Cervikal operation ad modum Cloward. En undersøgelse af effekt og prognosemarkører hos førstegangsopererede
Engelsk titel: Cervical operation using the Cloward's method. A study of the effects and prognostic factors in first-time surgical patients
Läs online
Författare:
Sparle MC
;
Mosdal C
;
Manniche C
;
Jordan A
Email: mspar@akh.aaa.dk
Språk: Dan
Antal referenser: 17
Dokumenttyp:
Artikel
UI-nummer: 04061319
Sammanfattning
Introduction: Our aim was to investigate post-operative results and identify possible prognostic factors for successful treatment following first-time surgery for cervical nerve root compression. Materials and methods: A postal questionnaire study involving 274 patients was carried out. Data were recorded using the Copenhagen Neck Functional Disability Scale. Information regarding case histories, objective findings, diagnostic imaging results and operative findings were taken from the original journal content. Results and discussion: The response rate was 84%. Sixty-one percent of the patients (73% of the males, 48% of the females) responded that they had experienced a "satisfactory" result. There was no correlation between the length of the follow-up period and the registered results. Post-operative disability pensions due to neck symptoms had been given to 17 of the males and 15 of the females. The most important prognostic factor was gender, men having the best outcome. For males, there was a statistically significant correlation found between the duration of symptoms before the operation and outcome, a longer duration correlating with a poorer outcome. A gender-specific correlation between the location and size of the incision and the treatment outcome was also found. Similarly, we found a correlation between gender and the number of positive objective clinical findings and treatment outcome. There was a substantial correlation between patient satisfaction and the other outcome measures, including the pain and disability scores.