{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:04:38Z","timestamp":1777662278183,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2023,3,22]],"date-time":"2023-03-22T00:00:00Z","timestamp":1679443200000},"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":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Patients with carpal tunnel syndrome (CTS) may also have cervical radiculopathy (CR) or vice versa, potentially requiring carpal tunnel release (CTR) and anterior cervical discectomy and fusion (ACDF). This study evaluates whether there is an increased risk of complications following CTR or ACDF in patients with concurrent CTS and CR (CTS-CR) compared with those with only CTS or CR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A multipayer database was used to identify patients with CTS-CR. From this cohort, patients who underwent CTR and\/or ACDF were identified. Patients with CTS-CR undergoing surgery were compared with those undergoing surgery with only CTS or CR. Multivariable logistic regression was used to compare matched populations to assess postoperative complications and risk of undergoing both procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 110\u2009379 patients with CTS-CR were identified. Carpal tunnel release was performed in 21\u2009152 patients (19.2%) with CTS-CR, from which 835 (0.76%) underwent ACDF. Anterior cervical discectomy and fusion was performed in 6960 patients (6.31%) with CTS-CR followed by CTR in 1098 patients (0.99%). Patients with CTS-CR were at greater risk of reoperation and complex regional pain syndrome following CTR. In ACDF, patients with CTS-CR were at greater risk of reoperation. Obesity and tobacco use were significant risk factors in patients with CTS-CR who underwent both CTR and ACDF rather than a single surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Examination of more than 100\u2009000 patients with CTS-CR found a greater likelihood of reoperation and perioperative complications following surgery than those without concurrent diagnoses. Obesity and smoking increased the risk for patients undergoing both procedures. Patients presenting with CTS-CR are high risk and should be counseled on risk of complication and reoperation and optimized to reduce risk of undergoing both CTR and ACDF.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447231158807","type":"journal-article","created":{"date-parts":[[2023,3,22]],"date-time":"2023-03-22T08:57:17Z","timestamp":1679475437000},"page":"917-923","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Complications and Reoperation Following Surgery for Concurrent Carpal Tunnel and Cervical Spine Compression"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9149-4859","authenticated-orcid":false,"given":"Neill Y.","family":"Li","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel S.","family":"Yang","sequence":"additional","affiliation":[{"name":"Alpert Medical School of Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shashank","family":"Dwivedi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Alpert Medical School of Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph A.","family":"Gil","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Alpert Medical School of Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan H.","family":"Daniels","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Alpert Medical School of Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,3,22]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2012.12.038."},{"key":"e_1_3_2_3_2","volume-title":"41st Annual Meeting of the American Society for Surgery of the Hand","author":"Osterman AL","unstructured":"Osterman AL, Pfeffer G, Chu J. Double Crush Syndrome: cervical radiculopathy and carpal tunnel syndrome. 41st Annual Meeting of the American Society for Surgery of the Hand. 1986."},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-016-9349-4."},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/BSD.0000000000000284."},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.disamonth.2009.06.004."},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11420-011-9218-z."},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2016.09.009."},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-14-00176"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.18.00936."},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199103000-00008."},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(87)80207-1."},{"issue":"11","key":"e_1_3_2_13_2","first-page":"1773","article-title":"An experimental study on the vulnerability of the peripheral nerve","volume":"57","author":"Nemoto K.","year":"1983","unstructured":"Nemoto K. An experimental study on the vulnerability of the peripheral nerve. J Japanese Orthop Ass. 1983;57(11):1773-1786.","journal-title":"J Japanese Orthop Ass"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.math.2011.05.005."},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1080\/14728222.2017.1328057."},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pneurobio.2018.05.002."},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199006000-00081."},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(20)30338-2"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.4236\/ojanes.2015.57033."},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jid.2016.10.018."},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.3171\/2015.3.SPINE14971."},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1097\/BSD.0000000000000080."},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000002863."},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.2147\/CLEP.S154409."},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1080\/2000656X.2016.1265531."}],"container-title":["HAND"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15589447231158807","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15589447231158807","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15589447231158807","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:28:44Z","timestamp":1777447724000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15589447231158807"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,22]]},"references-count":24,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1177\/15589447231158807"],"URL":"https:\/\/doi.org\/10.1177\/15589447231158807","relation":{},"ISSN":["1558-9447","1558-9455"],"issn-type":[{"value":"1558-9447","type":"print"},{"value":"1558-9455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,22]]}}}