Factors Associated With Return to Work Following Laminoplasty for Degenerative Cervical Myelopathy

• DOI: 10.1097/bsd.0000000000001713
• Publication Date: 2024-11-04T22:00:08Z
• Authors: Brian Q. Hou; Andrew Croft; Hani Chanbour; Omar Zakieh; Alicia M. Hymel; Jacquelyn S. Penn...; Mason W. Young; Mitchell F. Bowers; Raymond J. Gardocki; Julian G. Lugo-Pico; Amir M. Abtahi; Scott L. Zuckerman; Byron F. Stephens
• Keywords: Laminoplasty; Neck pain; Spinal cord compression; Cervical spondylosis

Study Design: Retrospective cohort study. Objective: To identify factors predictive of returning to work within 90 days laminoplasty for degenerative cervical myelopathy (DCM). Background: DCM is a debilitating condition resulting from spinal canal stenosis and cord compression. One surgical option decompression laminoplasty. Factors influencing return (RTW) postsurgery are unknown. Methods: This study included adult patients previously employed, undergoing primary elective DCM, with documented RTW status. Variables demographic information, medical history, illness characteristics, baseline patient-reported outcomes. The outcome interest was status at days. Statistical analyses were conducted predictors. Results: Forty-six (67.6%) returned days, whereas 22 (32.3%) either between 365 (n = 3) or did not 19). Significantly more who worked full-time (90.9% vs 64.3%, P 0.030). Patients had significantly lower preoperative Neck Disability Index scores (23.7 ± 17.5 35.6 14.3, 0.008) higher modified Japanese Orthopedic Association (13.7 2.5 12.2 2.7, 0.018) compared those RTW. No differences found in other postoperative 3-month neck pain (2.0 2.1 3.8 2.6, 0.007), arm (1.3 1.9 3.6 2.8, < 0.001), 12-month (1.4 1.6 3.1 2.4, 0.019) (1.1 1.8 2.4 0.048) Higher associated truncated time (HR: 1.14, 95% CI: 1.01–1.29, 0.034). Conclusion: better functional likely postlaminoplasty. Preoperative plays an important role assessing information valuable patient counseling.