Outcome following anterior cervical discectomyin compensation patients

Mobbs, Ralph J.; Gollapudi, Prakash Rao; Chandran, Nadana

doi:10.1054/jocn.2000.0764

Cited by 21 publications

(13 citation statements)

References 8 publications

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“…The main disadvantages with these approaches include the inherent bias and individual variation in assessment with self-evaluation as well as a lack of standardization of outcomes across different surgical procedures [ 7 8 ]. Mental state, depression, psychological factors and the role of compensation and litigious action, well outside the scope of a surgical intervention, can result in significant variances of these Quality of Life outcome scores [ 9 ]. Advances in wireless technology coupled to accelerometers and global positioning systems have led to the advent of real-time recording and monitoring with the potential of providing objective quantification of activity and function during the postoperative recovery period.…”

Section: Discussionmentioning

confidence: 99%

Long-Term Objective Physical Activity Measurements using a Wireless Accelerometer Following Minimally Invasive Transforaminal Interbody Fusion Surgery

Phan

Mobbs

2016

Asian Spine J

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We report on a case of a patient who underwent minimally invasive transforaminal lumbar interbody fusion (mi-TLIF) with objective physical activity measurements performed preoperatively and postoperatively at up to 12-months using wireless accelerometer technology. In the first postoperative month following surgery, the patient had reduced mobility, taking 2,397 steps over a distance of 1.8 km per day. However, the number of steps taken and distance travelled per day had returned to baseline levels by the second postoperative month. At one-year follow-up, the patient averaged 5,095 steps per day in the month over a distance of 3.8 km; this was a 60% improvement in both steps taken and distance travelled compared to the preoperative status. The use of wireless accelerometers is feasible in obtaining objective physical activity measurements before and after lumbar interbody fusion and may be applicable to other related spinal surgeries as well.

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Section: Discussionmentioning

confidence: 99%

Long-Term Objective Physical Activity Measurements using a Wireless Accelerometer Following Minimally Invasive Transforaminal Interbody Fusion Surgery

Phan

Mobbs

2016

Asian Spine J

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“…The studies that assessed patient outcome and fusion status following anterior cervical decompression fusion for radiculopathy note similar rates of fusion between compensable and noncompensable patients, but with a higher rate of poorer outcome based on subjective scoring analysis in the compensable group. 5 …”

Section: Introductionmentioning

confidence: 99%

Physical Activity Measured with Accelerometer and Self-Rated Disability in Lumbar Spine Surgery: A Prospective Study

Mobbs

Phan

Maharaj

et al. 2015

Global Spine Journal

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Study Design Prospective observational study.Objective Patient-based subjective ratings of symptoms and function have traditionally been used to gauge the success and extent of recovery following spine surgery. The main drawback of this type of assessment is the inherent subjectivity involved in patient scoring. We aimed to objectively measure functional outcome in patients having lumbar spine surgery using quantitative physical activity measurements derived from accelerometers.Methods A prospective study of 30 patients undergoing spine surgery was conducted with subjective outcome scores (visual analog scale [VAS], Oswestry Disability Index [ODI] and Short Form 12 [SF-12]) recorded; patients were given a Fitbit accelerometer (Fitbit Inc., San Francisco, California, United States) at least 7 days in advance of surgery to record physical activity (step count, distance traveled, calories burned) per day. Following surgery, postoperative activity levels were reported at 1-, 2-, and 3-month follow-up.Results Of the 28 compliant patients who completed the full trial period, mean steps taken per day increased 58.2% (p = 0.008) and mean distance traveled per day increased 63% (p = 0.0004) at 3-month follow-up. Significant improvements were noted for mean changes in VAS back pain, VAS leg pain, ODI, and SF-12 Physical Component Summary (PCS) scores. There was no significant correlation between the improvement in steps or distance traveled per day with improvements in VAS back or leg pain, ODI, or PCS scores at follow-up.Conclusions High compliance and statistically significant improvement in physical activity were demonstrated in patients who had lumbar decompression and lumbar fusion. There was no significant correlation between improvements in subjective clinical outcome scores with changes in physical activity measurements at follow-up. Limitations of the present study include its small sample size, and the validity of objective physical activity measurements should be assessed in future larger, prospective studies.

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“…However, these factors have been shown in multiple studies to be associated with a lower success rate among lumbar fusion patients. [16][17][18][19][20][21] It is therefore concerning to note that among the patients in this study who were TDR candidates, 44% had WCI, and 22% were on permanent disability, with Medicare as their primary health insurance, as a result of a work-related injury. Thus, fully 66% of patients who were TDR candidates were at risk to have their clinical outcomes compromised by possible secondary-gain issues.…”

Section: Discussionmentioning

confidence: 86%

Prevalence of Lumbar Total Disc Replacement Candidates in a Community-based Spinal Surgery Practice

Fras

Auerbach

2008

Journal of Spinal Disorders &Amp; Techniques

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Outcome following anterior cervical discectomyin compensation patients

Cited by 21 publications

References 8 publications

Long-Term Objective Physical Activity Measurements using a Wireless Accelerometer Following Minimally Invasive Transforaminal Interbody Fusion Surgery

Long-Term Objective Physical Activity Measurements using a Wireless Accelerometer Following Minimally Invasive Transforaminal Interbody Fusion Surgery

Physical Activity Measured with Accelerometer and Self-Rated Disability in Lumbar Spine Surgery: A Prospective Study

Prevalence of Lumbar Total Disc Replacement Candidates in a Community-based Spinal Surgery Practice

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