The Confounding Burden of Psychological Impairments in Cervical Spine Surgery

Exclusion Criteria

• •Contraindicated to surgical treatment of the cervical spine.
• •Prior cervical fusion
• •Evidence of severe cervical spinal deformity based on Ames classification: C2-C7 SVA \> 8cm, Horizontal Gaze \< -10 or \> 25, T1S-CL \> 20, myelopathy (JOA score \<10) or severe adult spinal deformity based on SRS-Schwab classification (PI-LL \> 20, PT \>30, SVA \> 90 mm)
• •Undergoing simultaneous treatment for thoracolumbar spine related diagnoses at the time of enrollment History of any spinal surgery within the last 6 months
• •Patients with neck pain attributable to trauma, idiopathic deformity, neoplasm, osteoporosis, or other medical condition.
• •Unlikely to comply with the follow-up evaluation schedule
• •Subject has recent history of chemical substance dependency that may impact the outcome or study participation
• •Contraindicated to surgical treatment of the cervical spine.
• •Prior cervical fusion
• •Evidence of severe cervical spinal deformity based on Ames classification: C2-C7 SVA \> 8cm, Horizontal Gaze \< -10 or \> 25, T1S-CL \> 20, myelopathy (JOA score \<10) or severe adult spinal deformity based on SRS-Schwab classification (PI-LL \> 20, PT \>30, SVA \> 90 mm)
• •Undergoing simultaneous treatment for thoracolumbar spine related diagnoses at the time of enrollment History of any spinal surgery within the last 6 months
• •Patients with neck pain attributable to trauma, idiopathic deformity, neoplasm, osteoporosis, or other medical condition.
• •Unlikely to comply with the follow-up evaluation schedule
• •Subject has recent history of chemical substance dependency that may impact the outcome or study participation
• •Subject has a significant psychosocial disturbance or psychiatric history that may impact the outcome or study participation including a DRAM score over 33
• •Active infection
• •Systemic infection (AIDS, HIV, or active hepatitis)
• •Active litigation
• •Presence of inflammatory spinal disease (e.g. chronic autoimmune conditions, ankylosing spondylitis, DISH, Rheumatoid Arthritis)
• •Concurrent Spinal or pelvic fracture