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Impact Of Age Within Younger Populations On Outcomes Following Cervical Surgery In The Ambulatory Setting – Cervical Disc Replacement

The article investigates the effect of age on patient-reported outcome measures (PROMs) after cervical spine surgery in the younger population seen at ambulatory surgical centers. The study included patients under the age of 65 undergoing single-level anterior cervical discectomy and fusion (ACDF) or cervical disc replacement (CDR). The results showed that both age groups experienced improvement in PROMs at multiple time points postoperatively. The older cohort had higher physical function scores preoperatively and at 6 weeks, while the younger group had higher achievement rates in PROMIS PF at 2 years and VAS arm score at 1 year. Overall, age did not significantly affect long-term outcomes after cervical spine surgery in patients under 65 years old

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

Published article

Both cohorts showed significant improvement at multiple postoperative time points for all PROMs. Between groups, the older group reported more favorable physical function, VAS arm, and NDI scores at several time points. However, MCID achievement rates only significantly differed in two PROMs at singular time points. Difference in age in patients <65 years likely does not significantly affect long-term outcomes after cervical spine surgery. Cervical Disc Replacement Surgery Expert. Best Spinal Surgeon UK
Abstract Objective: To determine the effect of age within the younger population seen at ambulatory surgical centers on patient-reported outcome measures (PROMs) after cervical spine surgery. Methods: Patients of age,

Abstract

Objective: To determine the effect of age within the younger population seen at ambulatory surgical centers on patient-reported outcome measures (PROMs) after cervical spine surgery.

Methods: Patients of age <65 years undergoing single-level anterior cervical discectomy and fusion (ACDF) or cervical disc replacement (CDR) were included. Patients were divided by mean age of initial population (46 years). PROMs included Patient-reported Outcome Measurement Information System Physical Function (PROMIS-PF), 12-Item Short-Form Physical Component Survey (SF-12 PCS), Visual Analog Scale (VAS) neck, VAS arm, Neck Disability Index (NDI) collected preoperatively and at postoperative time points up to 2 years.

Results: 138 patients were included, with 66 patients <46 years. Both cohorts demonstrated improvement from preoperative baseline with regard to all studied PROMs at multiple time points postoperatively (p ≤ 0.042, all). Between groups, the older cohort demonstrated greater mean PROMIS-PF scores preoperatively and at 6 weeks (p ≤ 0.011, both), while VAS arm scores were lower in the older group at 1 year (p = 0.002), and NDI scores were lower in the older group at 6 weeks and 1 year (p < 0.027, both). Minimal Clinically Important Difference (MCID) achievement rates were greater in the younger group in PROMIS PF at 2 years (p = 0.002), and in the older group in VAS arm score at 1 year (p = 0.007).

Both cohorts showed significant improvement at multiple postoperative time points for all PROMs. Between groups, the older group reported more favorable physical function, VAS arm, and NDI scores at several time points. However, MCID achievement rates only significantly differed in two PROMs at singular time points. Difference in age in patients <65 years likely does not significantly affect long-term outcomes after cervical spine surgery.

Keywords: ACDF; ACDF, anterior cervical discectomy and fusion; Age; CDR; CDR, cervical disc replacement; MCID; MCID, minimum clinically important difference; PROM; PROM, patient-reported outcome measure.

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Impact of age within younger populations on outcomes following cervical surgery in the ambulatory setting

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Abstract Objective: To determine the effect of age within the younger population seen at ambulatory surgical centers on patient-reported outcome measures (PROMs) after cervical spine surgery. Methods: Patients of age

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