Spinal Disease

Cervical Spinal Disease -Change in Functional Status Following Cervical Decompression With Fusion for Cervical Disc Herniation

Change in Functional Status Following Cervical Decompression With Fusion for Cervical Disc Herniation

Surgical Dates: January 2, 2019 – December 26, 2019

PHQ-9 = Patient Health Questionnaire, PROMIS = Patient-Reported Outcomes Measurement Information System

In patients who underwent cervical decompression with fusion for symptoms of severe arm pain due to a cervical disc herniation, median duration of follow-up after surgery was 140 days. Among patients assessed using the Patient-Reported Outcomes Measurement Information System (PROMIS®), 43% noted clinically meaningful improvement of their Physical quality of life scores and 44.4% noted clinically meaningful improvement in their Mental scores. In this and subsequent graphs, clinically meaningful change in PROMIS scores was defined as a change of one-half of a standard deviation.¹ Among 141 patients reporting at least moderate depressive symptoms, defined as Patient Health Questionnaire (PHQ-9) score ≥ 10, at baseline, 17.7% noted clinically meaningful improvement in depressive symptoms and 70.2% were stable. Improvement in PHQ-9 was defined as a change of ≥ 5 points.²