scholarly journals Axial Neck Pain after Cervical Laminoplasty

2010 ◽  
Vol 47 (2) ◽  
pp. 107 ◽  
Author(s):  
Chul Bum Cho ◽  
Chung Kee Chough ◽  
Jong Yang Oh ◽  
Hae Kwan Park ◽  
Kyung Jin Lee ◽  
...  
Keyword(s):  
Neck Pain ◽  
Cervical Laminoplasty ◽  
Axial Neck Pain

Predictors of Persistent Axial Neck Pain After Cervical Laminoplasty

Spine ◽  
2018 ◽  
Vol 43 (1) ◽  
pp. 10-15 ◽  
Author(s):  
Atsushi Kimura ◽  
Yasuyuki Shiraishi ◽  
Hirokazu Inoue ◽  
Teruaki Endo ◽  
Katsushi Takeshita
Keyword(s):  
Neck Pain ◽  
Cervical Laminoplasty ◽  
Axial Neck Pain

A less-invasive cervical laminoplasty for spondylotic myelopathy that preserves the semispinalis cervicis muscles and nuchal ligament

2013 ◽  
Vol 18 (6) ◽  
pp. 545-552 ◽  
Author(s):  
Masayuki Umeda ◽  
Kunihiko Sasai ◽  
Taketoshi Kushida ◽  
Ei Wakabayashi ◽  
Tokun Maruyama ◽  
...  
Keyword(s):  
Neck Pain ◽  
Japanese Orthopaedic Association ◽  
Neurological Status ◽  
Bony Union ◽  
Cervical Laminoplasty ◽  
Cross Sectional ◽  
Paravertebral Muscles ◽  
The Mean ◽  
The Difference ◽  
Axial Neck Pain

Object Modified cervical laminoplasty techniques have been developed to reduce postoperative axial neck pain and preserve function in patients with cervical spondylotic myelopathy (CSM). However, the previous studies demonstrating satisfactory surgical outcomes had a retrospective design. Here, the authors aimed to prospectively evaluate the 2-year outcomes of a modified cervical laminoplasty technique for CSM that preserves the paravertebral muscles. Methods Outcomes were analyzed for 40 patients (22 men and 18 women; mean age, 66.6 years; age range 44–92 years) with CSM who underwent C4–6 laminoplasty with C-3 and C-7 partial laminectomies or C-3 total and C-7 partial laminectomies and received hydroxyapatite spacers. Neurological, pain severity, and spinal radiographic evaluations were performed preoperatively and at 3, 6, 12, 18, and 24 months postoperatively. Plain radiography and MRI of the cervical spine were performed to evaluate the range of motion (ROM), sagittal alignment, and cross-sectional areas of the deep extensor muscles. The extent of bone–spacer bonding and bony union at the gutter was assessed by CT. Results The mean preoperative Japanese Orthopaedic Association CSM score was 10.2, but it increased to 14.4 by 24 months after surgery. Eleven patients had axial neck pain preoperatively, but only 3 reported mild pain at 24 months, and in all 3 cases the pain was mild. The mean angle of lordosis was 11.7° preoperatively and 12.0° 2 years postoperatively. Although the ROM at the C2–7 levels was significantly reduced 3 months postoperatively, an increasing trend was observed up to 12 months, and 86% of the preoperative ROM was achieved by 2 years postoperatively. The mean paravertebral muscle cross-sectional areas were 833 ± 215 mm2 preoperatively and 763 ± 197 mm2 24 months postoperatively, but the difference was not statistically significant. The rates of bone–spacer bonding and bony union at the gutter were low during the early stages but increased to 90% and 93%, respectively, by 2 years after surgery. Conclusions The modified laminoplasty technique used in this study ensured very good neurological status and ROM after 2 years and was associated with low incidences of axial neck pain and serious complications. This simple and easy operative method could benefit future laminoplasty protocols.

scholarly journals Mental State Can Influence the Degree of Postoperative Axial Neck Pain Following Cervical Laminoplasty

