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Related Experiment Video

Updated: Jun 19, 2026

Evaluation of Patients' Posture and Gait Profile After Lumbar Fusion Surgery by Video Rasterstereography and Treadmill Gait Analysis
07:44

Evaluation of Patients' Posture and Gait Profile After Lumbar Fusion Surgery by Video Rasterstereography and Treadmill Gait Analysis

Published on: March 23, 2019

Discrepancy Between Global-Specific and Disease-Specific Outcome Measures Following Cervical Spine Surgery.

Cole Kwas1, Avani S Vaishnav1,2, Jung K Mok1

  • 1Hospital for Special Surgery, New York, NY.

Clinical Spine Surgery
|June 18, 2026
PubMed
Summary

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Patient-reported outcome measures (PROMs) show limited correlation with perceived health changes after cervical spine surgery. These common PROMs may not fully capture patient-relevant health improvements following procedures like cervical disc replacement (CDR) or anterior cervical discectomy and fusion (ACDF).

Area of Science:

  • Orthopedics and Spine Surgery
  • Patient-Reported Outcome Measures (PROMs)
  • Health Status Assessment

Background:

  • Growing emphasis on PROMs in cervical spine surgery outcomes.
  • Limited data exists on the correlation between PROMs and patients' overall perceived health changes.
  • Need to understand if current PROMs align with patient-reported health improvements.

Purpose of the Study:

  • To determine the correlation between patient-perceived health changes and commonly used PROMs in cervical spine surgery.
  • Investigate the relationship between the Global Rating Change (GRC) questionnaire and various PROMs.

Main Methods:

  • Retrospective review of a prospectively collected multisurgeon registry (Level III evidence).
  • Analysis of consecutive patients undergoing cervical disc replacement (CDR) or anterior cervical discectomy and fusion (ACDF) from 2017-2023.
Keywords:
ACDFCDRPROscervicalglobal rating changepatient perceptionspatient reported outcomes measures

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Last Updated: Jun 19, 2026

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  • Spearman rank correlation coefficients used to assess the relationship between GRC and changes in PROMs (NDI, VAS, SF-12, PROMIS-PF).
  • Main Results:

    • Three hundred sixteen patients (109 CDRs, 207 ACDFs) were analyzed.
    • Most patients reported improved cervical spine health postoperatively.
    • Statistically significant but moderate correlations were found between preoperative PROM changes and GRC in the CDR cohort; however, postoperative changes showed no significant correlation. In the ACDF cohort, preoperative PROM changes did not correlate significantly with GRC, while some postoperative PROM changes showed moderate correlation with GRC at specific time points.

    Conclusions:

    • Commonly used PROMs in cervical spine surgery showed weak to moderate correlations with patient-perceived health changes.
    • Findings suggest that current PROMs may not adequately capture the health improvements most relevant to patients.
    • Further research is needed to develop or refine PROMs that better reflect patient-centered outcomes in cervical spine surgery.