Clinical and Functional Outcome of Cervical Degenerative Disc Disease after Operative Treatment at Dr. Soetomo General Hospital Surabaya In 2013-2018

Reyner Valiant Tumbelaka, Dwikora Novembri Utomo, I Ketut Martiana


Backgrounds: Cervical degenerative disc disease is a pathological change in the cervical associated with the degenerative process. Surgery is one of the therapeutic modalities in cases of cervical degenerative disc disease. Post-surgical clinical outcomes are needed to evaluate the results of the actions that have been taken. Methods: This study is an observational retrospective study to evaluate clinical and functional outcomes using Neck Disability Index & SF36 on cervical degenerative disc disease before and after surgery at Dr. Soetomo Hospital Surabaya in 2013-2018. Data is processed using SPSS and compared using the T-test. Results: A total of 12 patients with details of 8 male patients and four female patients who met the inclusion and exclusion criteria in this study. There was a significant decrease in the average NDI score (p = 0.05) before surgery (47.33) compared with after surgery (15.58). There was a significant increase in the average SF36 score (p< 0.05) before surgery (50.75) compared to after surgery (88.16). Conclusions: There is an increase in clinical and functional outcomes in patients with cervical degenerative disc disease who undergo operative treatment.


cervical degenerative disc disease, Neck Disability Index, SF36

Full Text:



Adams, M. A., & Roughley, P. J. (2006). What is intervertebral disc degeneration, and what causes it? Spine.

Andresen, A. K., Paulsen, R. T., Busch, F., Isenberg-Jørgensen, A., Carreon, L. Y., & Andersen, M. (2018). Patient-Reported Outcomes and Patient-Reported Satisfaction After Surgical Treatment for Cervical Radiculopathy. Global Spine Journal.

Carreon, L. Y., Glassman, S. D., Campbell, M. J., & Anderson, P. A. (2010). Neck Disability Index, short form-36 physical component summary, and pain scales for neck and arm pain: the minimum clinically important difference and substantial clinical benefit after cervical spine fusion. Spine Journal.

Farshad-Amacker, N. A., Farshad, M., Winklehner, A., & Andreisek, G. (2015). MR imaging of degenerative disc disease. European Journal of Radiology.

Friedenberg, Z. B., & Miller, W. T. (1963). DEGENERATIVE DISC DISEASE OF THE CERVICAL SPINE. The Journal of Bone and Joint Surgery. American Volume.

Hisey, M. S., Bae, H. W., Davis, R., Gaede, S., Hoffman, G., Kim, K., … Stokes, J. (2014). Multi-center, prospective, randomized, controlled investigational device exemption clinical trial comparing mobi-C cervical artificial disc to anterior discectomy and fusion in the treatment of symptomatic degenerative disc disease in the cervical spine. International Journal of Spine Surgery.

Holly, L. T., Matz, P. G., Anderson, P. A., Groff, M. W., Heary, R. F., Kaiser, M. G., … Resnick, D. K. (2009). Functional outcomes assessment for cervical degenerative disease. Journal of Neurosurgery: Spine.

Khan, I., Sivaganesan, A., Archer, K. R., Bydon, M., McGirt, M. J., Nian, H., … Rumana, C. (2019). Does Neck Disability Index Correlate With 12-Month Satisfaction After Elective Surgery for Cervical Radiculopathy? Results From a National Spine Registry. Neurosurgery.

Kuijper, B., Tans, J. T. J., Schimsheimer, R. J., Van Der Kallen, B. F. W., Beelen, A., Nollet, F., & De Visser, M. (2009). Degenerative cervical radiculopathy: Diagnosis and conservative treatment. A review. European Journal of Neurology.

Laucis, N. C., Hays, R. D., & Bhattacharyya, T. (2015). Orthopaedic Scoring the SF-36 in Orthopaedics : A Brief Guide. The Journal of Bone and Joint Surgery, 97A(19), 1628–1634.

Nouri, A., Tetreault, L., Singh, A., Karadimas, S. K., & Fehlings, M. G. (2015). Degenerative cervical myelopathy: Epidemiology, genetics, and pathogenesis. Spine.

Tetreault, L., Ibrahim, A., Côté, P., Singh, A., & Fehlings, M. G. (2016). A systematic review of clinical and surgical predictors of complications following surgery for degenerative cervical myelopathy. Journal of Neurosurgery: Spine.