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Return to work rates and activity profiles: are there differences between those receiving C-ADR and ACDF?
Vincent C Traynelis1, Barbara C Leigh, Andrea C Skelly
1Department of Neurosurgery, Rush University Medical Center, Chicago, IL, USA.
Evidence-Based Spine-Care Journal
|December 14, 2012
Summary
Patients undergoing cervical disc replacement (C-ADR) return to work sooner than those receiving fusion, with equivalent work status at six months. This study compared C-ADR and fusion for cervical spine degenerative disease.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Spinal Surgery
Background:
- Return to work is a key outcome metric for cervical spine surgery.
- Assessing work-related outcomes after cervical artificial disc replacement (C-ADR) versus fusion is crucial.
Purpose of the Study:
- To compare work-related outcomes between C-ADR and fusion for degenerative cervical spine disease.
- To investigate factors influencing return to work after cervical spine surgery.
Main Methods:
- A systematic literature review was conducted.
- Studies were identified through searches of PubMed, Cochrane, and other databases.
- Article selection and quality assessment were performed by two independent reviewers.
Main Results:
- No significant difference in work status was observed between C-ADR and fusion patients at follow-up periods exceeding six months.
- Patients undergoing C-ADR tended to return to work sooner after surgery compared to fusion patients.
- Statistical significance for earlier return to work was not consistently achieved across all studies.
Conclusions:
- Most patients who undergo cervical decompression and fusion or C-ADR successfully return to work.
- Work status rates are comparable at six months post-surgery.
- C-ADR facilitates a quicker return to work compared to fusion.