%0 Journal Article
%T Immediate Postoperative Pain Scores Predict Neck Pain Profile up to 1 Year Following Anterior Cervical Discectomy and Fusion
%A Aladine A. Elsamadicy
%A Ankit I. Mehta
%A Carlos A. Bagley
%A Isaac O. Karikari
%A Joseph Cheng
%A Owoicho Adogwa
%A Raul A. Vasquez
%A Victoria D. Vuong
%J Global Spine Journal
%@ 2192-5690
%D 2018
%R 10.1177/2192568217706700
%X Retrospective cohort review. To assess whether immediate postoperative neck pain scores accurately predict 12-month visual analog scale¨Cneck pain (VAS-NP) outcomes following Anterior Cervical Discectomy and Fusion surgery (ACDF). This was a retrospective study of 82 patients undergoing elective ACDF surgery at a major academic medical center. Patient reported outcomes measures VAS-NP scores were recorded on the first postoperative day, then at 6-weeks, 3, 6, and 12-months after surgery. Multivariate correlation and logistic regression methods were utilized to determine whether immediate postoperative VAS-NP score accurately predicted 1-year patient reported VAS-NP Scores. Overall, 46.3% male, 25.6% were smokers, and the mean age and body mass index (BMI) were 53.7 years and 28.28 kg/m2, respectively. There were significant correlations between immediate postoperative pain scores and neck pain scores at 6 weeks VAS-NP (P = .0015), 6 months VAS-NP (P = .0333), and 12 months VAS-NP (P = .0247) after surgery. Furthermore, immediate postoperative pain score is an independent predictor of 6 weeks, 6 months, and 1 year VAS-NP scores. Our study suggests that immediate postoperative patient reported neck pain scores accurately predicts and correlates with 12-month VAS-NP scores after an ACDF procedure. Patients with high neck pain scores after surgery are more likely to report persistent neck pain 12 months after index surgery
%K ACDF
%K anterior cervical discectomy and fusion
%K pain score
%K neck pain
%K VAS-NP
%K patient-reported outcomes
%K spine surgery
%U https://journals.sagepub.com/doi/full/10.1177/2192568217706700