Sleep Physiology in Spine Disease: A Comparative Study of Cervical and Lumbar Patients.

IF 1.7 4区医学 Q3 CLINICAL NEUROLOGY

Clinical Spine Surgery Pub Date : 2025-09-01 DOI:10.1097/BSD.0000000000001926

Salim Yakdan, Jingwen Zhang, Kathleen Botterbush, Muhammad I Kaleem, Braeden Benedict, Ziqi Xu, Madelyn Frumkin, Saad Javeed, Justin K Zhang, John Ogunlade, Chenyang Lu, Brian Neuman, Michael Steinmetz, Wilson Z Ray, Munish Gupta, Jacob K Greenberg

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引用次数: 0

Abstract

Study design: Prospective cohort study.

Objective: We aim to compare Fitbit-collected sleep metrics between patients with cervical and lumbar spine diseases and explore correlations between these metrics and patient-reported outcome measures (PROMs) and self-reported sleep.

Summary of background data: Pain, fatigue, and postural problems often lead to sleep disturbances in patients with spine disease. However, it remains unclear whether such sleep disturbances impact patients with cervical and lumbar disease differently. Differentiating sleep physiology between cervical and lumbar patients may provide insights into sleep disturbance pathophysiology and highlight directions for future research and clinical care.

Methods: Patients aged 21-85 years undergoing surgery for degenerative spine disease were included. Participants were passively monitored before surgery using Fitbit trackers. Raw Fitbit sleep data were extracted at the minute level and transformed into daily features, such as time taken to fall asleep, duration asleep, number of waking episodes, and others. Preoperative PROMs included PROMIS pain interference, physical function, and pain intensity. Self-reported sleep quality was assessed using sleep-related questions from the Oswestry Disability Index and Neck Disability Index. An Independent t test was used to test for differences in sleep metrics between cervical and lumbar patients, and Spearman correlation was carried out between sleep metrics and PROMs.

Results: Our study included 155 patients, with a mean (SD) age of 59 (11.8) years, and 53% were female. Twenty-seven and 128 individuals were in cervical and lumbar cohorts, respectively. Cervical patients had greater self-reported sleep disturbances, though no significant differences were found in Fitbit sleep measures. Stronger correlations were found between sleep and pain measures in cervical patients.

Conclusion: Our study suggests that cervical and lumbar spine patients have similar objective sleep metrics, but cervical patients report greater sleep disturbances, more closely linked to pain than in the lumbar cohort. Further research is needed to clarify the relationship between sleep and spine pathology.

Level of evidence: Level III.

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脊柱疾病的睡眠生理学：颈椎和腰椎患者的比较研究。

研究设计：前瞻性队列研究。目的：我们的目的是比较fitbit收集的颈椎和腰椎疾病患者的睡眠指标，并探讨这些指标与患者报告的结果测量（PROMs）和自我报告的睡眠之间的相关性。背景资料总结：疼痛、疲劳和体位问题常导致脊柱疾病患者的睡眠障碍。然而，尚不清楚这种睡眠障碍对颈椎和腰椎疾病患者的影响是否不同。区分颈腰椎患者的睡眠生理特征，对了解睡眠障碍的病理生理有重要意义，为今后的研究和临床护理指明了方向。方法：年龄21 ~ 85岁，行退行性脊柱疾病手术的患者。在手术前，参与者使用Fitbit追踪器进行被动监测。Fitbit的原始睡眠数据以分钟为单位提取，并转化为日常特征，如入睡时间、睡眠持续时间、醒着次数等。术前PROMs包括PROMIS疼痛干扰、身体功能和疼痛强度。自我报告的睡眠质量通过奥斯韦斯特残疾指数和颈部残疾指数中的睡眠相关问题进行评估。采用独立t检验检验颈椎和腰椎患者睡眠指标的差异，并在睡眠指标和PROMs之间进行Spearman相关。结果：我们的研究纳入155例患者，平均（SD）年龄59（11.8）岁，其中53%为女性。颈椎组和腰椎组分别有27人和128人。宫颈患者自我报告的睡眠障碍更大，尽管Fitbit的睡眠测量结果没有发现显著差异。颈椎患者的睡眠与疼痛程度之间存在更强的相关性。结论：我们的研究表明，颈椎和腰椎患者有相似的客观睡眠指标，但颈椎患者报告的睡眠障碍更大，与腰椎患者相比，与疼痛更密切相关。需要进一步的研究来阐明睡眠和脊柱病理之间的关系。证据等级：三级。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Spine Surgery Medicine-Surgery

CiteScore

3.00

自引率

5.30%

发文量

236

期刊介绍： Clinical Spine Surgery is the ideal journal for the busy practicing spine surgeon or trainee, as it is the only journal necessary to keep up to date with new clinical research and surgical techniques. Readers get to watch leaders in the field debate controversial topics in a new controversies section, and gain access to evidence-based reviews of important pathologies in the systematic reviews section. The journal features a surgical technique complete with a video, and a tips and tricks section that allows surgeons to review the important steps prior to a complex procedure. Clinical Spine Surgery provides readers with primary research studies, specifically level 1, 2 and 3 studies, ensuring that articles that may actually change a surgeon’s practice will be read and published. Each issue includes a brief article that will help a surgeon better understand the business of healthcare, as well as an article that will help a surgeon understand how to interpret increasingly complex research methodology. Clinical Spine Surgery is your single source for up-to-date, evidence-based recommendations for spine care.