{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T00:37:16Z","timestamp":1793407036852,"version":"4.5.0"},"reference-count":24,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,1]]},"abstract":"<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>Patients with cervical spondylotic myelopathy (CSM) experience progressive neurological impairment. Surgical intervention is often pursued to halt neurological symptom progression and allow for recovery of function. In this paper, the authors explore predictors of patient satisfaction following surgical intervention for CSM.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>This is a retrospective review of prospectively collected data from the multicenter Quality Outcomes Database. Patients who underwent surgical intervention for CSM with a minimum follow-up of 2 years were included. Patient-reported satisfaction was defined as a North American Spine Society (NASS) satisfaction score of 1 or 2. Patient demographics, surgical parameters, and outcomes were assessed as related to patient satisfaction. Patient quality of life scores were measured at baseline and 24-month time points. Univariate regression analyses were performed using the chi-square test or Student t-test to assess patient satisfaction measures. Multivariate logistic regression analysis was conducted to assess for factors predictive of postoperative satisfaction at 24 months.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>A total of 1140 patients at 14 institutions with CSM who underwent surgical intervention were included, and 944 completed a patient satisfaction survey at 24 months postoperatively. The baseline modified Japanese Orthopaedic Association (mJOA) score was 12.0 \u00b1 2.8. A total of 793 (84.0%) patients reported satisfaction (NASS score 1 or 2) after 2 years. Male and female patients reported similar satisfaction rates (female sex: 47.0% not satisfied vs 48.5% satisfied, p = 0.73). Black race was associated with less satisfaction (26.5% not satisfied vs 13.2% satisfied, p &lt; 0.01). Baseline psychiatric comorbidities, obesity, and length of stay did not correlate with 24-month satisfaction. Crossing the cervicothoracic junction did not affect satisfactory scores (p = 0.19), and minimally invasive approaches were not associated with increased patient satisfaction (p = 0.14). Lower baseline numeric rating scale neck pain scores (5.03 vs 5.61, p = 0.04) and higher baseline mJOA scores (12.28 vs 11.66, p = 0.01) were associated with higher satisfaction rates.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>Surgical treatment of CSM results in a high rate of patient satisfaction (84.0%) at the 2-year follow-up. Patients with milder myelopathy report higher satisfaction rates, suggesting that intervention earlier in the disease process may result in greater long-term satisfaction.<\/jats:p>\n<\/jats:sec>","DOI":"10.3171\/2024.5.spine24326","type":"journal-article","created":{"date-parts":[[2024,8,17]],"date-time":"2024-08-17T01:55:48Z","timestamp":1723859748000},"page":"611-618","source":"Crossref","is-referenced-by-count":2,"title":["Predictors of patient satisfaction in the surgical treatment of cervical spondylotic myelopathy"],"prefix":"10.3171","volume":"41","author":[{"given":"Alexander J.","family":"Schupper","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Barrow Neurological Institute, St. Joseph\u2019s Hospital and Medical Center, Phoenix, Arizona;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"DiDomenico","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Barrow Neurological Institute, St. Joseph\u2019s Hospital and Medical Center, Phoenix, Arizona;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. Harrison","family":"Farber","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Barrow Neurological Institute, St. Joseph\u2019s Hospital and Medical Center, Phoenix, Arizona;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah E.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Mayo Clinic, Rochester, Minnesota;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica F.","family":"Bisson","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Utah, Salt Lake City, Utah;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamad","family":"Bydon","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Mayo Clinic, Rochester, Minnesota;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony L.","family":"Asher","sequence":"additional","affiliation":[{"name":"Neuroscience Institute, Carolinas Healthcare System and Carolina Neurosurgery & Spine Associates, Charlotte, North Carolina;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Domagoj","family":"Coric","sequence":"additional","affiliation":[{"name":"Neuroscience Institute, Carolinas Healthcare System and Carolina Neurosurgery & Spine Associates, Charlotte, North Carolina;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric A.","family":"Potts","sequence":"additional","affiliation":[{"name":"Goodman Campbell Brain and Spine, Indianapolis, Indiana;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin T.","family":"Foley","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Tennessee, Semmes Murphey Neurologic and Spine Institute, Memphis, Tennessee;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael Y.","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Miami, Florida;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai-Ming","family":"Fu","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Weill