Tags

Type your tag names separated by a space and hit enter

Impact of Cervical Sagittal Alignment on Axial Neck Pain and Health-related Quality of Life After Cervical Laminoplasty in Patients With Cervical Spondylotic Myelopathy or Ossification of the Posterior Longitudinal Ligament: A Prospective Comparative Study.
Clin Spine Surg. 2018 05; 31(4):E245-E251.CS

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.

Authors+Show Affiliations

Department of Orthopaedic Surgery, National Hospital Organization, Osaka Minami Medical Center.Department of Orthopaedic Surgery, National Hospital Organization, Osaka Minami Medical Center.Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.Department of Orthopaedic Surgery, National Hospital Organization, Osaka Minami Medical Center.Department of Orthopaedic Surgery, National Hospital Organization, Osaka Minami Medical Center.Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.

Pub Type(s)

Comparative Study
Journal Article
Observational Study

Language

eng

PubMed ID

29481340

Citation

Fujiwara, Hiroyasu, et al. "Impact of Cervical Sagittal Alignment On Axial Neck Pain and Health-related Quality of Life After Cervical Laminoplasty in Patients With Cervical Spondylotic Myelopathy or Ossification of the Posterior Longitudinal Ligament: a Prospective Comparative Study." Clinical Spine Surgery, vol. 31, no. 4, 2018, pp. E245-E251.
Fujiwara H, Oda T, Makino T, et al. Impact of Cervical Sagittal Alignment on Axial Neck Pain and Health-related Quality of Life After Cervical Laminoplasty in Patients With Cervical Spondylotic Myelopathy or Ossification of the Posterior Longitudinal Ligament: A Prospective Comparative Study. Clin Spine Surg. 2018;31(4):E245-E251.
Fujiwara, H., Oda, T., Makino, T., Moriguchi, Y., Yonenobu, K., & Kaito, T. (2018). Impact of Cervical Sagittal Alignment on Axial Neck Pain and Health-related Quality of Life After Cervical Laminoplasty in Patients With Cervical Spondylotic Myelopathy or Ossification of the Posterior Longitudinal Ligament: A Prospective Comparative Study. Clinical Spine Surgery, 31(4), E245-E251. https://doi.org/10.1097/BSD.0000000000000619
Fujiwara H, et al. Impact of Cervical Sagittal Alignment On Axial Neck Pain and Health-related Quality of Life After Cervical Laminoplasty in Patients With Cervical Spondylotic Myelopathy or Ossification of the Posterior Longitudinal Ligament: a Prospective Comparative Study. Clin Spine Surg. 2018;31(4):E245-E251. PubMed PMID: 29481340.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Impact of Cervical Sagittal Alignment on Axial Neck Pain and Health-related Quality of Life After Cervical Laminoplasty in Patients With Cervical Spondylotic Myelopathy or Ossification of the Posterior Longitudinal Ligament: A Prospective Comparative Study. AU - Fujiwara,Hiroyasu, AU - Oda,Takenori, AU - Makino,Takahiro, AU - Moriguchi,Yu, AU - Yonenobu,Kazuo, AU - Kaito,Takashi, PY - 2018/2/27/pubmed PY - 2019/10/8/medline PY - 2018/2/27/entrez SP - E245 EP - E251 JF - Clinical spine surgery JO - Clin Spine Surg VL - 31 IS - 4 N2 - 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. SN - 2380-0194 UR - https://www.unboundmedicine.com/medline/citation/29481340/Impact_of_Cervical_Sagittal_Alignment_on_Axial_Neck_Pain_and_Health_related_Quality_of_Life_After_Cervical_Laminoplasty_in_Patients_With_Cervical_Spondylotic_Myelopathy_or_Ossification_of_the_Posterior_Longitudinal_Ligament:_A_Prospective_Comparative_Study_ L2 - http://dx.doi.org/10.1097/BSD.0000000000000619 DB - PRIME DP - Unbound Medicine ER -