{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T21:05:23Z","timestamp":1788383123086,"version":"build-2803163510"},"reference-count":27,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,4,17]],"date-time":"2024-04-17T00:00:00Z","timestamp":1713312000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2024,4,17]],"date-time":"2024-04-17T00:00:00Z","timestamp":1713312000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scand J Surg"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>This study aimed to identify the clusters of patients with different developmental trajectories of pain and disability after anterior cervical decompression and fusion (ACDF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Group-based trajectory analysis among 318 patients undergoing the ACDF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Three developmental trajectories of disability were identified: \u201cSteadily good functioning,\u201d \u201cImproved functioning,\u201d and \u201cSteadily poor functioning.\u201d Three developmental trajectories of neck pain were identified: \u201cWorsened pain,\u201d \u201cPain relief,\u201d and \u201cSteadily severe pain.\u201d Two developmental trajectories of arm pain were identified: \u201cDecreased arm pain\u201d and \u201cSevere arm pain with only short-term relief.\u201d No associations were found between sex, preoperative pain duration, or body weight and probability to be classified into a particular disability trajectory group. Female sex (relative risk ratio (RRR) 1.78) and longer history of preoperative pain (RRR 2.31\u20132.68) increased the probability to be classified into a group with steadily severe neck pain. Longer history of preoperative pain increased the probability to be classified into group with severe arm pain with only short-term pain relief (RRR 2.68).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>After the ACDF, dissimilar developmental trajectories of pain and disability were identified between the patient clusters. While sex, preoperative pain duration, and body weight were not associated with differences in improvement in disability level, female sex and longer duration of preoperative pain were correlated with more severe neck and arm pain after surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/14574969241241969","type":"journal-article","created":{"date-parts":[[2024,4,17]],"date-time":"2024-04-17T08:15:02Z","timestamp":1713341702000},"page":"166-173","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Disability and pain after anterior cervical decompression and fusion: A group-based trajectory analysis"],"prefix":"10.1177","volume":"113","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6717-4820","authenticated-orcid":false,"given":"Sara S.","family":"Widbom-Kolhanen","sequence":"first","affiliation":[{"name":"Department of Surgery Satasairaala Hospital Sairaalantie 3 Pori 28500 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