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Recovery Kinetics After Cervical Spine Surgery.
Tejas Subramanian1,2, Daniel J Shinn1,2, Maximilian K Korsun1
1Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY.
Spine
|September 20, 2023
Summary
Patients undergoing cervical spine surgery, including anterior cervical discectomy and fusion (ACDF) and cervical disk replacement (CDR), typically return to driving and work within 16 days. Opioid discontinuation also occurs rapidly, aiding preoperative counseling.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Spinal Surgery
Background:
- Limited data exists on return to activities post-cervical spine surgery.
- Preoperative patient counseling and expectation management are crucial for recovery.
- Understanding recovery kinetics is vital for patient guidance.
Purpose of the Study:
- To investigate the recovery timeline after cervical spine surgery.
- To identify factors influencing return to driving, work, and opioid discontinuation.
Main Methods:
- Retrospective review of a prospectively maintained multisurgeon registry.
- Inclusion of patients who underwent anterior cervical discectomy and fusion (ACDF) or cervical disk replacement (CDR).
- Multivariable regression analysis to determine factors associated with key recovery milestones.
Main Results:
- Nearly all patients (ACDF: 98.2%, CDR: 98%) returned to driving within 16 days.
- High return-to-work rates observed (ACDF: 85.7%, CDR: 90.9%) within 16 days.
- Opioid discontinuation was rapid, with a median of 7 days (ACDF) and 6 days (CDR).
Conclusions:
- Recovery kinetics for ACDF and CDR are comparable.
- Most patients resume activities like driving and working within 16 days post-surgery.
- Findings provide valuable insights for preoperative patient counseling and expectation setting.