Cornell Medical Center, New York, New York;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael S.","family":"Virk","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Weill Cornell Medical Center, New York, New York;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher I.","family":"Shaffrey","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"},{"name":"Orthopedic Surgery, Duke University, Durham, North Carolina;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oren N.","family":"Gottfried","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Park","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John J.","family":"Knightly","sequence":"additional","affiliation":[{"name":"Maxim Spine, Cedar Knolls, New Jersey;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Meyer","sequence":"additional","affiliation":[{"name":"Maxim Spine, Cedar Knolls, New Jersey;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Tennessee, Semmes Murphey Neurologic and Spine Institute, Memphis, Tennessee;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheerag","family":"Upadhyaya","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of North Carolina, Chapel Hill, North Carolina;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark E.","family":"Shaffrey","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Virginia, Charlottesville, Virginia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew K.","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Columbia University, The Och Spine Hospital at NewYork-Presbyterian, New York, New York;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis M.","family":"Tumial\u00e1n","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Barrow Neurological Institute, St. Joseph\u2019s Hospital and Medical Center, Phoenix, Arizona;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dean","family":"Chou","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Columbia University, The Och Spine Hospital at NewYork-Presbyterian, New York, New York;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Regis W.","family":"Haid","sequence":"additional","affiliation":[{"name":"Atlanta Brain and Spine Care, Atlanta, Georgia; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Praveen V.","family":"Mummaneni","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of California, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan S.","family":"Uribe","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Barrow Neurological Institute, St. Joseph\u2019s Hospital and Medical Center, Phoenix, Arizona;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jay D.","family":"Turner","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Barrow Neurological Institute, St. Joseph\u2019s Hospital and Medical Center, Phoenix, Arizona;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"4","key":"b1","series-title":"J Neurosurg Spine","first-page":"453","article-title":"What predicts the best 24-month outcomes following surgery for cervical spondylotic myelopathy? 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Neurosurgery. 2019;84(4):890\u2013897."},{"issue":"3","key":"b3","series-title":"Neurosurg Focus","first-page":"E2","article-title":"Three-level ACDF versus 3-level laminectomy and fusion: are there differences in outcomes? An analysis of the Quality Outcomes Database cervical spondylotic myelopathy cohort","volume":"55","author":"Ambati VS","year":"2023","unstructured":"Ambati VS, Macki M, Chan AK,  Three-level ACDF versus 3-level laminectomy and fusion: are there differences in outcomes? An analysis of the Quality Outcomes Database cervical spondylotic myelopathy cohort. Neurosurg Focus. 2023;55(3):E2."},{"issue":"1","key":"b4","series-title":"Surg Neurol","first-page":"66","article-title":"National trends in spinal fusion for cervical spondylotic myelopathy","volume":"71","author":"Lad SP","year":"2009","unstructured":"Lad SP, Patil CG, Berta S, Santarelli JG, Ho C, Boakye M. National trends in spinal fusion for cervical spondylotic myelopathy. Surg Neurol. 2009;71(1):66\u201369."},{"issue":"4","key":"b5","series-title":"Neurosurg Q","first-page":"302","article-title":"Surgical management of cervical spondylotic myelopathy","volume":"19","author":"Hsu W","year":"2009","unstructured":"Hsu W, Dorsi MJ, Witham TF. Surgical management of cervical spondylotic myelopathy. Neurosurg Q. 2009;19(4):302\u2013307."},{"issue":"18","key":"b6","series-title":"J Bone Joint Surg Am","first-page":"1651","article-title":"Efficacy and safety of surgical decompression in patients with cervical spondylotic myelopathy: results of the AOSpine North America prospective multi-center study","volume":"95","author":"Fehlings MG","year":"2013","unstructured":"Fehlings MG, Wilson JR, Kopjar B,  Efficacy and safety of surgical decompression in patients with cervical spondylotic myelopathy: results of the AOSpine North America prospective multi-center study. J Bone Joint Surg Am. 2013;95(18):1651\u20131658."},{"issue":"1","key":"b7","series-title":"HSS J","first-page":"15","article-title":"Anterior surgical treatment of cervical spondylotic myelopathy: review article","volume":"11","author":"Quinn JC","year":"2015","unstructured":"Quinn JC, Kiely PD, Lebl DR, Hughes AP. Anterior surgical treatment of cervical spondylotic myelopathy: review article. HSS J. 2015;11(1):15\u201325."