Functional outcomes assessment for cervical degenerative disease

Langston T. Holly, Paul G. Matz, Paul A. Anderson, Michael W. Groff, Robert F. Heary, Michael G. Kaiser, Praveen V. Mummaneni, Timothy C. Ryken, Tanvir F. Choudhri, Edward Vresilovic, Daniel K. Resnick

Research output: Contribution to journalReview article

31 Citations (Scopus)

Abstract

Object. The objective of this systematic review was to use evidence-based medicine to identify valid, reliable, and responsive measures of functional outcome after treatment for cervical degenerative disease. Methods. The National Library of Medicine and Cochrane Database were queried using MeSH headings and key words relevant to functional outcomes. Abstracts were reviewed after which studies meeting inclusion criteria were selected. The guidelines group assembled an evidentiary table summarizing the quality of evidence (Classes I-III). Disagreements regarding the level of evidence were resolved through an expert consensus conference. The group formulated recommendations that contained the degree of strength based on the Scottish Intercollegiate Guidelines network. Validation was done through peer review by the Joint Guidelines Committee of the American Association of Neurological Surgeons/Congress of Neurological Surgeons. Results. Myelopathy Disability Index, Japanese Orthopaedic Association scale, 36-Item Short Form Health Survey, and gait analysis were found to be valid and reliable measures (Class II) for assessing cervical spondylotic myelopathy. The Patient-Specific Functional Scale, the North American Spine Society scale, and the Neck Disability Index were found to be reliable, valid, and responsive (Class II) for assessing radiculopathy for nonoperative therapy. The Cervical Spine Outcomes Questionnaire was a reliable and valid method (Class II) to assess operative therapy for cervical radiculopathy. Conclusions. Several functional outcome measures are available to assess cervical spondylotic myelopathy and cervical radiculopathy.

Original languageEnglish (US)
Pages (from-to)238-244
Number of pages7
JournalJournal of Neurosurgery: Spine
Volume11
Issue number2
DOIs
StatePublished - Aug 1 2009

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Radiculopathy
Spinal Cord Diseases
Outcome Assessment (Health Care)
Guidelines
Medical Subject Headings
National Library of Medicine (U.S.)
Peer Review
Evidence-Based Medicine
Health Surveys
Gait
Consensus
Spine
Neck
Joints
Databases
Therapeutics

All Science Journal Classification (ASJC) codes

  • Surgery
  • Neurology
  • Clinical Neurology

Cite this

Holly, L. T., Matz, P. G., Anderson, P. A., Groff, M. W., Heary, R. F., Kaiser, M. G., ... Resnick, D. K. (2009). Functional outcomes assessment for cervical degenerative disease. Journal of Neurosurgery: Spine, 11(2), 238-244. https://doi.org/10.3171/2009.2.SPINE08715
Holly, Langston T. ; Matz, Paul G. ; Anderson, Paul A. ; Groff, Michael W. ; Heary, Robert F. ; Kaiser, Michael G. ; Mummaneni, Praveen V. ; Ryken, Timothy C. ; Choudhri, Tanvir F. ; Vresilovic, Edward ; Resnick, Daniel K. / Functional outcomes assessment for cervical degenerative disease. In: Journal of Neurosurgery: Spine. 2009 ; Vol. 11, No. 2. pp. 238-244.
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Holly, LT, Matz, PG, Anderson, PA, Groff, MW, Heary, RF, Kaiser, MG, Mummaneni, PV, Ryken, TC, Choudhri, TF, Vresilovic, E & Resnick, DK 2009, 'Functional outcomes assessment for cervical degenerative disease', Journal of Neurosurgery: Spine, vol. 11, no. 2, pp. 238-244. https://doi.org/10.3171/2009.2.SPINE08715

Functional outcomes assessment for cervical degenerative disease. / Holly, Langston T.; Matz, Paul G.; Anderson, Paul A.; Groff, Michael W.; Heary, Robert F.; Kaiser, Michael G.; Mummaneni, Praveen V.; Ryken, Timothy C.; Choudhri, Tanvir F.; Vresilovic, Edward; Resnick, Daniel K.

