RecruitingNCT05310578

Functioning in Individuals with Cervical Radiculopathy After Posterior Cervical Decompression

Functioning in Individuals with Cervical Radiculopathy After Posterior Cervical Decompression: a Prospective Multicenter Observational Study with a 2 Year Follow-up.

Sponsor

Linkoeping University

Enrollment

154 participants

Start Date

Aug 22, 2022

Study Type

OBSERVATIONAL

Conditions

Cervical radiculopathy

Summary

Compression on structures, as spinal nerves, in the cervical spine can cause cervical radiculopathy which leads to pain, disability, and reduced quality of life for the affected individual. Cervical foraminotomy with our without laminectomy are common posterior decompression surgical techniques for treating cervical radiculopathy. There is a lack of knowledge regarding function in patients with cervical radiculopathy after posterior cervical decompression. The aim with this study is to study pain, function, psychosocial factors, and health related quality of life after posterior cervical decompression in patients with cervical radiculopathy. This is a prospective multicenter longitudinal observational cohort study with follow-up at three, 12- and 24 months postoperative. A total of 154 individuals scheduled to undergo foraminotomy with our without laminectomy due to cervical radiculopathy will be included. Primary outcome is neck-specific function measured with the Neck Disability Index. Data will be collected preoperatively and at three, 12 and 24 months with electronic questionnaire.

Eligibility

Min Age: 18 YearsMax Age: 75 Years

Inclusion Criteria4

Cervical radiculopathy, confirmed by MRI images (or alternative neuroradiological imaging if MRI contraindicated) compatible with clinical findings of nerve root compression (neurological examination performed by a neurosurgeon/orthopedic surgeon)
Posterior cervical decompression as foraminotomy with our without laminectomy
At least 3 months of persistent arm pain
Age 18-75 years

Exclusion Criteria9

Nurick score 2 or more (to exclude individuals with moderate to high myelopathy)
Previous surgery of cervical spine
Previous fracture or dislocation of the cervical spine
Malignancy or benign spinal tumor (eg, neuromas)
Spinal infection
Previous spondylodiscitis
Servere mental disorder
Known alcohol or drug abuse
Lack of ability to write/comprehend/express oneself in Swedish

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Interventions

PROCEDUREPosterior cervical foraminotomy (with our without laminectomy)

The aim of surgery is to decrease the compression of the affected nerve. In posterior cervical foraminotomy, the foramina is expanded to create more space and with posterior cervical laminectomy the lamina is removed to create space mainly for the spinal cord.