Back to Search Start Over

Factors related to subjective satisfaction following microendoscopic foraminotomy for cervical radiculopathy

Authors :
Juichi Tonosu
Hirohiko Inanami
Hiroyuki Oka
Yuichi Takano
Hisashi Koga
Yohei Yuzawa
Ryutaro Shiboi
Yasushi Oshima
Satoshi Baba
Sakae Tanaka
Ko Matsudaira
Source :
BMC Musculoskeletal Disorders, Vol 19, Iss 1, Pp 1-6 (2018)
Publication Year :
2018
Publisher :
BMC, 2018.

Abstract

Abstract Background Microendoscopic foraminotomy has been reported to be effective for the treatment of cervical radiculopathy, using outcome measurement scores such as the neck disability index (NDI) and numerical rating scale (NRS). However, the scores for spine surgery do not always reflect the true subjective satisfaction of the patient. The purpose of this study was to evaluate factors related to subjective satisfaction following microendoscopic foraminotomy for cervical radiculopathy. Methods The subjects consisted of consecutive patients who underwent microendoscopic foraminotomy for cervical radiculopathy. Patient background information and operative data were collected. The NDI, the NRS score for the neck, upper back, and arm, and the EuroQOL-5D (EQ-5D) were assessed preoperatively and 1 year postoperatively. Postoperative subjective satisfaction was also assessed as a direct evaluation of satisfaction, and willingness to undergo the same operation if needed was assessed as an indirect evaluation. Results A total of 42 patients were included in this study. The mean age was 52.9 ± 11.8 years; 19.0% were female and 81.0% were male. The operation time for one level was 57.7 min and the estimated blood loss was minimal in most cases. All NDI, NRS, and EQ-5D scores improved significantly postoperatively. Univariate analyses revealed that the factors related to subjective satisfaction were younger age, non-smoking status, high preoperative NDI score, and low postoperative NRS score for the arm. Factors related to the willingness to undergo the same operation if needed were high preoperative NDI scores, high preoperative NRS scores for the arm, and low preoperative EQ-5D scores. Conclusions Factors related to subjective satisfaction following microendoscopic foraminotomy include younger age, non-smoking status, high preoperative NDI score, high preoperative NRS score for the arm, low preoperative EQ-5D score, and a low postoperative NRS score for the arm.

Details

Language :
English
ISSN :
14712474
Volume :
19
Issue :
1
Database :
Directory of Open Access Journals
Journal :
BMC Musculoskeletal Disorders
Publication Type :
Academic Journal
Accession number :
edsdoj.f6610fcdc2f44f996d32aed6e88e734
Document Type :
article
Full Text :
https://doi.org/10.1186/s12891-018-1947-4