Clinical spine surgery · 2025
Association Between Preoperative SF-36 and Postoperative Axial Neck Pain in Patients With Cervical Spondylotic Myelopathy After Anterior Decompressive Surgery.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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.
Chen Rui, Liu Jiesheng, Zhao Yanbin, Diao Yinze, Chen Xin, Pan Shengfa, Zhang Fengshan, Sun Yu, Zhou Feifei
Аннотация
STUDY DESIGN: A single-center retrospective study.
OBJECTIVE: This study investigates the correlation between preoperative SF-36 scores and postoperative axial neck pain (ANP) in cervical spondylotic myelopathy (CSM) patients undergoing anterior cervical surgery (ACS).
SUMMARY OF BACKGROUND DATA: The effects of the anterior surgical approach on ANP are not well understood.
METHODS: This retrospective study included patients with CSM at Peking University Third Hospital between April 2010 and March 2016. The SF-36, visual analog scale (VAS), and Neck Disability Index (NDI) were collected preoperatively and postoperatively at 3 months, 1 year, and 2 years.
RESULTS: In 107 CSM patients, ACS significantly improved pain, physical function, and quality of life over 2 years. VAS scores decreased from 6.4±2.3 to 3.8±1.9, indicating less ANP (P=0.013). SF-36 scores improved notably in social functioning and bodily pain domains. NDI scores also decreased, showing reduced neck disability (P=0.012). Patients with ANP post-ACS had consistently lower preoperative bodily pain and social functioning scores at follow-up of 3 timepoints. Correlation analysis revealed a significant negative relationship between VAS and preoperative bodily pain and social functioning scores (P<0.05), suggesting that lower preoperative scores may predict severe postoperative ANP.
CONCLUSIONS: Anterior cervical surgery does not increase the incidence of postoperative ANP in patients with CSM. The BP and SF domains of the preoperative SF-36 are correlated with the occurrence of postoperative ANP.
OBJECTIVE: This study investigates the correlation between preoperative SF-36 scores and postoperative axial neck pain (ANP) in cervical spondylotic myelopathy (CSM) patients undergoing anterior cervical surgery (ACS).
SUMMARY OF BACKGROUND DATA: The effects of the anterior surgical approach on ANP are not well understood.
METHODS: This retrospective study included patients with CSM at Peking University Third Hospital between April 2010 and March 2016. The SF-36, visual analog scale (VAS), and Neck Disability Index (NDI) were collected preoperatively and postoperatively at 3 months, 1 year, and 2 years.
RESULTS: In 107 CSM patients, ACS significantly improved pain, physical function, and quality of life over 2 years. VAS scores decreased from 6.4±2.3 to 3.8±1.9, indicating less ANP (P=0.013). SF-36 scores improved notably in social functioning and bodily pain domains. NDI scores also decreased, showing reduced neck disability (P=0.012). Patients with ANP post-ACS had consistently lower preoperative bodily pain and social functioning scores at follow-up of 3 timepoints. Correlation analysis revealed a significant negative relationship between VAS and preoperative bodily pain and social functioning scores (P<0.05), suggesting that lower preoperative scores may predict severe postoperative ANP.
CONCLUSIONS: Anterior cervical surgery does not increase the incidence of postoperative ANP in patients with CSM. The BP and SF domains of the preoperative SF-36 are correlated with the occurrence of postoperative ANP.