The Effect of Workers' Compensation Status on Outcomes of Cervical Disc Arthroplasty: A Prospective, Comparative, Observational Study

The Journal of Bone and Joint Surgery. American Volume
Matthew F GornetBranko Kopjar

Abstract

Receiving Workers' Compensation benefits has been associated with inferior outcomes after lumbar fusion. The purpose of our study was to compare the outcomes of cervical disc arthroplasty between patients receiving and those not receiving Workers' Compensation. Patient-reported outcomes, reoperations, complications, and return-to-work status were analyzed at one year after surgery in an observational cohort of consecutive patients who underwent single-level or multilevel cervical disc arthroplasty for symptomatic cervical disc conditions, including radiculopathy or discogenic pain with or without radiculopathy, exclusive of myelopathy. Of the 189 patients who underwent cervical disc arthroplasty, 144 received Workers' Compensation and forty-five did not. The mean scores on all patient-reported measures improved significantly from preoperative baseline to one year after surgery (p < 0.001), and the improvement in patient-reported outcomes did not differ significantly between the Workers' Compensation and the non-Workers' Compensation group (respectively, 22.7 compared with 25.0 for the Neck Disability Index; 8.3 compared with 9.6 for the Short Form (SF)-36 physical component summary; 7.9 compared with 9.6 for the SF-36 mental co...Continue Reading

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Citations

Sep 28, 2017·The Journal of the American Academy of Orthopaedic Surgeons·Alan H DanielsMark A Palumbo
Jan 13, 2018·Neurosurgery·Pierce D NunleyMarcus B Stone
Nov 23, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Vishal S DesaiDiane L Dahm
Apr 2, 2018·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Michael P KellyNelson F SooHoo
Sep 24, 2020·Clinical Orthopaedics and Related Research·Chihua LeeThomas J Douglas

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