2018 AANS Annual Scientific Meeting-530. Preliminary Return to Work Data from the Multi-Center Prospective, Randomized CSM-S Study: Approach Matters

530. Preliminary Return to Work Data from the Multi-Center Prospective, Randomized CSM-S Study: Approach Matters

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Video Summary

Dr. Jian Guan presents preliminary return to work data from the CSM-S study on cervical spinal myelopathy. The study investigates the optimal surgical approach (anterior vs posterior) for spinal decompression. 76 employed patients from the study were analyzed, with 38 undergoing anterior cervical discectomy fusion (ACDF), 26 undergoing posterior fusion, and 12 undergoing laminoplasty. The study found that both the ACDF and laminoplasty groups had a significantly higher rate of return to work within one year compared to the posterior fusion group. Additionally, patients who did not use a hard collar tended to return to work earlier. Laminoplasty may allow for a faster return to work than fusion techniques.

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Jian Guan, MD

Keywords

CSM-S study

surgical approach

return to work

ACDF

laminoplasty