Positive Cutibacterium acnes Intervertebral Discs Are Not Associated with Subsidence Following Anterior Cervical Discectomy and Fusion at 3 or 6 Months
Abstract
:1. Introduction
2. Methods
2.1. Study Design and Patients
2.2. Sample Collection
2.3. Microbiology
2.4. Radiographic Measurements
2.5. Statistical Analysis
3. Results
3.1. Patient Characteristics
3.2. Rater Reliability
3.3. Cervical Lordosis
3.4. Subsidence
3.5. Comparison of Evaluation Metrics
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Demographics | |
---|---|
Number of Patients | 66 |
Number of Discs | 119 |
Age, (Mean ± SD) | 53.6 ± 10.1 |
BMI, (Mean ± SD) | 28.8 ± 5.4 |
Sex (Male), N (%) | 30 (45.5) |
Previous C-Spine Surgery, N (%) | 7 (10.6) |
Diagnosis, N (%) | |
Cervical Myelopathy | 12 (18.2) |
Cervical Radiculopathy | 26 (39.4) |
Cervical Stenosis | 10 (15.2) |
Disc Herniation | 11 (16.7) |
Cervical Spondylosis | 7 (10.6) |
Symptoms, N (%) | |
Neck Pain | 61 (92.4) |
Arm/Shoulder Pain | 59 (89.4) |
Smoking Status, N (%) | |
Non-Smoker | 40 (60.6) |
Current Smoker | 14 (21.2) |
Former Smoker | 12 (18.2) |
Segments, N (%) † | |
C3/C4 | 9 (7.5) |
C4/C5 | 28 (23.5) |
C5/C6 | 51 (42.8) |
C6/C7 | 31 (26.0) |
C7/T1 | 1 (0.8) |
Levels Fused, N (%) | |
One | 19 (28.8) |
Two | 41 (62.1) |
Three | 6 (9.1) |
Characteristics | Negative Disc Culture | Positive Disc Culture | p-Value |
---|---|---|---|
Number of Patients | 26 | 40 | |
Number of Discs | 40 | 79 | |
Age | 56.4 ± 6.2 | 51.8 ± 11.6 | 0.04 |
BMI | 28.4 ± 5.5 | 29.0 ± 5.3 | 0.66 |
Sex (Male) | 6 (23.8) | 24 (60.0) | <0.01 |
Previous C-Spine Surgery | 3 (11.5) | 4 (10.0) | 1.00 |
Diagnosis, N (%) | 0.93 | ||
Cervical Myelopathy | 5 (19.2) | 7 (17.5) | |
Cervical Radiculopathy | 11 (42.3) | 15 (37.5) | |
Cervical Stenosis | 3 (11.5) | 7 (17.5) | |
Disc Herniation | 5 (19.2) | 6 (15.0) | |
Cervical Spondylosis | 2 (7.7) | 5 (12.5) | |
Symptoms, N (%) | |||
Neck Pain | 25 (96.2) | 36 (90.0) | 0.34 |
Arm/Shoulder Pain | 22 (84.6) | 37 (92.5) | 0.28 |
Smoking Status, N (%) | 0.61 | ||
Non-Smoker | 14 (53.8) | 26 (65.0) | |
Current Smoker | 7 (26.9) | 7 (17.5) | |
Former Smoker | 5 (19.2) | 7 (17.5) | |
Levels Fused, N (%) | 0.01 | ||
One | 12 (46.5) | 7 (17.5) | 0.02 |
Two | 14 (53.9) | 27 (67.5) | 0.31 |
Three | 0 (0) | 6 (15.0) | 0.07 |
Follow Up-Weeks (Mean ± SD) | |||
Immediate Post op | 0.2 ± 0.7 | 0.2 ± 0.5 | 0.71 |
T1 (weeks) | 17.1 ± 6.4 | 16.9 ± 5.5 | 0.91 |
T2 (weeks) | 42.4 ± 15.7 | 43.3 ± 13.2 | 0.86 |
Measurements | ICC | 95% CI |
---|---|---|
Intra-Rater Reliability † | ||
1 | 0.93 | 0.84–0.97 |
2 | 0.91 | 0.79–0.96 |
3 | 0.99 | 0.96–0.99 |
4 | 0.84 | 0.64–0.93 |
