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. 2019 May;9(3):292-297.
doi: 10.1177/2192568218793861. Epub 2018 Aug 16.

Mental State Can Influence the Degree of Postoperative Axial Neck Pain Following Cervical Laminoplasty

Yasushi Oshima  1 , Yoshitaka Matsubayashi  1 , Yuki Taniguchi  1 , Kentaro Hayakawa  1 , Masayoshi Fukushima  1 , Takeshi Oichi  1 , Hiroyuki Oka  1 , K Daniel Riew  2 , Sakae Tanaka  1
Affiliations

Mental State Can Influence the Degree of Postoperative Axial Neck Pain Following Cervical Laminoplasty

Yasushi Oshima et al. Global Spine J. 2019 May.

Abstract

Study design: A retrospective cohort study.

Objective: To investigate factors influencing the incidence of moderate to severe postoperative axial neck pain following cervical laminoplasty.

Methods: We reviewed 125 patients with cervical myelopathy who underwent double-door laminoplasty. The primary outcomes were the Numerical Rating Scale score (NRS score, 0-10) for neck pain, the Short Form 36 (SF-36) Health Survey score (Physical and Mental Component Summary scores [PCS and MCS, respectively]), and satisfaction. Imaging parameters on plain radiographs and magnetic resonance imaging were also evaluated. Patients with moderate to severe postoperative neck pain (NRS ≥ 5) were compared with those with no or mild neck pain (NRS ≤ 4).

Results: One hundred and three patients (82%) with complete data were eligible for inclusion. There were 67 men and 36 women, with a mean age of 65 years (32-89 years). Twenty-five patients (23%) had moderate to severe postoperative axial pain (NRS ≥ 5) and were compared with the other 78 patients (NRS ≤ 4), which revealed several predictive factors, including female sex, the presence of preoperative neck pain, low postoperative PCS, low preoperative and postoperative MCS, and satisfaction with the treatment. Multivariable logistic regression analysis revealed that the postoperative MCS (P = .002) was a risk factor for postoperative neck pain, although the preoperative MCS did not reach statistical significance (P = .06).

Conclusions: Patients with a low mental state, possibly before surgery, are at a high risk for postoperative axial neck pain. None of the imaging parameters were statistically different.

Keywords: cervical myelopathy; complication; mental component score; neck pain; physical component score; satisfaction.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Dr Riew reports personal fees from Biomet, Medtronic; other support from Nexgen, Amedica, Vertiflex, Benvenue, Spinal Kinetics, Spineology, Expanding Orthopedics, Osprey, Paradigm Spine, PSD; other support from Biomet, Medtronic; personal fees from Zeiss Teaching Webinar; other support from AO Spine; personal fees from AO Spine; other support from Advanced Medical, outside the submitted work. Dr Tanaka has received honoraria from Amgen Inc, Asahi Kasei Pharma Corporation, Amgen Astellas BioPharma K.K., Kyocera Medical Corporation, Daiichi Sankyo Company, Limited, Teijin Pharma Limited, Eli Lilly Japan K.K., Pfizer Japan Inc; endowments from Astellas Pharma Inc, Ayumi Pharmaceutical Corporation, BristolMyers Squibb, Pfizer Japan Inc, Daiichi Sankyo Company Limited, Chugai Pharmaceutical Co, Ltd; and grants from The Japan Agency for Medical Research and Development (AMED), Japan Society for the Promotion of Science (JSPS)/Grant-in-Aid for Scientific Research (A), and the Japan Society for the Promotion of Science (JSPS)/Grant-in-Aid for Exploratory Research. Dr Oshima, Dr Matsubayashi, Dr Taniguchi, Dr Hayakawa, Dr Fukushima, Dr Oichi, and Dr Oka have no conflicts of interest to disclose.

Figures

Figure 1.
Figure 1.
Each area was defined as the diagram. “Neck” was defined as the area labeled No. 1.
See this image and copyright information in PMC

References

    1. Seichi A, Takeshita K, Ohishi I, et al. Long-term results of double-door laminoplasty for cervical stenotic myelopathy. Spine (Phila Pa 1976). 2001;26:479–487. - PubMed
    1. Oshima Y, Miyoshi K, Mikami Y, Nakamoto H, Tanaka S. Long-term outcomes of cervical laminoplasty in the elderly. Biomed Res Int. 2015;2015:713952. - PMC - PubMed
    1. Hosono N, Yonenobu K, Ono K. Neck and shoulder pain after laminoplasty. A noticeable complication. Spine (Phila Pa 1976). 1996;21:1969–1973. - PubMed
    1. Moon MS. Neck and shoulder pain after laminoplasty. Spine (Phila Pa 1976). 1997;22:1674–1676. - PubMed
    1. Wang SJ, Jiang SD, Jiang LS, Dai LY. Axial pain after posterior cervical spine surgery: a systematic review. Eur Spine J. 2011;20:185–194. - PMC - PubMed

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