Effects of cervical collar wearing time on rehabilitation after anterior cervical discectomy and fusion
10.3760/cma.j.cn115682-20211018-04696
- VernacularTitle:前路颈椎间盘切除椎间融合术患者术后颈托佩戴时间对康复效果的影响
- Author:
Yu QIAN
1
;
Zhiwei YU
;
Zhongjing ZHAO
;
Hongyu ZHENG
;
Wanru DUAN
;
Zhenlei LIU
;
Fengzeng JIAN
Author Information
1. 首都医科大学宣武医院神经外科，北京 100053
- Keywords:
Neurosurgical procedures;
Spondylosis;
Anterior cervical discectomy and fusion;
Cervical collar;
Cervical axial symptom;
Retrospective study
- From:
Chinese Journal of Modern Nursing
2022;28(17):2330-2334
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of the wearing time of cervical collar on the rehabilitation of patients with anterior cervical discectomy and fusion (ACDF) .Methods:The data of 97 patients with cervical spondylosis who were admitted to the Neurosurgery Spine Group of Xuanwu Hospital of Capital Medical University and underwent 1-2 segment ACDF from January 2016 to December 2017 were retrospectively analyzed. According to the wearing time of cervical collar after operation, the patients were divided into 1-4 weeks group (39 cases) , 5-8 weeks group (22 cases) , and 9-12 weeks group (36 cases) .The scores of the Japanese Orthopaedic Association Score (JOA) , Axial Symptom Score (AS) , and Neck Disability Index (NDI) were compared among the three groups before operation and 3 months after operation.Results:The postoperative JOA scores of the three groups were improved compared with those before the operation, and the differences were statistically significant ( P<0.05) ; however, there was no significant difference among the three groups before operation and 3 months after operation ( P> 0.05) . Compared with preoperative, the postoperative AS scores in 1-4 weeks group and 5-8 weeks group has no significant difference ( P> 0.05) , but the AS score of the 9-12 weeks group decreased compared with that before operation, and the difference was statistically significant ( P< 0.05) . After operation, the difference of AS scores among three groups was statistically significant ( P< 0.05) . The postoperative NDI scores of the three groups were improved compared with those before operation, and the differences were statistically significant ( P<0.05) . The improved effect of NDI in the 5-8 weeks group was better than that in the 1-4 weeks group, and the difference was statistically significant ( P<0.05) . Conclusions:The incidence of axial symptoms in patients with 1-2 segment ACDF increases with the wearing time of cervical collar. The cervical collar wearing time for 5 to 8 weeks has the best effect, the patients have the lowest disability index, and did not significantly increase the patients ' axial symptoms.
