Factors Significantly Associated with Postoperative Neck Pain Deterioration after Surgery for Cervical Ossification of the Posterior Longitudinal Ligament: Study of a Cohort Using a Prospective Registry
Postoperative neck pain has been reported as an unsolved postoperative complication of surgery for cervical ossification of the posterior longitudinal ligament (OPLL). The aim of the present study was to elucidate factors having a significant association with postoperative deterioration of neck pain...
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oai:doaj.org-article:1b1e88280cc54664b425a3f4d344e3ad2021-11-11T17:39:27ZFactors Significantly Associated with Postoperative Neck Pain Deterioration after Surgery for Cervical Ossification of the Posterior Longitudinal Ligament: Study of a Cohort Using a Prospective Registry10.3390/jcm102150262077-0383https://doaj.org/article/1b1e88280cc54664b425a3f4d344e3ad2021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5026https://doaj.org/toc/2077-0383Postoperative neck pain has been reported as an unsolved postoperative complication of surgery for cervical ossification of the posterior longitudinal ligament (OPLL). The aim of the present study was to elucidate factors having a significant association with postoperative deterioration of neck pain in cervical OPLL patients. We studied a cohort of patients in a prospective registry of 478 patients who had undergone cervical spine surgery for cervical OPLL. We excluded those without evaluation of preoperative neck pain. Therefore, 438 patients were included in the present study. Neck pain was evaluated with the visual analogue scale (VAS, 0–100 mm). Postoperative neck pain deterioration was defined as a ≥20 mm increase of VAS neck pain. Patient factors, neurological status, imaging factors and surgical factors were assessed. Univariate analyses followed by multivariate analysis using stepwise logistic regression was performed. Six months after surgery, 50 (11.6%) patients showed postoperative neck pain deterioration and 76 (17.4%) patients showed postoperative neck pain deterioration 2 years after surgery. Six months after surgery, the rate of neck pain deterioration was significantly higher in patients who had undergone posterior surgery. Two years after surgery, the number of levels fused was significantly correlated with neck pain deterioration.Masao KodaToshitaka YoshiiSatoru EgawaKenichiro SakaiKazuo KusanoYukihiro NakagawaTakashi HiraiKanichiro WadaKeiichi KatsumiAtsushi KimuraTakeo FuruyaSatoshi MakiNarihito NagoshiKota WatanabeTsukasa KanchikuYukitaka NagamotoYasushi OshimaKei AndoHiroaki NakashimaMasahiko TakahataKanji MoriHideaki NakajimaKazuma MurataShunji MatsunagaTakashi KaitoKei YamadaSho KobayashiSatoshi KatoTetsuro OhbaSatoshi InamiShunsuke FujibayashiHiroyuki KatohHaruo KannoHiroshi TakahashiKengo FujiiMasayuki MiyagiGen InoueMasashi TakasoShiro ImagamaYoshiharu KawaguchiKatsushi TakeshitaMasaya NakamuraMorio MatsumotoAtsushi OkawaMasashi YamazakiMDPI AGarticleossification of the posterior longitudinal ligamentcervical spinesurgeryneck painMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5026, p 5026 (2021) |
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DOAJ |
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DOAJ |
| language |
EN |
| topic |
ossification of the posterior longitudinal ligament cervical spine surgery neck pain Medicine R |
| spellingShingle |
ossification of the posterior longitudinal ligament cervical spine surgery neck pain Medicine R Masao Koda Toshitaka Yoshii Satoru Egawa Kenichiro Sakai Kazuo Kusano Yukihiro Nakagawa Takashi Hirai Kanichiro Wada Keiichi Katsumi Atsushi Kimura Takeo Furuya Satoshi Maki Narihito Nagoshi Kota Watanabe Tsukasa Kanchiku Yukitaka Nagamoto Yasushi Oshima Kei Ando Hiroaki Nakashima Masahiko Takahata Kanji Mori Hideaki Nakajima Kazuma Murata Shunji Matsunaga Takashi Kaito Kei Yamada Sho Kobayashi Satoshi Kato Tetsuro Ohba Satoshi Inami Shunsuke Fujibayashi Hiroyuki Katoh Haruo Kanno Hiroshi Takahashi Kengo Fujii Masayuki Miyagi Gen Inoue Masashi Takaso Shiro Imagama Yoshiharu Kawaguchi Katsushi Takeshita Masaya Nakamura Morio Matsumoto Atsushi Okawa Masashi Yamazaki Factors Significantly Associated with Postoperative Neck Pain Deterioration after Surgery for Cervical Ossification of the Posterior Longitudinal Ligament: Study of a Cohort Using a Prospective Registry |
