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Cervical Spine Fusions—Psychological and Social Considerations
Augustus A. White, III, MD, Med ScD;
Wayne O. Southwick, MD;
Ralph J. DePonte, MD
AMA Arch Surg. 1973;106(2):150-152.
Abstract
Fifty-five patients who had fusions of the anterior cervical spine were given a psychological test capable of showing personality disorders. Performance on this test was evaluated in relation to the surgical outcome. In this series of patients, 67% (10) of those with abnormal psychological test scores had a good or excellent surgical result. Of those with normal test scores 73% (29) had a good or excellent surgical result. Similarly, evaluation of the involvement of patients in compensation or litigation or both showed 69% (34) good or excellent results in those not involved in compensation or litigation, as compared with 63% (10) for those who were involved. In this investigation, neither psychological nor social considerations were found to be associated with a significantly poorer surgical result in fusions of the anterior cervical spine.
Author Affiliations
New Haven, Conn
From the Section of Orthopaedic Surgery, Yale University School of Medicine, New Haven, Conn.
Footnotes
Accepted for publication Oct 2, 1972.
Reprint requests to Section of Orthopaedic Surgery, Yale University School of Medicine, 333 Cedar St, New Haven, Conn 06510 (Dr. White).
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Supplemental Material
JAMA 2005;293:E1-E3.
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