PMID- 35696709
OWN - NLM
STAT- MEDLINE
DCOM- 20221103
LR  - 20230831
IS  - 2380-0194 (Electronic)
IS  - 2380-0186 (Linking)
VI  - 35
IP  - 9
DP  - 2022 Nov 1
TI  - History of Prior Lumbar Surgery Does Not Impact Mental Health Outcomes Following 
      Anterior Cervical Discectomy and Fusion.
PG  - E737-E742
LID - 10.1097/BSD.0000000000001355 [doi]
AB  - STUDY DESIGN: This was a retrospective cohort study. OBJECTIVE: The objective of 
      this study was to evaluate the impact of undergoing a prior lumbar procedure on 
      mental health outcomes following anterior cervical discectomy and fusion. SUMMARY 
      OF BACKGROUND DATA: Revision and reoperations are perceived as risk factors for 
      worse mental health outcomes. METHODS: A retrospective review of a surgical 
      database was performed for cervical and lumbar procedures. The mental health 
      measures used were: Short Form 12-Item Mental Composite Score (SF-12 MCS) and 
      Patient Health Questionnaire 9 (PHQ-9). Secondary outcomes of interest were 
      Visual Analogue Scale for neck and arm pain, Neck Disability Index, and Short 
      Form 12-Item Physical Composite Score (SF-12 PCS). All outcomes were collected 
      preoperatively and at 6 weeks, 12 weeks, 6 months, and 1 year postoperatively. 
      Minimum clinically important difference (MCID) was calculated using established 
      values. Patients were grouped based on the surgical history of an elective lumbar 
      spine procedure and propensity-matched. Differences in postoperative outcome 
      scores and MCID achievement were evaluated using linear and logistic regression 
      respectively. RESULTS: A total of 74 patients were included in this study. Mental 
      health outcomes did not demonstrate significant differences between groups for 
      SF-12 MCS and PHQ-9 for all time points except at 6 weeks for PHQ-9 ( P =0.038). 
      MCID achievement was not significantly impacted by surgical history for all 
      outcome measures at all postoperative time points (all P >0.050). The majority of 
      patients achieved an MCID by the 1-year time point for all outcomes for patients 
      without a prior lumbar surgery except for Visual Analogue Scale arm and SF-12 
      PCS, while those with a surgical history achieved an MCID for all outcomes except 
      SF-12 PCS and PHQ-9. CONCLUSIONS: Anterior cervical discectomy and fusion 
      patients with a past history of lumbar surgery demonstrated significant 
      improvements in depression, neck and arm pain, disability, and physical function 
      as those without a past lumbar surgical history. Prior surgery also did not 
      impact MCID achievement for all outcomes.
CI  - Copyright (c) 2022 Wolters Kluwer Health, Inc. All rights reserved.
FAU - Geoghegan, Cara E
AU  - Geoghegan CE
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL.
FAU - Jadczak, Caroline N
AU  - Jadczak CN
FAU - Jacob, Kevin C
AU  - Jacob KC
FAU - Patel, Madhav R
AU  - Patel MR
FAU - Cha, Elliot D K
AU  - Cha EDK
FAU - Lynch, Conor P
AU  - Lynch CP
FAU - Mohan, Shruthi
AU  - Mohan S
FAU - Singh, Kern
AU  - Singh K
LA  - eng
PT  - Journal Article
DEP - 20220607
PL  - United States
TA  - Clin Spine Surg
JT  - Clinical spine surgery
JID - 101675083
SB  - IM
MH  - Humans
MH  - *Spinal Fusion/methods
MH  - Retrospective Studies
MH  - Disability Evaluation
MH  - Treatment Outcome
MH  - Diskectomy
MH  - Pain
COIS- The authors declare no conflict of interest.
EDAT- 2022/06/14 06:00
MHDA- 2022/11/04 06:00
CRDT- 2022/06/13 17:13
PHST- 2021/02/10 00:00 [received]
PHST- 2022/05/18 00:00 [accepted]
PHST- 2022/06/14 06:00 [pubmed]
PHST- 2022/11/04 06:00 [medline]
PHST- 2022/06/13 17:13 [entrez]
AID - 01933606-202211000-00018 [pii]
AID - 10.1097/BSD.0000000000001355 [doi]
PST - ppublish
SO  - Clin Spine Surg. 2022 Nov 1;35(9):E737-E742. doi: 10.1097/BSD.0000000000001355. 
      Epub 2022 Jun 7.