Long-term quality of life after posterior cervical foraminotomy for radiculopathy

Ryan W. Faught, Ephraim W. Church, Casey H. Halpern, Usha Balmuri, Mark A. Attiah, Sherman C. Stein, Stephen J. Dante, William C. Welch, Frederick A. Simeone

Research output: Contribution to journalArticlepeer-review

20 Scopus citations


Objectives Cervical radiculopathy may cause symptoms and loss of function that can lead to a significant reduction in health related quality of life (HRQOL). As part of a comprehensive review of long-term outcomes, we examined HRQOL in a large cohort of patients undergoing posterior cervical foraminotomy (FOR) for radiculopathy. Patients and methods 338 patients who underwent FOR between 1990 and 2009 participated in a telephone interview designed to measure symptomatic and functional improvements following surgery. We also administered the EQ-5D, a standardized tool for assessing HRQOL. We analyzed this data for associations between patient and treatment characteristics, improvements in symptoms and function, and HRQOL as measured by the EQ-5D. Results Mean follow-up was 10.0 years. The average EQ-5D at follow-up was 0.81 ± 0.18, and improvements in pain, weakness and function as well as ability to return to work correlated with improved EQ-5D score (p < 0.0001). There was no correlation between length of follow-up and EQ-5D score (p = 0.980). Additionally, there was no difference between mean EQ-5D score for soft disc versus osteophyte pathology (0.84 versus 0.81, p = 0.21). Conclusion These data provide evidence that FOR for cervical radiculopathy is associated with improved HRQOL at long-term follow-up. The lack of correlation between length of follow-up and HRQOL suggests that FOR is a durable treatment option. Moreover, FOR is associated with improved HRQOL whether radiculopathy is due to soft disc or osteophyte pathology.

Original languageEnglish (US)
Pages (from-to)22-25
Number of pages4
JournalClinical Neurology and Neurosurgery
StatePublished - Mar 2016

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology


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