Anterior Cervical Surgery for the Treatment of Cervicogenic Headache Caused by Cervical Spondylosis
Xiaodong Pang, Chunyu Liu, Baogan Peng Department of Spinal Surgery, The Third Medical Center of Chinese PLA General Hospital, Beijing 100039, People’s Republic of ChinaCorrespondence: Baogan PengDepartment of Spinal Surgery, The Third Medical Center of Chinese PLA General Hospital, 69 Yon...
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Dove Medical Press
2020-11-01
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| Series: | Journal of Pain Research |
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| Online Access: | https://www.dovepress.com/anterior-cervical-surgery-for-the-treatment-of-cervicogenic-headache-c-peer-reviewed-article-JPR |
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| author | Pang X Liu C Peng B |
| author_facet | Pang X Liu C Peng B |
| author_sort | Pang X |
| collection | DOAJ |
| description | Xiaodong Pang, Chunyu Liu, Baogan Peng Department of Spinal Surgery, The Third Medical Center of Chinese PLA General Hospital, Beijing 100039, People’s Republic of ChinaCorrespondence: Baogan PengDepartment of Spinal Surgery, The Third Medical Center of Chinese PLA General Hospital, 69 Yongding Road, Beijing 100039, People’s Republic of ChinaTel +86-10-57976611Fax +86-10-57976937Email pengbaogan@163.comStudy Design: Retrospective study.Objective: To report the efficacy of anterior cervical surgery for the relief of cervicogenic headache (CEH) caused by cervical spondylosis.Methods: From January 2014 to December 2016, a total of 166 cases of cervical radiculopathy and/or myelopathy received anterior cervical decompression and fusion (ACDF) in our institution, among which 50 cases (mean age 44.7 years) were accompanied by CEH and followed up at 3, 6, 12, and 24 months postoperatively, respectively. Neck pain and headache scores according to neck disability index (NDI) were documented for all patients at regular intervals. The results measured at different follow-up time point were compared statistically.Results: All 50 patients reported neck pain and headache at the same time before surgery. The average NDIs for neck pain before and after surgery were 2.86 (95% CI: 2.7– 3.0) preoperatively, 0.98 (95% CI: 0.8– 1.1) at 3 months, 0.68 (95% CI: 0.5– 0.9) at 6 months, 0.62 (95% CI: 0.5– 0.8) at 12 months, and 0.60 (95% CI: 0.4– 0.8) at 24 months postoperatively, respectively. The average NDIs for CEH before and after surgery were 2.32 (95% CI: 2.2– 2.5) preoperatively, 0.62 (95% CI: 0.5– 0.8) at 3 months, 0.60 (95% CI: 0.4– 0.8) at 6 months, 0.56 (95% CI: 0.4– 0.7) at 12 months, and 0.50 (95% CI: 0.3– 0.7) at 24 months postoperatively, respectively. The neck pain and headache improved in all cases and the NDI score of neck pain or headache at each follow-up point after surgery was significantly different from that before surgery (P < 0.001). The simple correlation analysis between neck pain and headache was performed, and the Pearson coefficient r was 0.71, indicating a positive correlation between neck pain NDI and headache NDI. No serious surgical complications were found.Conclusion: Our study suggests that patients with cervical spondylosis complicated with CEH are always accompanied by neck pain. ACDF can not only relieve neck pain but also improve the accompanying CEH.Keywords: cervicogenic headache, neck pain, cervical spondylosis, anterior cervical decompression and fusion |
| first_indexed | 2024-12-20T16:07:44Z |
| format | Article |
| id | doaj.art-2d6f2d6910a2471c8001a3bb6ae516cf |
| institution | Directory Open Access Journal |
| issn | 1178-7090 |
| language | English |
| last_indexed | 2024-12-20T16:07:44Z |
| publishDate | 2020-11-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Journal of Pain Research |
