Abstract | STUDY DESIGN: This was a post hoc analysis of a prospective FDA-IDE study. OBJECTIVE: BACKGROUND: To our knowledge, there is no large, prospective study that has examined the efficacy of cervical spine surgery for relieving headaches associated with radiculopathy or myelopathy at 10 years postoperative. MATERIALS AND METHODS: This was a post hoc analysis of a prospective FDA-IDE study for the Prestige LP versus ACDF for radiculopathy or myelopathy due to 2 levels. Preoperatively and out to 10 years, their Neck Disability Index documented if they had headaches (0: no headaches; 1: infrequent slight; 2: infrequent moderate; 3: frequent moderate; 4: frequent severe; 5: nearly constant). RESULTS: Three hundred ninety-seven patients were randomized to CDA (209) or ACDF (188). Preoperatively 86% had headaches and 55.9% (52.2% of CDA, 60.1% of ACDFs) had frequent moderate, severe, or nearly constant headache (grades 3-5). By 6 weeks postoperative, 64.4% had headaches and only 12.5% had grades 3-5 headaches (9.3% of CDA and 16% of ACDFs). The benefit lasted to the 10-year follow-up such that 60.3% had any headaches and 16.8% had grades 3-5 headaches (10.9% CDA; 24.3% ACDF). CONCLUSIONS:
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Authors | Joseph M Lombardi, Andrew C Vivas, Matthew F Gornet, Todd H Lanman, Jeffrey R McConnell, Randall F Dryer, J Kenneth Burkus, K Daniel Riew |
Journal | Clinical spine surgery
(Clin Spine Surg)
Vol. 33
Issue 9
Pg. 339-344
(11 2020)
ISSN: 2380-0194 [Electronic] United States |
PMID | 32991361
(Publication Type: Journal Article, Multicenter Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
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Topics |
- Arthroplasty
- Cervical Vertebrae
(surgery)
- Diskectomy
- Follow-Up Studies
- Humans
- Intervertebral Disc Degeneration
(surgery)
- Post-Traumatic Headache
- Prospective Studies
- Spinal Fusion
- Total Disc Replacement
- Treatment Outcome
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