| description |
Postoperative neck pain has been reported as an unsolved postoperative complication of surgery for cervical ossification of the posterior longitudinal ligament (OPLL). The aim of the present study was to elucidate factors having a significant association with postoperative deterioration of neck pain in cervical OPLL patients. We studied a cohort of patients in a prospective registry of 478 patients who had undergone cervical spine surgery for cervical OPLL. We excluded those without evaluation of preoperative neck pain. Therefore, 438 patients were included in the present study. Neck pain was evaluated with the visual analogue scale (VAS, 0–100 mm). Postoperative neck pain deterioration was defined as a ≥20 mm increase of VAS neck pain. Patient factors, neurological status, imaging factors and surgical factors were assessed. Univariate analyses followed by multivariate analysis using stepwise logistic regression was performed. Six months after surgery, 50 (11.6%) patients showed postoperative neck pain deterioration and 76 (17.4%) patients showed postoperative neck pain deterioration 2 years after surgery. Six months after surgery, the rate of neck pain deterioration was significantly higher in patients who had undergone posterior surgery. Two years after surgery, the number of levels fused was significantly correlated with neck pain deterioration. |
| format |
article |
| author |
Masao Koda Toshitaka Yoshii Satoru Egawa Kenichiro Sakai Kazuo Kusano Yukihiro Nakagawa Takashi Hirai Kanichiro Wada Keiichi Katsumi Atsushi Kimura Takeo Furuya Satoshi Maki Narihito Nagoshi Kota Watanabe Tsukasa Kanchiku Yukitaka Nagamoto Yasushi Oshima Kei Ando Hiroaki Nakashima Masahiko Takahata Kanji Mori Hideaki Nakajima Kazuma Murata Shunji Matsunaga Takashi Kaito Kei Yamada Sho Kobayashi Satoshi Kato Tetsuro Ohba Satoshi Inami Shunsuke Fujibayashi Hiroyuki Katoh Haruo Kanno Hiroshi Takahashi Kengo Fujii Masayuki Miyagi Gen Inoue Masashi Takaso Shiro Imagama Yoshiharu Kawaguchi Katsushi Takeshita Masaya Nakamura Morio Matsumoto Atsushi Okawa Masashi Yamazaki |
| author_facet |
Masao Koda Toshitaka Yoshii Satoru Egawa Kenichiro Sakai Kazuo Kusano Yukihiro Nakagawa Takashi Hirai Kanichiro Wada Keiichi Katsumi Atsushi Kimura Takeo Furuya Satoshi Maki Narihito Nagoshi Kota Watanabe Tsukasa Kanchiku Yukitaka Nagamoto Yasushi Oshima Kei Ando Hiroaki Nakashima Masahiko Takahata Kanji Mori Hideaki Nakajima Kazuma Murata Shunji Matsunaga Takashi Kaito Kei Yamada Sho Kobayashi Satoshi Kato Tetsuro Ohba Satoshi Inami Shunsuke Fujibayashi Hiroyuki Katoh Haruo Kanno Hiroshi Takahashi Kengo Fujii Masayuki Miyagi Gen Inoue Masashi Takaso Shiro Imagama Yoshiharu Kawaguchi Katsushi Takeshita Masaya Nakamura Morio Matsumoto Atsushi Okawa Masashi Yamazaki |
| author_sort |
Masao Koda |
| title |
Factors Significantly Associated with Postoperative Neck Pain Deterioration after Surgery for Cervical Ossification of the Posterior Longitudinal Ligament: Study of a Cohort Using a Prospective Registry |
| title_short |
Factors Significantly Associated with Postoperative Neck Pain Deterioration after Surgery for Cervical Ossification of the Posterior Longitudinal Ligament: Study of a Cohort Using a Prospective Registry |
| title_full |
Factors Significantly Associated with Postoperative Neck Pain Deterioration after Surgery for Cervical Ossification of the Posterior Longitudinal Ligament: Study of a Cohort Using a Prospective Registry |
| title_fullStr |
Factors Significantly Associated with Postoperative Neck Pain Deterioration after Surgery for Cervical Ossification of the Posterior Longitudinal Ligament: Study of a Cohort Using a Prospective Registry |
| title_full_unstemmed |
Factors Significantly Associated with Postoperative Neck Pain Deterioration after Surgery for Cervical Ossification of the Posterior Longitudinal Ligament: Study of a Cohort Using a Prospective Registry |
| title_sort |
factors significantly associated with postoperative neck pain deterioration after surgery for cervical ossification of the posterior longitudinal ligament: study of a cohort using a prospective registry |
| publisher |
MDPI AG |
| publishDate |
2021 |
| url |
https://doaj.org/article/1b1e88280cc54664b425a3f4d344e3ad |
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