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http://dx.doi.org/10.3340/jkns.2010.47.2.107

Axial Neck Pain after Cervical Laminoplasty  

Cho, Chul-Bum (Catholic Neuroscience Center, Department of Neurosurgery, St. Mary's Hospital, The Catholic University College of Medicine)
Chough, Chung-Kee (Catholic Neuroscience Center, Department of Neurosurgery, St. Mary's Hospital, The Catholic University College of Medicine)
Oh, Jong-Yang (Catholic Neuroscience Center, Department of Neurosurgery, St. Mary's Hospital, The Catholic University College of Medicine)
Park, Hae-Kwan (Catholic Neuroscience Center, Department of Neurosurgery, St. Mary's Hospital, The Catholic University College of Medicine)
Lee, Kyung-Jin (Catholic Neuroscience Center, Department of Neurosurgery, St. Mary's Hospital, The Catholic University College of Medicine)
Rha, Hyoung-Kyun (Catholic Neuroscience Center, Department of Neurosurgery, St. Mary's Hospital, The Catholic University College of Medicine)
Publication Information
Journal of Korean Neurosurgical Society / v.47, no.2, 2010 , pp. 107-111 More about this Journal
Abstract
Objective : It has been demonstrated that cervical laminoplasty is an effective and safe method of treating multi-level cervical spondylotic myelopathy and ossification of the posterior longitudinal ligament. However, recent reports have suggested that axial neck pain is frequently encountered after cervical laminoplasty. The aim of the present study was to determine clinical significance of the C7 spinous process on axial neck pain after cervical laminoplasty. Methods : A total of 31 consecutive patients that underwent cervical laminoplasty between March 2002 and December 2008 were reviewed. The authors evaluated and compared axial neck pain and lordotic angle in patients that underwent C7 spinous process preserving surgery (group 1, n=16) and in patients in which the C7 spinous process was sacrificed (group 2, n=15). Results : Severe or moderate early axial pain occurred in 56.2% of patients in group 1 and in 86.6% in group 2. Severe or moderate late axial pain occurred in 12.5% in group 1 and in 73.3% in group 2. Eighty-Six percent of patients in group 2 and 43% in group 1 experienced aggravation of their axial neck pain during the early postoperative period. Aggravation of axial neck pain during early postoperative period was less common in group 1 but not statistically significant (p=0.073). Sixty-six percent of patients in group 2 and 12% in group 1 had aggravated axial neck pain at late postoperative period and aggravation of late axial neck pain was significantly less common in group 1 (p=0.002). Conclusion : The present study demonstrates that C7 spinous process preserving laminoplasty decreases the incidence of aggravated axial neck pain after cervical laminoplasty.
Keywords
Cervical laminoplasty; Axial neck pain; C7 spinous process;
Citations & Related Records

Times Cited By Web Of Science : 3  (Related Records In Web of Science)
Times Cited By SCOPUS : 2
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