Neurological improvement is associated with neck pain attenuation after surgery for cervical ossification of the posterior longitudinal ligament
Abstract Although favourable surgical outcomes for myelopathy caused by cervical ossification of the posterior longitudinal ligament (OPLL) have been reported, factors significantly associated with post-operative neck pain attenuation still remain unclear. The primary aim of the present study was to...
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Nature Portfolio
2021
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oai:doaj.org-article:fa8e3cf27d6940c19133ae67f2c4e2d72021-12-02T14:59:36ZNeurological improvement is associated with neck pain attenuation after surgery for cervical ossification of the posterior longitudinal ligament10.1038/s41598-021-91268-22045-2322https://doaj.org/article/fa8e3cf27d6940c19133ae67f2c4e2d72021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-91268-2https://doaj.org/toc/2045-2322Abstract Although favourable surgical outcomes for myelopathy caused by cervical ossification of the posterior longitudinal ligament (OPLL) have been reported, factors significantly associated with post-operative neck pain attenuation still remain unclear. The primary aim of the present study was to determine factors significantly associated with post-operative neck pain attenuation in patients with cervical OPLL using a prospective multi-centre registry of surgically treated cervical OPLL. Significant postoperative neck pain reduction (50% reduction of neck pain) was achieved in 31.3% of patients. There was no significant difference in neck pain attenuation between surgical procedures. Statistical analyses with univariate analyses followed by stepwise logistic regression revealed neurological recovery as a factor having a significant positive association with post-operative neck pain attenuation (p = 0.04, odds ratio 5.68 (95% confidence interval: 1.27–22.2)). In conclusion, neurological recovery was an independent factor having a significant positive association with post-operative neck pain attenuation in patients with cervical myelopathy caused by OPLL who underwent cervical spine surgery.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 YamazakiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021) |
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Medicine R Science Q 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 Neurological improvement is associated with neck pain attenuation after surgery for cervical ossification of the posterior longitudinal ligament |
| description |
Abstract Although favourable surgical outcomes for myelopathy caused by cervical ossification of the posterior longitudinal ligament (OPLL) have been reported, factors significantly associated with post-operative neck pain attenuation still remain unclear. The primary aim of the present study was to determine factors significantly associated with post-operative neck pain attenuation in patients with cervical OPLL using a prospective multi-centre registry of surgically treated cervical OPLL. Significant postoperative neck pain reduction (50% reduction of neck pain) was achieved in 31.3% of patients. There was no significant difference in neck pain attenuation between surgical procedures. Statistical analyses with univariate analyses followed by stepwise logistic regression revealed neurological recovery as a factor having a significant positive association with post-operative neck pain attenuation (p = 0.04, odds ratio 5.68 (95% confidence interval: 1.27–22.2)). In conclusion, neurological recovery was an independent factor having a significant positive association with post-operative neck pain attenuation in patients with cervical myelopathy caused by OPLL who underwent cervical spine surgery. |
| 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 |
Neurological improvement is associated with neck pain attenuation after surgery for cervical ossification of the posterior longitudinal ligament |
| title_short |
Neurological improvement is associated with neck pain attenuation after surgery for cervical ossification of the posterior longitudinal ligament |
| title_full |
Neurological improvement is associated with neck pain attenuation after surgery for cervical ossification of the posterior longitudinal ligament |
| title_fullStr |
Neurological improvement is associated with neck pain attenuation after surgery for cervical ossification of the posterior longitudinal ligament |
| title_full_unstemmed |
Neurological improvement is associated with neck pain attenuation after surgery for cervical ossification of the posterior longitudinal ligament |
| title_sort |
neurological improvement is associated with neck pain attenuation after surgery for cervical ossification of the posterior longitudinal ligament |
| publisher |
Nature Portfolio |
| publishDate |
2021 |
| url |
https://doaj.org/article/fa8e3cf27d6940c19133ae67f2c4e2d7 |
| work_keys_str_mv |
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