PMID- 36334719
OWN - NLM
STAT- MEDLINE
DCOM- 20230103
LR  - 20230111
IS  - 1878-8769 (Electronic)
IS  - 1878-8750 (Linking)
VI  - 169
DP  - 2023 Jan
TI  - Influence of Predominant Neck versus Arm Pain on Clinical Outcomes in Cervical 
      Disc Replacement.
PG  - e206-e213
LID - S1878-8750(22)01524-8 [pii]
LID - 10.1016/j.wneu.2022.10.107 [doi]
AB  - OBJECTIVE: We aim to compare the postoperative clinical outcomes, through 
      patient-reported outcome measures (PROMs) and minimum clinically important 
      difference (MCID), in patients undergoing cervical disc replacement (CDR) with 
      preoperative predominant neck pain (pNP) or arm pain (pAP). METHODS: Patients 
      undergoing primary CDR were separated into pNP or pAP cohorts. Demographic, 
      perioperative characteristics, PROMs at preoperative and postoperative time 
      points, and MCID were compared using inferential statistics. Assessed PROMs 
      included Patient-Reported Outcome Measurement Information System-Physical 
      Function (PROMIS-PF), 12-Item Short Form Physical/Mental Component Score (SF-12 
      PCS/MCS), visual analog scale (VAS) neck, VAS arm, and Neck Disability Index. 
      RESULTS: There were a total of 84 patients, with 54 patients in the pNP cohort. 
      The pNP cohort showed significant postoperative improvement in all PROMs, except 
      for 6-week and 1-year SF-12 PCS, 1-year SF-12 MCS, and 6-month VAS arm score (P </= 
      0.023, all). The pAP cohort showed significant postoperative improvement in all 
      PROMs, apart from 6-month to 1-year SF-12 PCS, and all SF-12 MCS (P </= 0.041, 
      all). Greater MCID achievement rates were found in the pNP cohort for SF-12 MCS 
      (P = 0.030). The pAP cohort had higher MCID achievement rates in VAS arm score 
      and Neck Disability Index (P </= 0.046, all). CONCLUSIONS: Independent of 
      predominant pain location, patients reported improved physical function, pain, 
      and disability outcomes. Patients with pNP had higher MCID achievement rates in 
      mental function. Patients with pAP had higher rates of MCID achievement in arm 
      pain and disability outcomes. Considering the predominant location of 
      preoperative pain may be helpful in managing expectations for patients undergoing 
      CDR.
CI  - Copyright (c) 2022 Elsevier Inc. All rights reserved.
FAU - Nie, James W
AU  - Nie JW
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - Hartman, Timothy J
AU  - Hartman TJ
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - MacGregor, Keith R
AU  - MacGregor KR
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - Oyetayo, Omolabake O
AU  - Oyetayo OO
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - Zheng, Eileen
AU  - Zheng E
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - Singh, Kern
AU  - Singh K
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA. Electronic address: kern.singh@rushortho.com.
LA  - eng
PT  - Journal Article
DEP - 20221109
PL  - United States
TA  - World Neurosurg
JT  - World neurosurgery
JID - 101528275
SB  - IM
MH  - Humans
MH  - Treatment Outcome
MH  - *Arm/surgery
MH  - Neck Pain/surgery
MH  - Pain Measurement
MH  - *Spinal Fusion
OTO - NOTNLM
OT  - Arm pain
OT  - Cervical disc replacement
OT  - Neck pain
OT  - Outcomes
EDAT- 2022/11/06 06:00
MHDA- 2023/01/04 06:00
CRDT- 2022/11/05 20:24
PHST- 2022/09/15 00:00 [received]
PHST- 2022/10/25 00:00 [revised]
PHST- 2022/10/26 00:00 [accepted]
PHST- 2022/11/06 06:00 [pubmed]
PHST- 2023/01/04 06:00 [medline]
PHST- 2022/11/05 20:24 [entrez]
AID - S1878-8750(22)01524-8 [pii]
AID - 10.1016/j.wneu.2022.10.107 [doi]
PST - ppublish
SO  - World Neurosurg. 2023 Jan;169:e206-e213. doi: 10.1016/j.wneu.2022.10.107. Epub 
      2022 Nov 9.