03-23-2009, 01:25 PM
The point being nothing more than most ACDF's are back to work in 4 months or so regardless of circumstances. Litigation is said to prolong disability and perhaps it does but no one is going to quibble over a few weeks. I don't think job protection is a consideration on the whole.
tpm Wrote:Cycler Wrote:Here is a study from The Spine Journal in 2002 comparing RTW and function after cervical fusion between WC and non-WC patients. Group 1 is WC and took 2 months longer.
We won't get into the why's......
"Results: At follow-up no discernible difference was noted for functional outcomes. Eighty-three percent of patients in Group 1 and 90% of patients in Group 2 noted excellent or good results. This was not statistically significant (p=.280). In Group 1, 97% of patients returned to work at an average of 18 weeks, whereas 98% of patients in Group 2 returned to work at an average of 10 weeks postoperatively. Upon radiographic evaluation, 64% of patients in Group 1 were determined to have a solid fusion (Grade 3). The fusion rate in Group 2 was 72%. This was not statistically significant. However, the fusion rate among smokers was 50%, and among nonsmokers it was 80%. This was statistically significant (p=.001)."
link to abstract:
I'm sorry Cycler but the point being??
I can only assume the first group was able to stay out longer as they had or may of had some job protection seeing as they were hurt in the work place. Although the numbers are not that dramatic. I can tell you first hand That I was out with my first ACDF for exactly 12 weeks because my job protection ran out. I was NOT ready to go back to work as I do physical labor