{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T17:22:40Z","timestamp":1740158560675,"version":"3.37.3"},"reference-count":25,"publisher":"Asian Spine Journal (ASJ)","issue":"3","license":[{"start":{"date-parts":[[2023,5,22]],"date-time":"2023-05-22T00:00:00Z","timestamp":1684713600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["asianspinejournal.org"],"crossmark-restriction":true},"short-container-title":["Asian Spine J"],"published-print":{"date-parts":[[2023,6,30]]},"abstract":"<jats:p>Study Design: Retrospective cohort.Purpose: To assess preoperative arm pain severity influence on postoperative patient-reported outcomes measures (PROMs) and minimal clinically important difference (MCID) achievement following single-level anterior cervical discectomy and fusion (ACDF).Overview of Literature: There is evidence that preoperative symptom severity can affect postoperative outcomes. Few have evaluated this association between preoperative arm pain severity and postoperative PROMs and MCID achievement following ACDF.Methods: Individuals undergoing single-level ACDF were identified. Patients were grouped by preoperative Visual Analog Scale (VAS) arm \u22648 vs. &gt;8. PROMs collected preoperatively and postoperatively included VAS-arm\/VAS-neck\/Neck Disability Index (NDI)\/12-item Short Form (SF-12) Physical Composite Score (PCS)\/SF-12 mental composite score (MCS)\/Patient-Reported Outcomes Measurement Information System physical function (PROMIS-PF). Demographics, PROMs, and MCID rates were compared between cohorts.Results: A total of 128 patients were included. The VAS arm \u22648 cohort significantly improved for all PROMs excepting VAS arm at 1-year\/2-years, SF-12 MCS at 12-weeks\/1-year\/2-years, and SF-12 PCS\/PROMIS-PF at 6-weeks, only (&lt;i&gt;p&lt;\/i&gt; \u22640.021, all). The VAS arm &gt;8 cohort significantly improved for VAS neck at all timepoints, VAS arm from 6-weeks to 1-year, NDI from 6-weeks to 6-months, and SF-12 MCS\/PROMIS-PF at 6-months (&lt;i&gt;p&lt;\/i&gt; \u22640.038, all). Postoperatively, the VAS arm &gt;8 cohort had higher VAS-neck (6 weeks\/6 months), VAS-arm (12 weeks\/6 months), NDI (6 weeks\/6 months), lower SF-12 MCS (6 weeks\/6 months), SF-12 PCS (6 months), and PROMISPF (12 weeks\/6 months) (&lt;i&gt;p&lt;\/i&gt; \u22640.038, all). MCID achievement rates were higher among the VAS arm &gt;8 cohort for the VAS-arm at 6-weeks\/12-weeks\/1-year\/overall and NDI at 2 years (&lt;i&gt;p&lt;\/i&gt; \u22640.038, all).Conclusions: Significance in PROM score differences between VAS arm \u22648 vs. &gt;8 generally dissipated at the 1-year and 2-year timepoint, although higher preoperative arm pain patients suffered from worse pain, disability, and mental\/physical function scores. Furthermore, clinically meaningful rates of improvement were similar throughout the vast majority of timepoints for all PROMs studied.<\/jats:p>","DOI":"10.31616\/asj.2022.0027","type":"journal-article","created":{"date-parts":[[2023,5,22]],"date-time":"2023-05-22T04:11:32Z","timestamp":1684728692000},"page":"500-510","update-policy":"https:\/\/doi.org\/10.31616\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Does Baseline Severity of Arm Pain Influence Outcomes Following Single-Level Anterior Cervical Discectomy and Fusion?"],"prefix":"10.31616","volume":"17","author":[{"given":"Madhav R.","family":"Patel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5703-9294","authenticated-orcid":true,"given":"Kevin C.","family":"Jacob","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank A.","family":"Chavez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander W.","family":"Parsons","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nisheka N.","family":"Vanjani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hanna","family":"Pawlowski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael 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