Table 2

Health-related quality-of-life outcomes stratified by postoperative correction of cervical lordosis.

Outcome MeasureMaintained
(n = 177)
Restored
(n = 101)
Kyphotic
(n = 30)
P Valuea
Physical component of short form-12
 Preoperative32.6 (30.2, 35.0)35.5 (32.0, 39.0)35.0 (28.1, 41.9)0.32
 Postoperative41.6 (38.4, 44.8)45.8 (41.9, 49.6)36.6 (29.1, 44.1)0.02
 Delta9.0 (5.4, 12.6)10.3 (7.0, 13.5)1.5 (−7.8, 10.8)0.04
P value<0.001<0.0010.01
Mental component of short form-12
 Preoperative49.0 (45.3, 52.7)46.7 (43.0, 50.3)49.1 (41.7, 56.5)0.86
 Postoperative50.8 (47.2, 54.3)45.2 (38.8, 51.6)51.4 (43.5, 59.3)0.73
 Delta1.8 (−2.8, 6.3)−1.4 (−7.7, 4.9)2.3 (−5.8, 10.3)0.68
P value0.040.220.07
Neck Disability Index
 Preoperative36.8 (31.6, 42.0)43.0 (34.7, 51.4)35.6 (28.8, 42.4)0.65
 Postoperative23.8 (17.6, 30.2)28.0 (18.2, 37.8)17.4 (8.8, 26.0)0.65
 Delta−13.0 (−19.8, −6.1)−14.8 (−27.0, −2.6)−18.2 (−25.8, −10.5)0.89
P value<0.001<0.0010.002
VAS arm
 Preoperative3.3 (2.1, 4.4)5.3 (3.8, 6.8)2.8 (0.9, 4.9)0.02
 Postoperative2.3 (1.3, 3.3)1.5 (0.6, 2.4)2.3 (0.6, 4.1)0.93
 Delta−0.9 (−2.0, 0.1)−3.8 (−5.1, −2.6)−0.6 (−2.8, 1.5)0.03
P value<0.001<0.0010.01
VAS neck
 Preoperative5.1 (4.1, 6.1)5.3 (4.0, 6.6)6.4 (5.4, 7.3)0.31
 Postoperative2.2 (1.3, 3.1)2.0 (0.7, 3.2)3.5 (1.0, 6.1)0.23
 Delta−2.9 (−4.3, −1.5)−3.3 (−5.0, −1.7)−2.8 (−5.2, −0.4)0.26
P value<0.001<0.0010.002
  • Abbreviation: VAS, visual analog scale.

  • Note: Significance achieved at P < 0.05.

  • a Multiple linear regression analysis was done between groups controlling for age, body mass index, Charlson Comorbidity Index, and preoperative diagnosis.