},{"issue":"2","key":"b8","series-title":"J Neurosurg Spine","first-page":"206","article-title":"What factors influence surgical decision-making in anterior versus posterior surgery for cervical myelopathy? A QOD analysis","volume":"40","author":"Park C","year":"2023","unstructured":"Park C, Shaffrey CI, Than KD,  What factors influence surgical decision-making in anterior versus posterior surgery for cervical myelopathy? A QOD analysis. 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World Neurosurg. 2022;160:e436\u2013e441."},{"issue":"1","key":"b13","series-title":"J Neurosurg Spine","first-page":"42","article-title":"Cervical spondylotic myelopathy with severe axial neck pain: is anterior or posterior approach better?","volume":"38","author":"Chan AK","year":"2022","unstructured":"Chan AK, Shaffrey CI, Gottfried ON,  Cervical spondylotic myelopathy with severe axial neck pain: is anterior or posterior approach better? J Neurosurg Spine. 2022;38(1):42\u201355."},{"issue":"6","key":"b14","series-title":"Spine (Phila Pa 1976)","first-page":"741","article-title":"The North American Spine Society Lumbar Spine Outcome Assessment Instrument: reliability and validity tests","volume":"21","author":"Daltroy LH","year":"1996","unstructured":"Daltroy LH, Cats-Baril WL, Katz JN, Fossel AH, Liang MH. The North American Spine Society Lumbar Spine Outcome Assessment Instrument: reliability and validity tests. Spine (Phila Pa 1976). 1996;21(6):741\u2013749."},{"key":"b15","series-title":"World Neurosurg","first-page":"e724","article-title":"Correlation between the Oswestry Disability Index and the North American Spine Surgery Patient Satisfaction Index","volume":"139","author":"Yee TJ","year":"2020","unstructured":"Yee TJ, Fearer KJ, Oppenlander ME,  Correlation between the Oswestry Disability Index and the North American Spine Surgery Patient Satisfaction Index. World Neurosurg. 2020;139:e724\u2013e729."},{"issue":"12","key":"b16","series-title":"Spine J","first-page":"1783","article-title":"Effect of patients\u2019 functional status on satisfaction with outcomes 12 months after elective spine surgery for lumbar degenerative disease","volume":"17","author":"Chotai S","year":"2017","unstructured":"Chotai S, Devin CJ, Archer KR,  Effect of patients\u2019 functional status on satisfaction with outcomes 12 months after elective spine surgery for lumbar degenerative disease. Spine J. 2017;17(12):1783\u20131793."},{"key":"b17","article-title":"R: a language and environment for statistical computing. R Foundation for Statistical Computing","unstructured":"R: a language and environment for statistical computing. R Foundation for Statistical Computing. Accessed May 29, 2024. https:\/\/www.R-project.org"},{"issue":"3","key":"b18","series-title":"Spine (Phila Pa 1976)","first-page":"186","article-title":"Impact of race and insurance status on surgical approach for cervical spondylotic myelopathy in the United States: a population-based analysis","volume":"42","author":"McClelland S III","year":"2017","unstructured":"McClelland S III, Marascalchi BJ, Passias PG, Protopsaltis TS, Frempong-Boadu AK, Errico TJ. Impact of race and insurance status on surgical approach for cervical spondylotic myelopathy in the United States: a population-based analysis. Spine (Phila Pa 1976). 2017;42(3):186-194."},{"key":"b19","series-title":"World Neurosurg","article-title":"Racial\/ethnic disparities among patients undergoing anterior cervical discectomy and fusion or posterior cervical decompression and fusion for cervical spondylotic myelopathy: a national administrative database analysis","author":"Elsamadicy AA","unstructured":"Elsamadicy AA, Sayeed S, Sherman JJZ,  Racial\/ethnic disparities among patients undergoing anterior cervical discectomy and fusion or posterior cervical decompression and fusion for cervical spondylotic myelopathy: a national administrative database analysis. World Neurosurg. 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A clinical prediction rule for functional outcomes in patients undergoing surgery for degenerative cervical myelopathy: analysis of an international prospective multicenter data set of 757 subjects. J Bone Joint Surg Am. 2015;97(24):2038\u20132046."},{"issue":"14","key":"b24","series-title":"Spine (Phila Pa 1976)","first-page":"1092","article-title":"Does magnetic resonance imaging improve the predictive performance of a validated clinical prediction rule developed to evaluate surgical outcome in patients with degenerative cervical myelopathy?","volume":"40","author":"Nouri A","year":"2015","unstructured":"Nouri A, Tetreault L, C\u00f4t\u00e9 P, Zamorano JJ, Dalzell K, Fehlings MG. Does magnetic resonance imaging improve the predictive performance of a validated clinical prediction rule developed to evaluate surgical outcome in patients with degenerative cervical myelopathy? Spine (Phila Pa 1976). 2015;40(14):1092-1100."}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/41\/5\/article-p611.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/41\/5\/article-p611.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/41\/5\/article-p611.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,6]],"date-time":"2024-12-06T13:20:35Z","timestamp":1733491235000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/41\/5\/article-p611.xml"}},"subtitle":["Presented at the 2024 AANS\/CNS Joint Section on Disorders of the Spine and Peripheral Nerves"],"short-title":[],"issued":{"date-parts":[[2024,11,1]]},"references-count":24,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.3171\/2024.5.spine24326","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[2024,11,1]]}}}