{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T20:47:16Z","timestamp":1785444436557,"version":"3.56.0"},"reference-count":90,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>Approximately 50% of all individuals with cervical radiculopathy (CR) have headache, but knowledge on neck-related disability, headache, and pain aoof this study was to investigate and compare outcomes of ACDF and PCF regarding neck-related disability, headache, and neck and arm pain in individuals with CR and neck-related headache.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>This was a registry-based cohort study with prospectively collected data, including 2-year follow-up, using data from the Swedish Spine Registry (Swespine). All individuals with CR and neck-related headache registered in Swespine who underwent either ACDF (n = 2441) or PCF (n = 448) between January 2014 and March 2021 were included. Outcome measures were neck-related disability as measured by the Neck Disability Index (NDI), headache measured by the headache item of the NDI, and neck and arm pain intensity measured on an 11-point numeric rating scale. Patient-reported data were collected preoperatively and at 1- and 2-year follow-up evaluations. Surgeon-reported data regarding the operation were collected soon after the operation. Between- and within-group differences were analyzed for ACDF and PCF using a linear mixed model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Headache decreased to a greater extent preoperatively by the 2-year follow-up evaluation with PCF than with ACDF (p = 0.021). No other significant between-group differences were found at any follow-up. For all outcome measures, there were significant within-group improvements from preoperatively to both the 1- and 2-year follow-up evaluations after ACDF and PCF (p &lt; 0.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>ACDF and PCF decreased headache in individuals with CR and neck-related headache, but PCF appeared to decrease headache more over time. Both interventions also resulted in similar improvements in neck-related disability and neck and arm pain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2025.3.spine241511","type":"journal-article","created":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T14:34:12Z","timestamp":1757687652000},"page":"472-480","source":"Crossref","is-referenced-by-count":2,"title":["Neck-related disability, headache, and pain intensity after anterior or posterior cervical decompression surgery in individuals with cervical radiculopathy and neck-related headache: a national registry-based study with 2-year follow-up"],"prefix":"10.3171","volume":"43","author":[{"given":"Jard","family":"Svensson","sequence":"first","affiliation":[{"name":"Department of Health, Medicine and Caring Sciences, Unit of Physiotherapy, Link\u00f6ping University, Campus US, Link\u00f6ping;"},{"name":"Department of Neurosurgery, Link\u00f6ping University Hospital, Region \u00d6sterg\u00f6tland, Link\u00f6ping;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anneli","family":"Peolsson","sequence":"additional","affiliation":[{"name":"Department of Health, Medicine and Caring Sciences, Unit of Physiotherapy, Link\u00f6ping University, Campus US, Link\u00f6ping;"},{"name":"Occupational and Environmental Medicine Center, Department of Health, Medicine and Caring Sciences, Unit of Clinical Medicine, Link\u00f6ping University, Campus US, Link\u00f6ping;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Hermansen","sequence":"additional","affiliation":[{"name":"Department of Health, Medicine and Caring Sciences, Unit of Physiotherapy, Link\u00f6ping University, Campus US, Link\u00f6ping;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Zsigmond","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Link\u00f6ping University Hospital, Region \u00d6sterg\u00f6tland, Link\u00f6ping;"},{"name":"Department of Biomedical and Clinical Sciences, Link\u00f6ping University, Link\u00f6ping; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H\u00e5kan","family":"L\u00f6fgren","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Clinical Sciences, Link\u00f6ping University, Link\u00f6ping; and"},{"name":"Neuro-Orthopedic Center, Region J\u00f6nk\u00f6ping County, J\u00f6nk\u00f6ping, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"Pt 2","key":"b1","series-title":"Brain","first-page":"325","article-title":"Epidemiology of cervical radiculopathy. 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