Literature review of quality of life and influencing factors in patients of cervical spondylosis treated by ACDF

Introduction: Influence of psychosocial factors on patients of cervical spondylosis need to be calculated as they plays an important role in patient’s quality of life (QOL). As anterior cervical discectomy and fusion (ACDF) has become most common surgical approach, since 1958 introduced by Robinson and Smith in patients affected by cervical disc disease like cervical spondylosis. So we have reviewed the literature of psychosocial factors correlated with the physical conditions in patients treated with ACDF. Method and material: We have searched the literature on Pubmed, MEDLINE, EMBASE, PsycINFO, Psyc ARTICLES, Cochrane Library, Web of Science, Elisver, Google scholar, and Baidu scholar limiting results to those published in the English language without limiting year. The key search terms utilized were ACDF, quality of life, cervical spondylosis, anxiety and depression with ACDF, cervical radiculopathy, cervical myelopathies, neck pain, SF-36, HRQOL. Conclusion: On the base of previous published article men have affected more than women with age >50 years. ACDF was the most common procedure used to treat the cervical spondylosis. When it comes to psychosocial factors anxiety and depression was found to be most common influencing factor and neck pain was the physical condition accompanied to those factors. After surgery it was found a significant increase in QOL as ACDF reduces the neck pain which reflect in psychosocial factors as well by significant decrease in anxiety, depression and working ability.