Clinical spine surgery
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Clinical spine surgery · Nov 2020
PROMIS Physical Function Predicts Postoperative Pain and Disability Following Anterior Cervical Discectomy and Fusion.
This was a retrospective study. ⋯ In this investigation, patients with worse PROMIS PF scores reported greater pain and disability in the preoperative period and experienced less improvement in NDI, SF-12 PCS, and VAS back and leg following ACDF. PROMIS PF is an efficient and accurate instrument that can effectively evaluate strength, mobility, and coordination in the preoperative period and may be used to predict clinical outcomes following ACDF.
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Clinical spine surgery · Nov 2020
The Association of Preoperative Duration of Symptoms With Clinical Outcomes and Minimal Clinically Important Difference Following Anterior Cervical Discectomy and Fusion.
This was a retrospective cohort study. ⋯ Among the patient subgroups with <12 and ≥12 months DOS, there were no statistically significant differences observed in any of the measured PRO means at any timepoint. When assessing MCID, however, patients with shorter DOS (<12 mo) were observed to attain NDI MCID at the 3- and 6-month timepoints more often than patients with DOS ≥12 months. Our findings suggest that delayed surgical intervention may impair functional recovery to MCID in patients with degenerative cervical disease.
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Clinical spine surgery · Nov 2020
Patient Risk Factors Associated With 30- and 90-Day Readmission After Cervical Discectomy: A Nationwide Readmission Database Study.
This is a retrospective cohort study. ⋯ Level III.