The Impact of Multiple Comorbid Mental Health Disorders on Health-related Quality of Life Following ACDF.

Clinical Spine Surgery : a Spine Publication
John J ManganGregory D Schroeder

Abstract

Retrospective comparative study. The goal was to determine whether comorbid depression and/or anxiety influence outcomes after anterior cervical discectomy and fusion (ACDF) for patients with degenerative cervical pathology. The role preoperative mental health has on patient reported outcomes after ACDF surgery is not well understood. Patients undergoing elective ACDF for degenerative cervical pathology were identified. Patients were grouped based on their preoperative mental health comorbidities, including patients with no history, depression, anxiety, and those with both depression and anxiety. All preoperative medical treatment for depression and/or anxiety was identified. Outcomes including Physical Component Score (PCS-12), Mental Component Score (MCS-12), Neck Disability Index (NDI), Visual Analogue Scale neck pain score (VAS Neck ), and Visual Analogue Scale arm pain score (VAS Arm) were compared between groups from baseline to postoperative measurements using multiple linear regression analysis-controlling for factors such as age, sex, and body mass index, etc. A P-value <0.05 was considered statistically significant. A total of 264 patients were included in the analysis, with an average age of 53 years and mean follow-...Continue Reading

References

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