Neurological improvement is associated with neck pain attenuation after surgery for cervical ossification of the posterior longitudinal ligament-Reference-Cited by-同舟云学术

Neurological improvement is associated with neck pain attenuation after surgery for cervical ossification of the posterior longitudinal ligament

Published:2021-06-07 Issue:1 Volume:11 Page:
ISSN:2045-2322
Container-title:Scientific Reports
language:en
Short-container-title:Sci Rep

Author:

Koda Masao,Yoshii Toshitaka,Egawa Satoru,Sakai Kenichiro,Kusano Kazuo,Nakagawa Yukihiro,Hirai Takashi,Wada Kanichiro,Katsumi Keiichi,Kimura Atsushi,Furuya Takeo,Maki Satoshi,Nagoshi Narihito,Watanabe Kota,Kanchiku Tsukasa,Nagamoto Yukitaka,Oshima Yasushi,Ando Kei,Nakashima Hiroaki,Takahata Masahiko,Mori Kanji,Nakajima Hideaki,Murata Kazuma,Matsunaga Shunji,Kaito Takashi,Yamada Kei,Kobayashi Sho,Kato Satoshi,Ohba Tetsuro,Inami Satoshi,Fujibayashi Shunsuke,Katoh Hiroyuki,Kanno Haruo,Takahashi Hiroshi,Fujii Kengo,Miyagi Masayuki,Inoue Gen,Takaso Masashi,Imagama Shiro,Kawaguchi Yoshiharu,Takeshita Katsushi,Nakamura Masaya,Matsumoto Morio,Okawa Atsushi,Yamazaki Masashi

Abstract

AbstractAlthough 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.

Funder

Japan Agency for Medical Research and Development

Japanese Health Labor Sciences Research Grant

Publisher

Springer Science and Business Media LLC

Subject

Multidisciplinary

Link

http://www.nature.com/articles/s41598-021-91268-2.pdf

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