95 without. The cohort was 40% female with an average age of 48 years 
      and mean body mass index of 30. Mean VAS arm, VAS neck, NDI, 12-item Short-Form 
      Physical Composite Score, and Patient-Reported Outcomes Measurement Information 
      System PF scores differed between groups; however, the difference was not 
      sustained at the 1-yr time point. MCID achievement among WC subgroups was 
      different for VAS arm (6 wk through 6 mo, P = .005), VAS neck (3 and 6 mo, P < 
      .01), and NDI (3 and 6 mo, P < .05). No statistically significant difference was 
      noted between cohorts for overall rates of MCID achievement for all 
      patient-reported outcome measures collected. CONCLUSION: WC patients reported 
      similar preoperative and 1-yr postoperative neck and arm pain compared with 
      non-WC patients after ACDF. One-yr MCID achievement rates were similar between 
      cohorts for disability and PF scores.
CI  - Copyright (c) Congress of Neurological Surgeons 2021. All rights reserved.
FAU - Cha, Elliot D K
AU  - Cha EDK
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - Lynch, Conor P
AU  - Lynch CP
FAU - Jacob, Kevin C
AU  - Jacob KC
FAU - Patel, Madhav R
AU  - Patel MR
FAU - Parrish, James M
AU  - Parrish JM
FAU - Jenkins, Nathaniel W
AU  - Jenkins NW
FAU - Geoghegan, Cara E
AU  - Geoghegan CE
FAU - Jadczak, Caroline N
AU  - Jadczak CN
FAU - Mohan, Shruthi
AU  - Mohan S
FAU - Singh, Kern
AU  - Singh K
LA  - eng
PT  - Journal Article
DEP - 20211228
PL  - United States
TA  - Neurosurgery
JT  - Neurosurgery
JID - 7802914
SB  - IM
CIN - Neurosurgery. 2022 Aug 1;91(2):e65-e66. PMID: 35834327
MH  - Cervical Vertebrae/surgery
MH  - Diskectomy
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Spinal Fusion
MH  - Treatment Outcome
MH  - *Workers' Compensation
EDAT- 2022/01/11 06:00
MHDA- 2022/07/22 06:00
CRDT- 2022/01/10 12:23
PHST- 2021/05/13 00:00 [received]
PHST- 2021/10/03 00:00 [accepted]
PHST- 2022/01/11 06:00 [pubmed]
PHST- 2022/07/22 06:00 [medline]
PHST- 2022/01/10 12:23 [entrez]
AID - 00006123-202203000-00010 [pii]
AID - 10.1227/NEU.0000000000001820 [doi]
PST - ppublish
SO  - Neurosurgery. 2022 Mar 1;90(3):322-328. doi: 10.1227/NEU.0000000000001820. Epub 
      2021 Dec 28.