Predictors of Axial Pain Improvement After Anterior Cervical Discectomy and Fusion

Launched by MEDICAL UNIVERSITY OF WARSAW · Sep 14, 2024

Keywords

ClinConnect Summary

This clinical trial is looking at how well a surgery called anterior cervical discectomy and fusion (ACDF) helps reduce neck pain in patients with certain neck issues, like cervical spondylosis and cervical disc disease. While ACDF is commonly used for treating problems that affect the spinal cord or nerves, researchers want to better understand which patients specifically see improvement in their neck pain after the surgery.

To participate in the study, candidates need to be between 65 and 74 years old and must be eligible for ACDF. This means they should be dealing with neck problems that could be helped by this surgery. However, individuals who have had previous neck surgeries, suffered serious neck injuries, or have certain medical conditions that cause neck pain, like arthritis or fibromyalgia, cannot join. If you participate, you can expect to be monitored for changes in your neck pain and how well you respond to the surgery. Your input will help doctors understand which patients may benefit the most from this procedure in the future.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Ability to provide informed consent
• • Patients who are qualified for one- or two-level ACDF for the treatment of degenerative cervical pathology
• Exclusion Criteria:
• • Previous cervical spine surgery
• • Previous cervical spine trauma
• • Other diseases causing neck pain include rheumatoid arthritis, lupus, polymyalgia rheumatica, myositis, seronegative inflammatory diseases, and fibromyalgia
• • Drug abuse
• • Myelopathy
• • Spinal infection
• • VAS neck pain score less than 3 (Inability to achieve an MCID which is calculated as 2.5 for the VAS scale)