2018 ◽  
Vol 9 (3) ◽  
pp. 292-297
Author(s):  
Yasushi Oshima ◽  
Yoshitaka Matsubayashi ◽  
Yuki Taniguchi ◽  
Kentaro Hayakawa ◽  
Masayoshi Fukushima ◽  
...  
Keyword(s):  
Neck Pain ◽  
Mental State ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Short Form ◽  
Statistical Significance ◽  
Multivariable Logistic Regression Analysis ◽  
Cervical Laminoplasty ◽  
Imaging Parameters ◽  
Axial Neck Pain

Study design: A retrospective cohort study. Objective: To investigate factors influencing the incidence of moderate to severe postoperative axial neck pain following cervical laminoplasty. Methods: We reviewed 125 patients with cervical myelopathy who underwent double-door laminoplasty. The primary outcomes were the Numerical Rating Scale score (NRS score, 0-10) for neck pain, the Short Form 36 (SF-36) Health Survey score (Physical and Mental Component Summary scores [PCS and MCS, respectively]), and satisfaction. Imaging parameters on plain radiographs and magnetic resonance imaging were also evaluated. Patients with moderate to severe postoperative neck pain (NRS ≥ 5) were compared with those with no or mild neck pain (NRS ≤ 4). Results: One hundred and three patients (82%) with complete data were eligible for inclusion. There were 67 men and 36 women, with a mean age of 65 years (32-89 years). Twenty-five patients (23%) had moderate to severe postoperative axial pain (NRS ≥ 5) and were compared with the other 78 patients (NRS ≤ 4), which revealed several predictive factors, including female sex, the presence of preoperative neck pain, low postoperative PCS, low preoperative and postoperative MCS, and satisfaction with the treatment. Multivariable logistic regression analysis revealed that the postoperative MCS ( P = .002) was a risk factor for postoperative neck pain, although the preoperative MCS did not reach statistical significance ( P = .06). Conclusions: Patients with a low mental state, possibly before surgery, are at a high risk for postoperative axial neck pain. None of the imaging parameters were statistically different.

Impact of Axial Neck Pain on Quality of Life After Laminoplasty

Spine ◽  
2015 ◽  
Vol 40 (24) ◽  
pp. E1292-E1298 ◽  
Author(s):  
Atsushi Kimura ◽  
Teruaki Endo ◽  
Hirokazu Inoue ◽  
Atsushi Seichi ◽  
Katsushi Takeshita
Keyword(s):  
Quality Of Life ◽  
Neck Pain ◽  
Axial Neck Pain

scholarly journals Effect of preservation of the C-6 spinous process and its paraspinal muscular attachment on the prevention of postoperative axial neck pain in C3–6 laminoplasty

2015 ◽  
Vol 22 (3) ◽  
pp. 221-229 ◽  
Author(s):  
Eiji Mori ◽  
Takayoshi Ueta ◽  
Takeshi Maeda ◽  
Itaru Yugué ◽  
Osamu Kawano ◽  
...  
Keyword(s):  
Neck Pain ◽  
Spinous Process ◽  
Posterior Longitudinal Ligament ◽  
Paraspinal Muscle ◽  
Vas Scores ◽  
The Mean ◽  
Axial Neck Pain ◽  
Process Length ◽  
Preservation Technique

