615 - Anxiodepressive disorders in cervico-arthrosic myelopathy operated at the medullary compression stage

The aim of this work was to detect anxiety-depressive disorders in patients with operated cervico-arthrosic myelopathy (CAM)

Design:

This is a retrospective, descriptive Bicentric Study conducted l Medicine and Rehabilitation Department. Patients with MCA complicated by spinal cord compression operated between 2015 and 2023 were included. Data were collected from medical records. Functional evaluation was assessed by measuring functional independence (MFI) » ».

Anxiety disorders were assessed using the Hospital Anxiety and Depression Scale (HADS).

Results:

Forty patients were included. The reasons for preoperative consultation were motor deficits in 80% of cases, with tetraparesis in 55% and sphincter disorders in 20%.

In terms of pain assessment, 60% had radicular pain of the NCB

postoperative period, the mean MIF score was 79.5 ± 21, rising to 93 ± 22 at one month (p = 0.001) .

The mean HAD-D score was 12 ± 3.1. Depression was more frequent in men ( p = 0.01), increased with age ( p = 0.03), was associated with the presence of TVS ( p = 0.015), functional disorders: MIF ( p = 0.036). Depression was also correlated with the presence of neuropathic pain by the DN4 ( p = 0.014). The mean HAD-A score was 11 ± 3.2. Anxiety was associated with TVS ( p = 0.01), DN4 ( p = 0.03) and motor disorders ( p = 0.03).

Conclusions:

MCA at a stage of spinal cord compression presents a major functional handicap, and anxiety-depressive disorders are frequent complications that need to be detected early to improve recovery and quality of life in these patients.