In: Journal of Neurosurgery: Spine, Vol. 11, No. 2, 01.08.2009, p. 238-244.

Research output: Contribution to journalReview article

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T1 - Functional outcomes assessment for cervical degenerative disease

AU - Holly, Langston T.

AU - Matz, Paul G.

AU - Anderson, Paul A.

AU - Groff, Michael W.

AU - Heary, Robert F.

AU - Kaiser, Michael G.

AU - Mummaneni, Praveen V.

AU - Ryken, Timothy C.

AU - Choudhri, Tanvir F.

AU - Vresilovic, Edward

AU - Resnick, Daniel K.

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N2 - Object. The objective of this systematic review was to use evidence-based medicine to identify valid, reliable, and responsive measures of functional outcome after treatment for cervical degenerative disease. Methods. The National Library of Medicine and Cochrane Database were queried using MeSH headings and key words relevant to functional outcomes. Abstracts were reviewed after which studies meeting inclusion criteria were selected. The guidelines group assembled an evidentiary table summarizing the quality of evidence (Classes I-III). Disagreements regarding the level of evidence were resolved through an expert consensus conference. The group formulated recommendations that contained the degree of strength based on the Scottish Intercollegiate Guidelines network. Validation was done through peer review by the Joint Guidelines Committee of the American Association of Neurological Surgeons/Congress of Neurological Surgeons. Results. Myelopathy Disability Index, Japanese Orthopaedic Association scale, 36-Item Short Form Health Survey, and gait analysis were found to be valid and reliable measures (Class II) for assessing cervical spondylotic myelopathy. The Patient-Specific Functional Scale, the North American Spine Society scale, and the Neck Disability Index were found to be reliable, valid, and responsive (Class II) for assessing radiculopathy for nonoperative therapy. The Cervical Spine Outcomes Questionnaire was a reliable and valid method (Class II) to assess operative therapy for cervical radiculopathy. Conclusions. Several functional outcome measures are available to assess cervical spondylotic myelopathy and cervical radiculopathy.

AB - Object. The objective of this systematic review was to use evidence-based medicine to identify valid, reliable, and responsive measures of functional outcome after treatment for cervical degenerative disease. Methods. The National Library of Medicine and Cochrane Database were queried using MeSH headings and key words relevant to functional outcomes. Abstracts were reviewed after which studies meeting inclusion criteria were selected. The guidelines group assembled an evidentiary table summarizing the quality of evidence (Classes I-III). Disagreements regarding the level of evidence were resolved through an expert consensus conference. The group formulated recommendations that contained the degree of strength based on the Scottish Intercollegiate Guidelines network. Validation was done through peer review by the Joint Guidelines Committee of the American Association of Neurological Surgeons/Congress of Neurological Surgeons. Results. Myelopathy Disability Index, Japanese Orthopaedic Association scale, 36-Item Short Form Health Survey, and gait analysis were found to be valid and reliable measures (Class II) for assessing cervical spondylotic myelopathy. The Patient-Specific Functional Scale, the North American Spine Society scale, and the Neck Disability Index were found to be reliable, valid, and responsive (Class II) for assessing radiculopathy for nonoperative therapy. The Cervical Spine Outcomes Questionnaire was a reliable and valid method (Class II) to assess operative therapy for cervical radiculopathy. Conclusions. Several functional outcome measures are available to assess cervical spondylotic myelopathy and cervical radiculopathy.

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Holly LT, Matz PG, Anderson PA, Groff MW, Heary RF, Kaiser MG et al. Functional outcomes assessment for cervical degenerative disease. Journal of Neurosurgery: Spine. 2009 Aug 1;11(2):238-244. https://doi.org/10.3171/2009.2.SPINE08715