Cervical Radiculopathy
Conditions
Brief summary
This is a prospective observational register-based cohort study with 2 years follow-up with data from the national Swedish Spine Register (Swespine). The aim is to study the differences between anterior and posterior decompression surgery on neck-related disability, headache, and neck- and arm pain in individuals with cervical radiculopathy and headache. Secondary, to study predictive factors for an improvement in neck-related disability, headache and neck- and arm pain after decompression srurgery. All individuals underwent either anterior or posterior decompression surgery and were operated between 2014-2021. Patient-reported data was collected preoperatively (baseline), and at 1- and 2-year follow-ups and surgeon-reported data regarding the operation were collected directly after the operation. Primary outcome is self-reported neck-related disability measured with Neck Disability Index and secondary outcomes are headache, measured with an item about headache of Neck Disability Index, and neck- and arm pain, measured with a 0 to 10-point numeric rating scale.
Interventions
PROCEDUREAnterior cervical decompression surgery
The aim of the surgery is to reduce the compression of the affected nerve. With anterior cervical decompression surgery this is achieved by removing the disc and osteophytes.
PROCEDUREPosterior cervical foraminotomy with or without laminectomy
The aim of the surgery is to reduce the compression of the affected nerve. With posterior cervical decompression surgery more space is created for the nerve by widening the foramina where the nerve exits
Sponsors
Linkoeping University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Underwent anterior cervical decompression surgery or posterior cervical foraminotomy with or without laminectomy for cervical radiculopathy 2014 - 2021 * Age ≥ 18 years * Preoperatively rated 1 (I have slight headaches, which come infrequently) - 5 (I have headaches almost all the time) on an item about headache of Neck Disability Index (27)
Exclusion criteria
* Myelopathy * Previous neck surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Neck Disability Index | Preoperatively to 24 months follow-up | To measure neck-specific disability; 0-100 % (0 % = no disability) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Numeric rating scale | Preoperatively to 24 months follow-up | To measure neck and arm pain; 0-10 (0 = no pain) |
| Bakground variables | Preoperatively | To measure gender, age, body mass index, educational level, smoker/non-smoker, |
| Duration of neck pain | Preoperatively | To measure duration of neck pain; 0-4 (4 = more than 2 years) or 0-2 (2 = more than 2 years) |
| Duration of arm pain | Preoperatively | To measure duration of arm pain; 0-4 (4 = more than 2 years) or 0-2 (2 = more than 2 years) |
| Work status | Preoperatively | To measure the patient's work status; working (student), age retirement, sick leave, disability pension |
| Headache measured with an item of Neck Disability Index | Preoperatively to 24 months follow-up | To measure headache; 0-5 (0 = no headache) |
| Walking ability | Preoperatively | To measure the walking ability; ≤ 1 km or \> 1 km |
| Specific questions about operation data | Immediately after the operation | To study the operation and any complications reported by the surgeon. |
| Self-reported other diseases that greatly limit the quality of life | Preoperatively | To measure self-reported other diseases that greatly limit the quality of life; Yes or No (heart disease, neurological disease, cancer, others disease that limitswalking ability, other disease that causes pain) |
| EQ-5D-3L index | Preoperatively | To measure health-related quality of life ; -0.594 - 1 (1 = best possible health status) |
| Consumption of pain-relieving drugs | Preoperatively | To measure the consumption of pain-relieving drugs; 0-2 (0 = no consumption) |
Outcome results
None listed