Baweja Reena K, Bennardo Michael, Farrokhyar Forough, Martyniuk Amanda, Reddy Kesava
Division of Neurosurgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.
Department of Epidemiology and BioStatistics, Office of Surgical Research Services, Surgical Research Methodology, McMaster University, Hamilton, Ontario, Canada.
J Spine Surg. 2018 Mar;4(1):72-78. doi: 10.21037/jss.2018.03.01.
The purpose of this study is to elucidate the current practice patterns of Canadian neurosurgeons with regards to anterior cervical discectomy (ACD).
A one-page questionnaire was sent out using SurveyMonkey to all neurosurgeon members of the Canadian Neurological Sciences Federation (CNSF). End points were surgeon preference for ACD surgical method, graft source, the length of collar usage and the recommended time before returning to work.
Response rate was 74.0%. Of the responders, 75.0% performed single level ACD and 18.3% had completed spine fellowships. The majority (68.2%) chose ACD with fusion and plating (ACDFP) as their preferred method with allograft being the most popular choice of fusion material (44.3%). Most of the respondents did not prescribe collars (60.9%) and when they did, hard collar was prescribed most often (76.9%) and Aspen collar was the most popular choice (67.7%). The majority of surgeons chose 'other' as their response for length of time for collar use (40.0%) while allowing them to take their collars off at night (78.1%). Most of the surgeons recommended physiotherapy post-operatively (58.1%) and time to physiotherapy was 6-8 weeks. Recommended back to work time was 6 weeks for 44.9% of respondents. In the cross analysis, surgeons who performed ACDF were more likely to prescribe collars (50%, P=0.01) versus surgeons who performed ACDFP (21.7%, P=0.01).
Our survey is an up to date description of current practice patterns for ACD amongst Canadian neurosurgeons.
本研究旨在阐明加拿大神经外科医生在前路颈椎间盘切除术（ACD）方面的当前实践模式。
使用SurveyMonkey向加拿大神经科学联合会（CNSF）的所有神经外科医生成员发送了一份单页问卷。终点指标包括外科医生对ACD手术方法、移植来源、颈托使用时长以及建议的复工前时间的偏好。
回复率为74.0%。在回复者中，75.0%进行单节段ACD，18.3%完成了脊柱专科培训。大多数（68.2%）选择带融合和钢板固定的ACD（ACDFP）作为他们的首选方法，同种异体移植物是最受欢迎的融合材料选择（44.3%）。大多数受访者不开具颈托（60.9%），当他们开具时，硬颈托最常被开具（76.9%），阿斯彭颈托是最受欢迎的选择（67.7%）。大多数外科医生选择“其他”作为他们对颈托使用时长的回答（40.0%），同时允许他们在晚上取下颈托（78.1%）。大多数外科医生建议术后进行物理治疗（58.1%），开始物理治疗的时间为6 - 8周。44.9%的受访者建议的复工时间为6周。在交叉分析中，进行ACDF的外科医生比进行ACDFP的外科医生更有可能开具颈托（50%，P = 0.01）（21.7%，P = 0.01）。
我们的调查是对加拿大神经外科医生当前ACD实践模式的最新描述。