| spelling | doaj.art-2d6f2d6910a2471c8001a3bb6ae516cf2022-12-21T19:34:04ZengDove Medical PressJournal of Pain Research1178-70902020-11-01Volume 132783278958813Anterior Cervical Surgery for the Treatment of Cervicogenic Headache Caused by Cervical SpondylosisPang XLiu CPeng BXiaodong Pang, Chunyu Liu, Baogan Peng Department of Spinal Surgery, The Third Medical Center of Chinese PLA General Hospital, Beijing 100039, People’s Republic of ChinaCorrespondence: Baogan PengDepartment of Spinal Surgery, The Third Medical Center of Chinese PLA General Hospital, 69 Yongding Road, Beijing 100039, People’s Republic of ChinaTel +86-10-57976611Fax +86-10-57976937Email pengbaogan@163.comStudy Design: Retrospective study.Objective: To report the efficacy of anterior cervical surgery for the relief of cervicogenic headache (CEH) caused by cervical spondylosis.Methods: From January 2014 to December 2016, a total of 166 cases of cervical radiculopathy and/or myelopathy received anterior cervical decompression and fusion (ACDF) in our institution, among which 50 cases (mean age 44.7 years) were accompanied by CEH and followed up at 3, 6, 12, and 24 months postoperatively, respectively. Neck pain and headache scores according to neck disability index (NDI) were documented for all patients at regular intervals. The results measured at different follow-up time point were compared statistically.Results: All 50 patients reported neck pain and headache at the same time before surgery. The average NDIs for neck pain before and after surgery were 2.86 (95% CI: 2.7– 3.0) preoperatively, 0.98 (95% CI: 0.8– 1.1) at 3 months, 0.68 (95% CI: 0.5– 0.9) at 6 months, 0.62 (95% CI: 0.5– 0.8) at 12 months, and 0.60 (95% CI: 0.4– 0.8) at 24 months postoperatively, respectively. The average NDIs for CEH before and after surgery were 2.32 (95% CI: 2.2– 2.5) preoperatively, 0.62 (95% CI: 0.5– 0.8) at 3 months, 0.60 (95% CI: 0.4– 0.8) at 6 months, 0.56 (95% CI: 0.4– 0.7) at 12 months, and 0.50 (95% CI: 0.3– 0.7) at 24 months postoperatively, respectively. The neck pain and headache improved in all cases and the NDI score of neck pain or headache at each follow-up point after surgery was significantly different from that before surgery (P < 0.001). The simple correlation analysis between neck pain and headache was performed, and the Pearson coefficient r was 0.71, indicating a positive correlation between neck pain NDI and headache NDI. No serious surgical complications were found.Conclusion: Our study suggests that patients with cervical spondylosis complicated with CEH are always accompanied by neck pain. ACDF can not only relieve neck pain but also improve the accompanying CEH.Keywords: cervicogenic headache, neck pain, cervical spondylosis, anterior cervical decompression and fusionhttps://www.dovepress.com/anterior-cervical-surgery-for-the-treatment-of-cervicogenic-headache-c-peer-reviewed-article-JPRcervicogenic headacheneck paincervical spondylosisanterior cervical decompression and fusion |
| spellingShingle | Pang X Liu C Peng B Anterior Cervical Surgery for the Treatment of Cervicogenic Headache Caused by Cervical Spondylosis Journal of Pain Research cervicogenic headache neck pain cervical spondylosis anterior cervical decompression and fusion |
| title | Anterior Cervical Surgery for the Treatment of Cervicogenic Headache Caused by Cervical Spondylosis |
| title_full | Anterior Cervical Surgery for the Treatment of Cervicogenic Headache Caused by Cervical Spondylosis |
| title_fullStr | Anterior Cervical Surgery for the Treatment of Cervicogenic Headache Caused by Cervical Spondylosis |
| title_full_unstemmed | Anterior Cervical Surgery for the Treatment of Cervicogenic Headache Caused by Cervical Spondylosis |
| title_short | Anterior Cervical Surgery for the Treatment of Cervicogenic Headache Caused by Cervical Spondylosis |
| title_sort | anterior cervical surgery for the treatment of cervicogenic headache caused by cervical spondylosis |
| topic | cervicogenic headache neck pain cervical spondylosis anterior cervical decompression and fusion |
| url | https://www.dovepress.com/anterior-cervical-surgery-for-the-treatment-of-cervicogenic-headache-c-peer-reviewed-article-JPR |
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