Spine · 2015
The impact of the depression and anxiety on prognosis of cervical total disc replacement.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Li Song, Qi Min, Yuan Wen, Chen Huajiang
Аннотация
STUDY DESIGN: Prospective clinical study.
OBJECTIVE: To identify changes in depression and anxiety after cervical total disc replacement (CTDR) among patients with cervical spondylosis, and to investigate their effects on the prognosis.
SUMMARY OF BACKGROUND DATA: Previous researches have reported relationships between mood disorders and lumbar surgery. There have been no previous studies on the effects of depressive and anxiety on the CTDR outcome at the 2-year postoperative phase.
METHODS: Eighty-five patients with cervical spondylosis who underwent CTDR were included. Patients were evaluated preoperatively and at 6 postoperative time points, including 1 week, 1 month, 3 months, 6 months, 1 year, and 2 years. Depression and anxiety were evaluated by using the Zung Self-Rating Depression Scale and the Zung Self-Rating Anxiety Scale. Neurological function was evaluated by using the visual analogue scale and the Japanese Orthopaedic Association. The quality of life was assessed by a 36-item Short-Form Health Survey. A Spearman rank correlation analysis was used.
RESULTS: All patients had improvements in clinical symptoms and neurological function. Twelve (14.12%) patients had symptoms of depression and 21 (24.71%) patients had symptoms of anxiety. There was a significant difference between the preoperative and the postoperative Zung Self-Rating Anxiety Scale scores, whereas the Zung Self-Rating Depression Scale scores were not significantly different over time. For all patients, the visual analogue scale scores and the 36-item Short-Form Health Survey scores were associated with the postoperative level of depression and anxiety but not age or the Japanese Orthopaedic Association score.
CONCLUSION: Some patients with cervical spondylosis have preoperative depression and/or anxiety. CTDR may provide some improvements in these psychological symptoms. The presence of depression and/or anxiety may have a negative influence on the patient's prognosis.
LEVEL OF EVIDENCE: 3.
OBJECTIVE: To identify changes in depression and anxiety after cervical total disc replacement (CTDR) among patients with cervical spondylosis, and to investigate their effects on the prognosis.
SUMMARY OF BACKGROUND DATA: Previous researches have reported relationships between mood disorders and lumbar surgery. There have been no previous studies on the effects of depressive and anxiety on the CTDR outcome at the 2-year postoperative phase.
METHODS: Eighty-five patients with cervical spondylosis who underwent CTDR were included. Patients were evaluated preoperatively and at 6 postoperative time points, including 1 week, 1 month, 3 months, 6 months, 1 year, and 2 years. Depression and anxiety were evaluated by using the Zung Self-Rating Depression Scale and the Zung Self-Rating Anxiety Scale. Neurological function was evaluated by using the visual analogue scale and the Japanese Orthopaedic Association. The quality of life was assessed by a 36-item Short-Form Health Survey. A Spearman rank correlation analysis was used.
RESULTS: All patients had improvements in clinical symptoms and neurological function. Twelve (14.12%) patients had symptoms of depression and 21 (24.71%) patients had symptoms of anxiety. There was a significant difference between the preoperative and the postoperative Zung Self-Rating Anxiety Scale scores, whereas the Zung Self-Rating Depression Scale scores were not significantly different over time. For all patients, the visual analogue scale scores and the 36-item Short-Form Health Survey scores were associated with the postoperative level of depression and anxiety but not age or the Japanese Orthopaedic Association score.
CONCLUSION: Some patients with cervical spondylosis have preoperative depression and/or anxiety. CTDR may provide some improvements in these psychological symptoms. The presence of depression and/or anxiety may have a negative influence on the patient's prognosis.
LEVEL OF EVIDENCE: 3.