Preoperative narcotic use as a predictor of clinical outcome: results following anterior cervical arthrodesis.

摘要: STUDY DESIGN Prognostic Study, Level II (Retrospective review of prospectively collected data). OBJECTIVE To identify an association between preoperative narcotic use and clinical outcome after cervical arthrodesis. SUMMARY OF BACKGROUND DATA Little data exists regarding the influence that chronic has on outcomes surgery. Cervical arthrodesis is a common procedure predictably high success rate for relief radicular pain. In addition, patient population presenting this propensity use. METHODS Charts questionnaires concerning pain medication from 91 consecutive patients who underwent by single surgeon at institution were reviewed. Group I consisted 47 took their daily basis greater than 6 months before 44 not narcotics chronically Postoperative based modified Robinson criteria assessed. Patients observed minimum 2 years. RESULTS Of group patients, 16 (34%) continued to require up years surgery whereas only 3 (7%) required past (P = 0.002). 24 (51%) had good or excellent result 15 (32%) poor 38 (86%) no < 0.001). CONCLUSION Chronic was found be associated with worse functional following While further studies will necessary ascertain if relationship generalizable other orthopaedic procedures analyze potential confounding variables, surgeons may want counsel about inferior are used