Inter-Rater Reliability | ||
Cervical Lordosis | 0.83 | 0.76–0.88 |
Fused Segments | 0.82 | 0.77–0.86 |
Follow Up | Mean Diff | 95% CI | p-Value | |
---|---|---|---|---|
Absolute Difference † | ||||
Cervical Lordosis | 3 Months | 2.5 | −1.0–6.0 | 0.16 |
6 Months | 3 | −2.4–8.4 | 0.27 | |
Subsidence: Combined | 3 Months | 1.2 | −0.1–2.6 | 0.07 |
6 Months | 1.7 | −0.4–3.9 | 0.11 | |
Subsidence: Superior Level | 3 Months | 0.4 | −1.6–2.4 | 0.67 |
6 Months | 1.1 | −1.3–3.5 | 0.36 | |
Subsidence: Inferior Level | 3 Months | 1.5 | 0.2–2.7 | 0.02 |
6 Months | 1.5 | −0.7–3.7 | 0.17 | |
Percent Difference * | ||||
Cervical Lordosis | 3 Months | 0.9% | 0.3–2.2 | 0.15 |
6 Months | 0% | −1.2–1.2 | 0.99 | |
Subsidence: Combined | 3 Months | 2.6% | −0.9–6.0 | 0.14 |
6 Months | 1.9% | −2.1–5.9 | 0.33 | |
Subsidence: Superior Level | 3 Months | 1.1% | −6.8–4.6 | 0.70 |
6 Months | 2.0% | −4.3–8.4 | 0.52 | |
Subsidence: Inferior Level | 3 Months | 0.4% | 0.2–7.0 | 0.04 |
6 Months | 1.4% | −3.4–6.2 | 0.55 |
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Camacho, J.; Carbone, J.; Suresh, R.I.; Khanna, S.; Ye, I.B.; Thomson, A.E.; Bruckner, J.; Gopinath, R.; McGowan, S.; O’Hara, N.; et al. Positive Cutibacterium acnes Intervertebral Discs Are Not Associated with Subsidence Following Anterior Cervical Discectomy and Fusion at 3 or 6 Months. J. Clin. Med. 2024, 13, 5619. https://doi.org/10.3390/jcm13185619
Camacho J, Carbone J, Suresh RI, Khanna S, Ye IB, Thomson AE, Bruckner J, Gopinath R, McGowan S, O’Hara N, et al. Positive Cutibacterium acnes Intervertebral Discs Are Not Associated with Subsidence Following Anterior Cervical Discectomy and Fusion at 3 or 6 Months. Journal of Clinical Medicine. 2024; 13(18):5619. https://doi.org/10.3390/jcm13185619
Chicago/Turabian StyleCamacho, Jael, Jake Carbone, Rohan I. Suresh, Shivam Khanna, Ivan B. Ye, Alexandra E. Thomson, Jacob Bruckner, Rohan Gopinath, Shane McGowan, Nathan O’Hara, and et al. 2024. "Positive Cutibacterium acnes Intervertebral Discs Are Not Associated with Subsidence Following Anterior Cervical Discectomy and Fusion at 3 or 6 Months" Journal of Clinical Medicine 13, no. 18: 5619. https://doi.org/10.3390/jcm13185619
APA StyleCamacho, J., Carbone, J., Suresh, R. I., Khanna, S., Ye, I. B., Thomson, A. E., Bruckner, J., Gopinath, R., McGowan, S., O’Hara, N., Bivona, L. J., Jauregui, J. J., Cavanaugh, D. L., Koh, E. Y., & Ludwig, S. C. (2024). Positive Cutibacterium acnes Intervertebral Discs Are Not Associated with Subsidence Following Anterior Cervical Discectomy and Fusion at 3 or 6 Months. Journal of Clinical Medicine, 13(18), 5619. https://doi.org/10.3390/jcm13185619