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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...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8584891/ https://www.ncbi.nlm.nih.gov/pubmed/34768547 http://dx.doi.org/10.3390/jcm10215026 |
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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 | 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 | Online Article Text |
id | pubmed-8584891 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-85848912021-11-12 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 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 J Clin Med Article 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. MDPI 2021-10-28 /pmc/articles/PMC8584891/ /pubmed/34768547 http://dx.doi.org/10.3390/jcm10215026 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (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 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 | 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_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_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 |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8584891/ https://www.ncbi.nlm.nih.gov/pubmed/34768547 http://dx.doi.org/10.3390/jcm10215026 |
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