The effects of preoperative analgesic medications on postoperative pain and disability following spinal surgery for degenerative cervical spine conditions

dc.contributor.advisorHébert, Jeffrey
dc.contributor.authorBharadwaj, Lalita
dc.date.accessioned2023-11-14T14:56:01Z
dc.date.available2023-11-14T14:56:01Z
dc.date.issued2023-06
dc.description.abstractBackground: Neurological pain is a leading public health challenge. Two common cervical neurological conditions are myelopathy and radiculopathy, caused by compression and inflammation of the spinal cord, or a cervical nerve root, respectively. Patients are often treated with nonoperative and operative interventions; however, some patients do not experience satisfactory clinical outcomes. Aim: To investigate the association of preoperative analgesic medications (Muscle Relaxants, Neuroleptics, Narcotics, Over-the-Counter medications, and NSAIDs) with postoperative neck/arm pain and disability. Study Design: Longitudinal and retrospective analysis of 539 patients with cervical radiculopathy and 609 patients with cervical myelopathy. Data Analysis: Propensity score models using inverse probability weighting and regression adjustments were performed to determine the effects of preoperative analgesics on postoperative clinical outcomes. Results: Preoperative analgesics had no clinically relevant effects on postoperative pain or disability. However, decision-making around analgesic use is complex and the long-term effects on patients’ overall health should be considered.
dc.description.copyright©Lalita Bharadwaj, 2023
dc.format.extentix, 90
dc.format.mediumelectronic
dc.identifier.oclc(OCoLC)1426853255en
dc.identifier.otherThesis 11214en
dc.identifier.urihttps://unbscholar.lib.unb.ca/handle/1882/37542
dc.language.isoen
dc.publisherUniversity of New Brunswick
dc.relationNew Brunswick Innovation Foundation STEM Award
dc.relationSocial Innovation Award
dc.rightshttp://purl.org/coar/access_right/c_abf2
dc.subjectSOCIAL SCIENCES::Social sciences::Social work::Disability research
dc.subject.disciplineKinesiology
dc.subject.lcshPostoperative period.en
dc.subject.lcshCervical vertebrae--Surgery.en
dc.subject.lcshAnalgesics--Effectiveness.en
dc.titleThe effects of preoperative analgesic medications on postoperative pain and disability following spinal surgery for degenerative cervical spine conditions
dc.typemaster thesis
oaire.license.conditionother
thesis.degree.disciplineKinesiology
thesis.degree.grantorUniversity of New Brunswick
thesis.degree.levelmasters
thesis.degree.nameM.Sc.Kin.

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