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

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 determin...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8184776/
https://www.ncbi.nlm.nih.gov/pubmed/34099784
http://dx.doi.org/10.1038/s41598-021-91268-2
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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
author_facet 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
author_sort Koda, Masao
collection PubMed
description 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.
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spelling pubmed-81847762021-06-08 Neurological improvement is associated with neck pain attenuation after surgery for cervical ossification of the posterior longitudinal ligament 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 Sci Rep Article 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. Nature Publishing Group UK 2021-06-07 /pmc/articles/PMC8184776/ /pubmed/34099784 http://dx.doi.org/10.1038/s41598-021-91268-2 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
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
Neurological improvement is associated with neck pain attenuation after surgery for cervical ossification of the posterior longitudinal ligament
title 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_short 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
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8184776/
https://www.ncbi.nlm.nih.gov/pubmed/34099784
http://dx.doi.org/10.1038/s41598-021-91268-2
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