OBJECT Axial neck pain after C3–6 laminoplasty has been reported to be significantly lesser than that after C3–7 laminoplasty because of the preservation of the C-7 spinous process and the attachment of nuchal muscles such as the trapezius and rhomboideus minor, which are connected to the scapula. The C-6 spinous process is the second longest spinous process after that of C-7, and it serves as an attachment point for these muscles. The effect of preserving the C-6 spinous process and its muscular attachment, in addition to preservation of the C-7 spinous process, on the prevention of axial neck pain is not well understood. The purpose of the current study was to clarify whether preservation of the paraspinal muscles of the C-6 spinous process reduces postoperative axial neck pain compared to that after using nonpreservation techniques. METHODS The authors studied 60 patients who underwent C3–6 double-door laminoplasty for the treatment of cervical spondylotic myelopathy or cervical ossification of the posterior longitudinal ligament; the minimum follow-up period was 1 year. Twenty-five patients underwent a C-6 paraspinal muscle preservation technique, and 35 underwent a C-6 nonpreservation technique. A visual analog scale (VAS) and VAS grading (Grades I–IV) were used to assess axial neck pain 1–3 months after surgery and at the final follow-up examination. Axial neck pain was classified as being 1 of 5 types, and its location was divided into 5 areas. The potential correlation between the C-6/C-7 spinous process length ratio and axial neck pain was examined. RESULTS The mean VAS scores (± SD) for axial neck pain were comparable between the C6-preservation group and the C6-nonpreservation group in both the early and late postoperative stages (4.1 ± 3.1 vs 4.0 ± 3.2 and 3.8 ± 2.9 vs 3.6 ± 3.0, respectively). The distribution of VAS grades was comparable in the 2 groups in both postoperative stages. Stiffness was the most prevalent complaint in both groups (64.0% and 54.5%, respectively), and the suprascapular region was the most common site in both groups (60.0% and 57.1%, respectively). The types and locations of axial neck pain were also similar between the groups. The C-6/C-7 spinous process length ratios were similar in the groups, and they did not correlate with axial neck pain. The reductions of range of motion and changes in sagittal alignment after surgery were also similar. CONCLUSIONS The C-6 paraspinal muscle preservation technique was not superior to the C6-nonpreservation technique for preventing postoperative axial neck pain.

SURGICAL TREATMENT OF AXIAL NECK PAIN

1999 ◽  
Vol 92 (Supplement) ◽  
pp. S52
Author(s):  
John Ratliff ◽  
Rand Voorliies
Keyword(s):  
Surgical Treatment ◽  
Neck Pain ◽  
Axial Neck Pain

Outcome Study of Surgical Treatment for Axial Neck Pain

2001 ◽  
Vol 94 (6) ◽  
pp. 595-602 ◽  
Author(s):  
JOHN RATLIFF ◽  
RAND M. VOORHIES
Keyword(s):  
Surgical Treatment ◽  
Neck Pain ◽  
Outcome Study ◽  
Axial Neck Pain

scholarly journals The impact of cervical sagittal parameters on axial neck pain in patients with cervical kyphosis

2020 ◽  
Author(s):  
Jia Li ◽  
Di Zhang ◽  
Yong Shen
Keyword(s):  
Risk Factors ◽  
Neck Pain ◽  
Sagittal Alignment ◽  
Multivariate Logistic Regression Analysis ◽  
Cervical Disc ◽  
Multivariate Logistic Regression ◽  
Cervical Kyphosis ◽  
T1 Slope ◽  
Sagittal Parameters ◽  
Axial Neck Pain

Abstract Background:Cervical sagittal alignment is closely related with cervical disc degeneration and impacts the spinal function and quality of life, especially for cervical kyphosis (CK). The purpose of this study was to evaluate the influence of cervical sagittal parameters on the axial neck pain (ANP) in patients with CK.Methods: A retrospective analysis was performed of data from 263 patients who underwent to the authors’ department of this institution between January 2012 and December 2018. Radiographic evaluations were performed at authors’ department, including CK types, C2-7 sagittal vertical axis (SVA), thoracic inlet angle (TIA), T1 slope, neck tilt (NT), cranial tilt and cervical tilt. Sagittal alignment of the cervical spine was classified into 2 types: global and regional type. Multivariate logistic regression analysis was performed to evaluate these parameters as the risk factors for ANP.Results: Patients in this study were divided into 2 groups according to ANP. There were 92 patients in ANP group and 171 patients in Non-ANP group. There was no significant difference in age (P=0.196), gender (P=0.516), TIA(P=0.139), NT (P=0.676), CK types (P=0.533), cranial tilt (P=0.332), cervical tilt (P=0.585) and cervical disc degeneration (P=0.695) between the two groups. T1 slope, C2-7 SVA in the ANP group was significantly higher than in the Non-ANP group (P < 0.05). After multivariate logistic regression analysis, C2-7 SVA (P=0.003, OR 2.318, 95% CI 1.373-4.651) and T1 slope (P=0.028, OR 2.563, 95% CI 1.186-4.669) were the two risk factors for the ANP.Conclusions: Based on this study, cervical sagittal parameters have a significant effect on the happening of axial neck pain in patients with CK. A higher T1 slope and larger C2-7 SVA are closely lead to the development of neck pain.

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