COMPLAINT OF NUCHAL PAIN FOLLOWING CERVICAL LAMINOPLASTY

1999 ◽  
Vol 03 (04) ◽  
pp. 253-258 ◽  
Author(s):  
Kazuo Saita ◽  
Yuichi Hishino ◽  
Ichiro Kikkawa ◽  
Takao Ishii ◽  
Joon Hee Lee
Keyword(s):  
Blood Loss ◽  
Cervical Spondylotic Myelopathy ◽  
Influencing Factor ◽  
Operation Time ◽  
Posterior Longitudinal Ligament ◽  
Cervical Laminoplasty ◽  
Open Type ◽  
Posterior Neck ◽  
One Year ◽  
Spastic Tetraparesis

There is a report that 60% of patients suffer from neck and shoulder symptoms following unilateral open type laminoplasty. As for French-window-open type cervical laminoplasty, however, postoperative nuchal pain has not been fully investigated. The purpose of this study is to describe the prevalence and severity of nuchal pain following French-window-open type cervical laminoplasty, and to investigate the pain's influencing factor. Eighty-three cases with spastic tetraparesis due to cervical spondylotic myelopathy or ossification of posterior longitudinal ligament were followed. We interviewed these patients, at three months after surgery and again at one year after surgery, about the existence of nuchal pain, its laterality, and whether treatment was needed. Nuchal complaints remained in 56 out of 83 patients at three months and in 37 out of 78 patients at one year following surgery. There was no correlation between the complaint and disease, age, sex, blood loss, or method of muscle reconstruction. The side for which the patient complained of pain coincided with the approached side, and the magnitude of the complaint correlated with operation time. The results suggest that the cause of the nuchal pain is damage to the posterior neck muscles by retractor.

scholarly journals Anterior Controllable Antedisplacement and Fusion (ACAF) technique for the treatment of multilevel cervical spondylotic myelopathy with spinal stenosis (MCSMSS): a retrospective study of 45 cases

2019 ◽  
Author(s):  
Xi Luo ◽  
Kaiqiang Sun ◽  
Jingchuan Sun ◽  
Shunmin Wang ◽  
Yuan Wang ◽  
...  
Keyword(s):  
Spinal Stenosis ◽  
Cervical Spondylotic Myelopathy ◽  
Japanese Orthopaedic Association ◽  
Neck Disability Index ◽  
Operation Time ◽  
Significant Difference ◽  
Csf Leakage ◽  
One Year ◽  
Neck Disability ◽  
Multilevel Cervical Spondylotic Myelopathy

Abstract Background To investigate the clinical effect of anterior controllable antedisplacement and fusion (ACAF) technique for the treatment of multilevel cervical spondylotic myelopathy with spinal stenosis (MCSMSS), and compare ACAF with hybrid decompression fixation (HDF). Methods A retrospective analysis of 85 cases with MCSMSS was carried out. 45 patients were treated with ACAF, while 40 patients were treated with HDF. The operation time, intraoperative bleeding volume, postoperative complications, Japanese Orthopaedic Association (JOA) score, Neck Disability Index (NDI) score, Computed Tomography (CT) transverse measurement, cervical curvature and Kang's grade were compared between two groups. Results The patients were followed up for 12 to 17 months. Compared with HDF, ACAF group achieved better decompression according to CT measurement and Kang’s grade (P < 0.05), and recovered to a greater cervical Cobb’s angle (P < 0.05). However, JOA score and NDI index showed no significant difference one year after surgery (P＞0.05). Additionally, ACAF presented longer operation time and greater intraoperative blood loss (P < 0.05). As to complications, ACAF developed less incidences of cerebrospinal fluid examination (CSF) leakage, neurologic deterioration, epidural hematoma and C5 palsy by comparing with HDF. Conclusions ACAF is an effective method for the treatment of MCSMSS. Compared with HDF, ACAF has the advantages of significant decompression, increasing cervical curvature, and reducing the incidences of complications.

scholarly journals Outcome of Anterior Fusion Technique for Multilevel Cervical Spondylotic Myelopathy

2019 ◽  
Vol 23 (4) ◽  
Author(s):  
Muhammad Hassan Raza ◽  
Nabeel Chaudhary ◽  
Muhammad Akmal ◽  
Adeeb -UL-Hassan ◽  
Khalid Mahmood
Keyword(s):  
Blood Loss ◽  
Hospital Stay ◽  
Cervical Spondylotic Myelopathy ◽  
Neck Disability Index ◽  
Operation Time ◽  
Fusion Rate ◽  
Complication Rates ◽  
Anterior Fusion ◽  
Cervical Lordosis ◽  
Level Group

Objective:   To asses’ surgical parameters, complications, clinical and radiological outcomes in the treatment of 2-, 3- and 4-levels Cervical Spondylotic Myelopathy . Methods: A total of 90 patients with 2-, 3- or 4-level CSM who underwent anterior decompression and fusion procedures between January 2017 and October 2018 were divided into three different groups, the 2-level group (65 patients), the 3-level group (20 patients) and the 4-level group (5 patients). The clinical and Radiographic outcomes like Neck Disability Index (NDI) score, hospital stay, blood loss, operation time, fusion rate, cervical lordosis, cervical range of motion (ROM), and complications were compared between different procedures. Results: At a minimum of 1-year follow-up, no statistical differences in NDI score, hospital stay, fusion rate and cervical lordosis were found among the 3 groups. However, the mean postoperative NDI score of the 4-level group was significantly higher than that in the other two groups , and in terms of postoperative total ROM, the 3- level group was superior to the 4-level group and inferior to 2-level group (P,0.05). The decrease rate of ROM in the 3-level group was significantly higher than that in the 2-level group, and lower than that in the 4-level group. Conclusions: As the number of involved levels increased, surgical results become worse in terms of operative time, blood loss, NDI score, cervical ROM and complication rates postoperatively. An appropriate surgical procedure for multilevel CSM should be chosen according to comprehensive clinical evaluation before operation, thus reducing fusion and decompression levels if possible.

