Predictors of return to work after anterior cervical discectomy.
Return to previous level of employment after surgery is important to patients.
Predictors of return to work have been well described in lumbar disc surgery.
However, this information cannot be generalized to the population undergoing cervical discectomy.
The authors retrospectively reviewed 67 consecutive patients who underwent anterior cervical discectomy.
Strict inclusion criteria were used.
Baseline demographics were recorded as well as other potential predictors of postoperative return to work such as number of levels of disease, smoking history, and disability claims.
Follow-up information about work status was reviewed with each patient at office visit.
Forty-five patients were found eligible for the study.
At a mean follow-up of 2.8 years (SD 1.4), 38% had not returned to work by 1 year.
Preoperative sick leave in this group was significantly greater than for those patients who returned to work within the year (p=0.0014).
Postoperative neck pain was more common in individuals who did not return to work after surgery (p=0.01).
Increasing age and disability claims also appeared to negatively impact the ability to return to work.
Gender, type of work, smoking history, and number of levels of disc disease did not appear to have any association with postoperative retum to work.
The authors conclude that the duration preoperative sick leave and postoperative neck pain negatively impact postoperative work status in patients undergoing anterior cervical discectomy. (...)
Mots-clés Pascal : Exérèse, Disque intervertébral, Vertèbre cervicale, Antérieur, Reprise travail, Douleur, Rachis cervical, Médecine travail, Facteur prédictif, Evolution, Traitement, Adulte, Homme, Chirurgie, Rachialgie, Rachis pathologie, Système ostéoarticulaire pathologie
Mots-clés Pascal anglais : Exeresis, Intervertebral disk, Cervical vertebra, Anterior, Back to work, Pain, Cervical spine, Occupational medicine, Predictive factor, Evolution, Treatment, Adult, Human, Surgery, Rachialgia, Spine disease, Diseases of the osteoarticular system
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0247664
Code Inist : 002B25I. Création : 16/11/1999.