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Return to Work and Functional Outcomes After Cervical Spine Surgery: A Retrospective Analysis of 76 Patients

, Pedro Nogarotto Cembraneli, Julia Brasileiro de Faria Cavalcante, , Italo Nogarotto Cembraneli, · Neurology and Neuroscience · 2025

Introduction: Cervical spine diseases such as radiculopathy and myelopathy are common and maycause neurological deficits and functional limitation. Surgery is indicated when conservative treatmentfails, with various techniques depending on the severity and extent of compression. Although return towork is a relevant clinical outcome, it is underreported in the literature, especially in mixed populations.Objective: To evaluate the functional outcomes of patients undergoing cervical arthrodesis, withemphasis on return to work. Clinical, surgical, and postoperative factors related to recovery wereanalyzed. Methods: Retrospective study with 76 patients operated between January 2023 and December2024. Demographic, clinical, surgical, and follow-up data were collected. Outcomes included return towork, opioid use, neurological complications, dysphagia, and pain (VAS). Statistical analysis includedmultivariate logistic regression. Results: The mean age was 55 years; 57% returned to work and 43%did not. Factors associated with failure to return included preoperative myelopathy (p=0.0013), opioiduse (p=0.015), number of operated levels (p=0.0063), and multiple surgeries (p=0.0073). Dysphagiaoc

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