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Discrepancies In Recommendations For Return To Regular Activities After Cervical Spine Surgery: A Survey Study – Cervical Disc Replacement

The study surveyed 91 spine surgeons to determine their recommended timing for patients to return to common activities after different cervical spine procedures. The results showed significant variability in recommendations, with differences based on years in practice. For anterior cervical decompression and fusion (ACDF) and posterior cervical decompression and fusion (PCDF), there were no significant differences in recommended times. However, for cervical disc replacement (CDR) and laminoplasty, there were differences based on years in practice, with more experienced surgeons recommending earlier return to certain activities. The study highlights the lack of consensus and clear guidelines for when patients can safely resume regular activities after cervical spine surgery

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best situated day surgery unit on Harley Street UK

Published article

CONCLUSIONS: We observed significant variability in surgeon recommendations for return to regular activities after cervical spine surgery.

Cervical Disc Replacement Surgery Expert. Best Spinal Surgeon UK
Abstract Background: The recommended timing for returning to common activities after cervical spine surgery varies widely among physicians based on training background and personal opinion, without clear guidelines or consensus. The purpose of this study was to analyze spine surgeons’ responses about the recommended timing for returning to common activities after different cervical spine procedures.,

Abstract

Background: The recommended timing for returning to common activities after cervical spine surgery varies widely among physicians based on training background and personal opinion, without clear guidelines or consensus. The purpose of this study was to analyze spine surgeons’ responses about the recommended timing for returning to common activities after different cervical spine procedures.

Methods: This was a survey study including 91 spine surgeons. The participants were asked to complete an anonymous online survey. Questions regarding their recommended time for returning to regular activities (showering, driving, biking, running, swimming, sedentary work, and nonsedentary work) after anterior cervical decompression and fusion (ACDF), cervical disc replacement (CDR), posterior cervical decompression and fusion (PCDF), and laminoplasty were included. Comparisons of recommended times for return to activities after each surgical procedure were made based on surgeons’ years in practice.

Results: For ACDF and PCDF, there were no statistically significant differences in recommended times for return to any activity when stratified by years in practice. When considering CDR, return to non-sedentary work differed between surgeons in practice for 10 to 15 years, who recommended return at 3 months, and all other groups of surgeons, who recommended 6 weeks. Laminoplasty surgery yielded the most variability in activity recommendations, with earlier recommended return (6 weeks) to biking, non-sedentary work, and sedentary work in the most experienced surgeon group (>15 years in practice) than in all other surgeon experience groups (3 months).

Conclusions: We observed significant variability in surgeon recommendations for return to regular activities after cervical spine surgery.

Keywords: Cervical spine surgery; Return to activity; Return to work; Survey.

The London Spine Unit : best situated day surgery unit on Harley Street UK

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Discrepancies in recommendations for return to regular activities after cervical spine surgery: A survey study

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Abstract Background: The recommended timing for returning to common activities after cervical spine surgery varies widely among physicians based on training background and personal opinion, without clear guidelines or consensus. The purpose of this study was to analyze spine surgeons' responses about the recommended timing for returning to common activities after different cervical spine procedures.

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