Abstract:
STUDY DESIGN:This is prospective observational study. OBJECTIVE:To prospectively investigate the correlation among axial neck pain; a newly developed patient-based quality of life outcome measure, the Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire (JOACMEQ); and cervical sagittal alignment after open-door laminoplasty for cervical myelopathy. SUMMARY OF BACKGROUND DATA:Many studies have focused on postoperative axial neck pain after laminoplasty. However, the correlation among cervical sagittal alignment, neck pain, and JOACMEQ has not been investigated. MATERIALS AND METHODS:In total, 57 consecutive patients treated by open-door laminoplasty for cervical myelopathy were included (mean age, 63.7 y; 15 women and 42 men) and divided into 2 groups according to diagnosis [cervical spondylotic myelopathy (CSM) group: 35 patients, and ossification of the posterior longitudinal ligament (OPLL) group: 22 patients]. JOA score, a subdomain of cervical spine function (CSF) in the JOACMEQ, and the visual analog scale for axial neck pain were assessed preoperatively and 12 months postoperatively. Radiographic cervical sagittal parameters were measured by C2 sagittal vertical axis (C2 SVA), C2-C7 lordosis, C7 sagittal slope (C7 slope), and range of motion. RESULTS:C2 SVA values in both groups shifted slightly anteriorly between preoperative and 12-month postoperative measurements (CSM: +19.7±10.9 mm; OPLL: +22.1±13.4 mm vs. CSM: +23.2±16.1 mm; OPLL: +28.7±15.4 mm, respectively). Postoperative axial neck pain in the OPLL group showed strong negative correlations with C2 SVA and C7 slope. Strong negative correlations were found between axial neck pain and CSF in both the preoperative CSM and OPLL groups (CSM: r=-0.45, P=0.01; OPLL: r=-0.61, P<0.01) and between axial neck pain and CSF in the postoperative OPLL group (r=-0.51, P=0.05). CONCLUSIONS:This study demonstrated a significant negative correlation between neck pain and CSF in both the CSM and OPLL groups preoperatively and in the OPLL group postoperatively. Radiographic cervical sagittal alignment did not significantly correlate with preoperative or postoperative axial neck pain.
journal_name
Clin Spine Surgjournal_title
Clinical spine surgeryauthors
Fujiwara H,Oda T,Makino T,Moriguchi Y,Yonenobu K,Kaito Tdoi
10.1097/BSD.0000000000000619subject
Has Abstractpub_date
2018-05-01 00:00:00pages
E245-E251issue
4eissn
2380-0186issn
2380-0194journal_volume
31pub_type
杂志文章abstract:STUDY DESIGN:A prospective single-surgeon nonrandomized clinical study. OBJECTIVE:To evaluate the radiographic and clinical outcomes, by fixation type, in extreme lateral interbody fusion (XLIF) patients and provide an algorithm for determining patients suitable for stand-alone XLIF. SUMMARY OF BACKGROUND DATA:XLIF m...
journal_title:Clinical spine surgery
pub_type: 临床试验,杂志文章
doi:10.1097/BSD.0b013e3182aa4c94
更新日期:2017-03-01 00:00:00
abstract:STUDY DESIGN:This was a meta-analysis study. OBJECTIVE:To compare different posterior spine fixation methods for burst fracture fixation. SUMMARY OF BACKGROUND DATA:This study was performed to elucidate if the current body of literature supports one posterior spinal fusion fixation method for burst fracture to minimi...
journal_title:Clinical spine surgery
pub_type: 杂志文章,meta分析
doi:10.1097/BSD.0000000000000763
更新日期:2019-03-01 00:00:00
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doi:10.1097/BSD.0000000000000079
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doi:10.1097/BSD.0000000000000461
更新日期:2017-03-01 00:00:00
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doi:10.1097/BSD.0000000000000669
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doi:10.1097/BSD.0000000000000279
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pub_type: 杂志文章
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pub_type: 杂志文章,多中心研究
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pub_type: 临床试验,杂志文章
doi:10.1097/BSD.0000000000000164
更新日期:2017-06-01 00:00:00
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doi:10.1097/BSD.0000000000000590
更新日期:2018-03-01 00:00:00
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journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0b013e3182aa4ce1
更新日期:2016-04-01 00:00:00
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pub_type: 杂志文章
doi:10.1097/BSD.0000000000000807
更新日期:2019-06-01 00:00:00
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doi:10.1097/BSD.0000000000000035
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journal_title:Clinical spine surgery
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