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
Abstract
:1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Demographics (n = 438) | |
---|---|
Male:Female (cases) | 325:113 |
age at surgery (years old) | 63.6 ± 11.6 |
disease duration (months) | 42.8 (0–548) |
body mass index | 25.7 ± 4.3 |
diabetes (No. of cases) | 134/438 |
JOA score (pts.) | |
Pre-op. | 10.5 ± 3.0 |
Post-op. 2y | 13.9 ± 2.9 |
recovery rate (%) | 46.2 ± 33.5 |
pre-op. neck pain (VAS, mm) | 1.5 ± 31.6 |
Surgical procedures (cases) | |
Laminoplasty | 240 (C7 involvement: 154/240) |
Posterior decompression & fusion | 104 |
Anterior decompression & fusion | 82 |
A-P | 12 |
Number of levels fused | 4.2 (1–8) |
Imaging findings | |
Type of OPLL (cases) | |
Continuous | 58 |
Segmental | 161 |
Mixed | 190 |
Localized | 29 |
Canal narrowing rate (%) | 43.9 ± 15.6 |
C2-7 angle (°) | 9.3 ± 11.7 (ΔC2–7 angle: −1.1 ± 10.1) |
range of motion (°) | 26.7 ± 13.9 (ΔROM: −10.1 ± 15.6) |
T2 high signal change (cases) | 373/438 |
Neck Pain (VAS, 0–100 mm) | p-Value (vs. Pre-Op.) |
---|---|
pre-op. | 41.6 ± 31.6 mm |
post-op. 6Mo | 36.6 ± 29.1 mm * 0.02 |
pain deterioration > 20 mm (cases) | 50/438 (11.4%) |
post-op. 2y | 38.5 ± 30.7 mm 0.14 |
pain deterioration > 20 mm (cases) | 76/438 (17.4%) |
Univariate Analyses | 6 Mo | 2 y |
---|---|---|
Patient factor | ||
age | 0.80 | 0.36 |
sex | 0.98 | 0.12 |
BMI | 0.81 | 0.43 |
disease duration | 0.28 | 0.38 |
DM | 0.13 | 0.54 |
Neurological status | ||
JOA score recovery rate | 0.02 * | 0.20 |
Imaging factor | ||
types of OPLL | 0.65 | 0.27 |
canal occupying ratio | 0.25 | 0.67 |
ΔC2-7 angle | 0.76 | 0.88 |
ΔC2-7 ROM | 0.31 | 0.72 |
MRI T2 high signal | 0.78 | 0.50 |
Surgical factors | ||
Surgical procedures | 0.04 * | 0.81 |
No. of levels fused | 0.03 * | 0.002 * |
Multivariate analysis (6 Mo) | ||
JOA score recovery rate | 0.20 | |
Surgical procedures | 0.02 * | |
No. of levels fused | 0.40 |
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Koda, M.; Yoshii, T.; Egawa, S.; Sakai, K.; Kusano, K.; Nakagawa, Y.; Hirai, T.; Wada, K.; Katsumi, K.; Kimura, A.; et al. 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. J. Clin. Med. 2021, 10, 5026. https://doi.org/10.3390/jcm10215026
Koda M, Yoshii T, Egawa S, Sakai K, Kusano K, Nakagawa Y, Hirai T, Wada K, Katsumi K, Kimura A, et al. 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. Journal of Clinical Medicine. 2021; 10(21):5026. https://doi.org/10.3390/jcm10215026
Chicago/Turabian StyleKoda, Masao, Toshitaka Yoshii, Satoru Egawa, Kenichiro Sakai, Kazuo Kusano, Yukihiro Nakagawa, Takashi Hirai, Kanichiro Wada, Keiichi Katsumi, Atsushi Kimura, and et al. 2021. "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" Journal of Clinical Medicine 10, no. 21: 5026. https://doi.org/10.3390/jcm10215026