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Observational study regarding outcomes, complications, and patient acceptance for 100 consecutive patients undergoing outpatient posterior cervical decompression, instrumentation and fusion.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Posterior Cervical Decompression, Instrumentation and Fusion Patients | 100 consecutive patients with documented cervical spinal cord and/or nerve root compression unresponsive to conservative management. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Enhanced recovery after surgery protocol | Other | This is the only study evaluating OUTPATIENT posterior cervical decompression, instrumentation, and fusion patients in a prospective fashion with a median follow-up of 2.5 years. |
| Measure | Description | Time Frame |
|---|---|---|
| Neurologic Function (Modified JOA Score) | Neurologic status will be assessed using the Modified Japanese Orthopaedic Association (mJOA) Score (1-18), with higher scores indicating better neurologic function. | Baseline and 3 months post-operative |
| Myelopathy Severity (Nurick Grade) | Myelopathy severity will be measured using the Nurick Scale (Grades 0-5), with higher grades indicating greater impairment. | Baseline and 3 months post-operative |
| Pain Severity (VAS Neck and Arm Pain Scores) | Pain will be assessed using the Visual Analog Scale (VAS) for neck and arm pain (0-10). | Baseline, 3 months post-operative, and final follow-up (average 5 years) |
| Functional Disability (Oswestry Neck Pain Index) | Functional impairment will be assessed using the Oswestry Neck Pain Index (0-100%). | Baseline and 3 months post-operative |
| Surgical Outcome Rating (Odom Criteria) | Patient-reported surgical outcome will be graded using Odom Criteria (Excellent, Good, Fair, Poor). | 3 months post-operative and extended follow-up (average 5 years) |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Postoperative Complications or Readmissions | All postoperative medical and surgical complications-including ER visits, unplanned admissions, and reoperations-will be recorded. | Day of surgery through study completion (average 5 years) |
| Number of Participants With Radiographic Evidence of Fusion or Hardware Failure |
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Inclusion Criteria:
Exclusion Criteria:
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Adult males and females referred to the NeuroSpine Center of Wisconsin in Appleton, WI, with cervical stenosis.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| NeuroSpine Center of Wisconsin | Neenah | Wisconsin | 54956 | United States |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Oct 27, 2025 | Nov 19, 2025 | Prot_000.pdf |
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Radiographic evaluation of fusion status, hardware failure, and pseudoarthrosis will be performed using AP/lateral and flexion-extension cervical spine radiographs. |
| 6 weeks, 3 months, and extended follow-up (average 5 years) |