Post-Operative Physical Therapy Following Cervical Spine Surgery: Analysis of Patient-Reported Outcomes

被引:0
作者
Lorentz, Nathan A. [1 ]
Galetta, Matthew S. [1 ]
Zabat, Michelle A. [1 ]
Raman, Tina [1 ]
Protopsaltis, Themistocles S. [1 ]
Fischer, Charla [1 ]
机构
[1] NYU, Grossman Sch Med, Orthopaed Surg, New York, NY 10016 USA
关键词
patient reported outcomes; promis scores; physical therapy; cervical disc replacement; anterior cervical discectomy fusion; SURGICAL-TREATMENT; DISC REPLACEMENT; DISKECTOMY; FUSION; RADICULOPATHY; PAIN; SATISFACTION; EXPECTATIONS; MYELOPATHY; NECK;
D O I
10.7759/cureus.40559
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction Post-operative physical therapy (PT) following anterior cervical discectomy and fusion (ACDF) surgery is often performed to improve a patient's functional ability and reduce neck pain. However, current literature evaluating the benefits of post-operative PT using patient-reported outcomes (PROs) is limited and remains inconclusive. Here we compare post-operative improvement between patients who did and did not undergo formal PT after ACDF using Patient-Reported Outcomes Measurement Information System (PROMIS) scores. Methods A retrospective observational study examining patients who underwent one-or two-level primary ACDF or cervical disc replacement (CDR) at an academic orthopedic hospital and who had PROMIS scores recorded pre-operatively and through two-year follow-up. Patients were stratified according to whether or not they attended formal postoperative PT. PROMIS scores and patient demographics were compared using the Mann-Whitney U test, Fisher's exact test, chi-square test of independence, and Student's t-test within and between cohorts. Results Two hundred and twenty patients were identified. Demographic differences between PT and no PT groups include age (PT 54.1 vs. no PT 49.5, p=0.005) and BMI (PT 28.1 vs. no PT 29.8, p=0.028). The only significant difference in post-operative PROMIS scores was in physical health scores at three months post-operatively (no PT 43.9 vs. PT 39.1, p=0.008). Physical health scores improved from baseline to one-year follow-up in both cohorts (PT +3.5, p=0.025; no PT +6.6, p=0.008). There were no significant differences when comparing improvements in physical health scores between groups at six months and one year. Conclusion In conclusion, there was no significance to support the benefits of post-operative PT as measured by PROMIS scores. No significant differences in PROMIS were observed between groups from pre-operative baseline scores to six-month and one-year follow-ups.
引用
收藏
页数:7
相关论文
共 50 条
  • [31] Association Between Neighborhood-Level Socioeconomic Disadvantage and Patient-Reported Outcomes in Lumbar Spine Surgery
    Zhang, Justin K.
    Greenberg, Jacob K.
    Javeed, Saad
    Khalifeh, Jawad M.
    Dibble, Christopher F.
    Park, Yikyung
    Jain, Deeptee
    Buchowski, Jacob M.
    Dorward, Ian
    Santiago, Paul
    Molina, Camilo
    Pennicooke, Brenton H.
    Ray, Wilson Z.
    NEUROSURGERY, 2023, 92 (01) : 92 - 101
  • [32] Patient-reported outcomes in spine surgery: past, curren and future directions
    Finkelstein, Joel A.
    Schwartz, Carolyn E.
    JOURNAL OF NEUROSURGERY-SPINE, 2019, 31 (02) : 155 - 164
  • [33] Scoping Review of Machine Learning and Patient-Reported Outcomes in Spine Surgery
    Quinones, Christian
    Kumbhare, Deepak
    Guthikonda, Bharat
    Hoang, Stanley
    BIOENGINEERING-BASEL, 2025, 12 (02):
  • [34] Preoperative Opioids and 1-year Patient-reported Outcomes After Spine Surgery
    Hills, Jeffrey M.
    Pennings, Jacquelyn S.
    Archer, Kristin R.
    Wick, Joseph B.
    Daryoush, Joshua
    Butler, Marjorie
    Sivaganesan, Ahilan
    Khan, Inamullah
    Call, Richard
    Devin, Clinton J.
    SPINE, 2019, 44 (12) : 887 - 895
  • [35] Patient-Reported Satisfaction Following Post-bariatric Surgery: A Systematic Review
    Barone, M.
    Cogliandro, A.
    Salzillo, R.
    Tambone, V.
    Persichetti, P.
    AESTHETIC PLASTIC SURGERY, 2018, 42 (05) : 1320 - 1330
  • [36] Variation in Patient-reported Outcomes Across Hospitals Following Surgery
    Waljee, Jennifer F.
    Ghaferi, Amir
    Finks, Jonathan F.
    Cassidy, Ruth
    Varban, Oliver
    Carlin, Arthur
    Carlozzi, Noelle
    Dimick, Justin
    MEDICAL CARE, 2015, 53 (11) : 960 - 966
  • [37] Patient-Reported Outcomes Following Lumbar Decompression Surgery: A Review of 2699 Cases
    Sunderland, Geraint
    Foster, Mitchell
    Dheerendra, Sujay
    Pillay, Robin
    GLOBAL SPINE JOURNAL, 2021, 11 (02) : 172 - 179
  • [38] What Is the Impact of Smoking on Patient-Reported Outcomes Following Posterior Cervical Decompression and Fusion?
    Toci, Greg R.
    Karamian, Brian A.
    Lambrechts, Mark J.
    Mao, Jennifer
    Reiter, David
    Alfonsi, Samuel
    Fikru, Teleale
    Canseco, Jose A.
    Kurd, Mark F.
    Woods, Barrett I.
    Kaye, David
    Hilibrand, Alan S.
    Kepler, Christopher K.
    Vaccaro, Alexander R.
    Schroeder, Gregory D.
    WORLD NEUROSURGERY, 2022, 162 : E319 - E327
  • [39] A qualitative study to understand patients' experiences of their post-operative outcomes following forefoot surgery
    Dismore, Lorelle Louise
    van Wersch, Anna
    Critchley, Rebecca
    Murty, Aradhyula
    Swainston, Katherine
    BRITISH JOURNAL OF PAIN, 2022, 16 (03) : 317 - 325
  • [40] The Impact of Upper Cervical Spine Alignment on Patient-reported Outcome Measures in Anterior Cervical Decompression and Fusion
    Divi, Srikanth N.
    Karamian, Brian A.
    Canseco, Jose A.
    Chang, Michael
    Toci, Gregory R.
    Goyal, Dhruv K. C.
    Nicholson, Kristen J.
    Mujica, Victor E.
    Bronson, Wesley
    Kaye, I. David
    Kurd, Mark F.
    Woods, Barrett I.
    Radcliff, Kris E.
    Rihn, Jeffrey A.
    Anderson, D. Greg
    Hilibrand, Alan S.
    Kepler, Christopher K.
    Vaccaro, Alexander R.
    Schroeder, Gregory D.
    CLINICAL SPINE SURGERY, 2022, 35 (06): : E539 - E545