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Driving Safety after Spinal Surgery: A Systematic Review.

Abduljabbar Alhammoud1, Kenan Alkhalili2, Jack Hannallah3

  • 1Department of Orthopedic Surgery, Hamad Medical Corporation, Doha, Qatar.

Asian Spine Journal
|April 27, 2017
PubMed
Summary

Assessing driving reaction times (DRTs) post-spinal surgery reveals variable recovery. Establishing a safe return-to-driving timeframe requires considering individual patient factors and surgical details.

Keywords:
Anterior cervical discectomy and fusionDrivingFusionReaction timeSpine

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Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Rehabilitation Medicine

Background:

  • Resuming driving after spinal surgery is a critical aspect of patient recovery.
  • Determining a safe postoperative driving timeframe is essential for patient safety and independence.
  • Current guidelines for driving cessation post-spinal intervention are limited.

Purpose of the Study:

  • To systematically review and assess driving reaction times (DRTs) following spinal surgery.
  • To establish a potential timeframe for the safe resumption of driving postoperatively.
  • To identify factors influencing DRTs after cervical and lumbar spinal procedures.

Main Methods:

  • Systematic literature review of MEDLINE and Google Scholar databases.
  • Adherence to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) guidelines.
  • Inclusion of clinical studies investigating postoperative DRTs after cervical and lumbar spinal surgery.

Main Results:

  • Twelve studies were identified, with six meeting inclusion criteria (five lumbar, two cervical).
  • Driving reaction times showed variable responses influenced by clinical presentation, spinal level, and procedure type.
  • Evidence regarding safe driving resumption post-spinal surgery is notably scarce.

Conclusions:

  • Postoperative DRTs are inconsistent and depend on patient-specific factors and surgical interventions.
  • Normalization of DRT to pre-surgical levels is a key indicator for safe driving resumption.
  • Comprehensive assessment considering surgical type, pain, opioid use, and cognitive function is crucial for determining driving fitness.