scholarly journals Clinical Outcomes Comparison of C2 Dome-like Expansive Laminoplasty Versus C2 Open-door Laminoplasty for Multilevel Cervical Ossification of the Posterior Longitudinal Ligament Involving C2

2020 ◽  
Author(s):  
Xin Zhou ◽  
Bo Xia ◽  
Fei Chen ◽  
Jun Yang ◽  
Xiang Guo ◽  
...  
Keyword(s):  
Neck Pain ◽  
Cobb Angle ◽  
Short Form ◽  
Neck Disability Index ◽  
Operation Time ◽  
Posterior Longitudinal Ligament ◽  
Cervical Laminoplasty ◽  
Radiographic Outcomes ◽  
Sf 36 ◽  
Significant Difference

Abstract Background: Cervical laminoplasty is a well-established surgical treatment for patients with cervical myelopathy due to OPLL. However, for cases with OPLL involving C2 segment, some surgeon preferred C2EL technique, but destruction of muscles attaching at C2 spinous process and lamina is inevitable. While C2DEL technique was also available which cause less destruction to the structures associated with C2. Nevertheless, it is still not confirmed whether it can achieve similar outcomes as C2EL. This study aimed to compare the clinical and radiographic outcomes of C2 dome-like expansive laminoplasty technique(C2DEL) and C2 extended laminoplasty technique(C2EL) applied in the treatment of cervical ossification of posterior longitudinal ligament (OPLL)involving C2 segment.Methods: Data of 56 patients with OPLL involving C2 segment who underwent cervical laminoplasty were retrospectively reviewed. 26 patients received C2EL technique while C2DEL technique was applied in another 30 patients. Functional outcomes evaluated by visual analog scale score for neck pain (VASSNP), Neck Disability Index (NDI), Japanese Orthopedic Association (JOA) score and Health-Related Quality-of-Life Short Form-36 Physical Component Summary (SF-36 PCS) were recorded and compared pre- and postoperatively. The radiographic outcomes assessed by the Cobb angle and range of motion (ROM) of cervical spine at C2-C7, as well as decompression effect at C2 level evaluated by space available for spinal cord (SAC) were measured in two groups. The intraoperative parameters including total blood loss and operation time were documented and compared between 2 groups.Results: At the final follow-up, JOA scores, NDI, and SF-36 PCS were significantly improved in both groups(all P＜0.05), but no significant differences were identified between two groups. VASSNP was reduced significantly in both groups(P＜0.05), but the cases in C2EL group experienced more severe neck pain than that of C2EL group(P＜0.05). Cobb angle at C2 and C7 and the cervical ROM in both groups reduced greatly, the SAC at C2 improved postoperatively and no significant difference was identified intergroup. No serious complications related to the surgical approach and instrumentation were observed in either group.Conclusion: C2DEL was comparable to C2EL for treating OPLL involving C2 segment. C2DEL was an ideal alternative treatment strategy for OPLL involving the C2 segment.

Neuropsychological Improvement in Patients with Cervical Spondylotic Myelopathy after Cervical Laminoplasty

2009 ◽  
Vol 23 (2) ◽  
pp. 305-306
Author(s):  
Minoru Hoshimaru ◽  
Schun-ichi Kihara ◽  
Toru Koizumi ◽  
Hiroyuki Yukawa ◽  
Shigeo Ueda ◽  
...  
Keyword(s):  
Cervical Spondylotic Myelopathy ◽  
Cervical Laminoplasty

scholarly journals Efficacy evaluation of three-dimensional printing assisted osteotomy guide plate in accurate osteotomy of adolescent cubitus varus deformity

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Yuan-Wei Zhang ◽  
Xin Xiao ◽  
Wen-Cheng Gao ◽  
Yan Xiao ◽  
Su-Li Zhang ◽  
...  
Keyword(s):  
3D Printing ◽  
Blood Loss ◽  
Three Dimensional ◽  
Operation Time ◽  
Varus Deformity ◽  
Conventional Group ◽  
Intraoperative Blood Loss ◽  
Cubitus Varus ◽  
Guide Plate ◽  
Significant Difference

Abstract Background This present study is aimed to retrospectively assess the efficacy of three-dimensional (3D) printing assisted osteotomy guide plate in accurate osteotomy of adolescent cubitus varus deformity. Material and methods Twenty-five patients (15 males and 10 females) with the cubitus varus deformity from June 2014 to December 2017 were included in this study and were enrolled into the conventional group (n = 11) and 3D printing group (n = 14) according to the different surgical approaches. The operation time, intraoperative blood loss, osteotomy degrees, osteotomy end union time, and postoperative complications between the two groups were observed and recorded. Results Compared with the conventional group, the 3D printing group has the advantages of shorter operation time, less intraoperative blood loss, higher rate of excellent correction, and higher rate of the parents’ excellent satisfaction with appearance after deformity correction (P < 0.001, P < 0.001, P = 0.019, P = 0.023). Nevertheless, no significant difference was presented in postoperative carrying angle of the deformed side and total complication rate between the two groups (P = 0.626, P = 0.371). Conclusions The operation assisted by 3D printing osteotomy guide plate to correct the adolescent cubitus varus deformity is feasible and effective, which might be an optional approach to promote the accurate osteotomy and optimize the efficacy.

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