Neurological improvement is associated with neck pain attenuation after surgery for cervical ossification of the posterior longitudinal ligament
Abstract Although favourable surgical outcomes for myelopathy caused by cervical ossification of the posterior longitudinal ligament (OPLL) have been reported, factors significantly associated with post-operative neck pain attenuation still remain unclear. The primary aim of the present study was to...
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| Format: | Article |
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Nature Portfolio
2021-06-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-021-91268-2 |
| _version_ | 1818343672428625920 |
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| author | Masao Koda Toshitaka Yoshii Satoru Egawa Kenichiro Sakai Kazuo Kusano Yukihiro Nakagawa Takashi Hirai Kanichiro Wada Keiichi Katsumi Atsushi Kimura Takeo Furuya Satoshi Maki Narihito Nagoshi Kota Watanabe Tsukasa Kanchiku Yukitaka Nagamoto Yasushi Oshima Kei Ando Hiroaki Nakashima Masahiko Takahata Kanji Mori Hideaki Nakajima Kazuma Murata Shunji Matsunaga Takashi Kaito Kei Yamada Sho Kobayashi Satoshi Kato Tetsuro Ohba Satoshi Inami Shunsuke Fujibayashi Hiroyuki Katoh Haruo Kanno Hiroshi Takahashi Kengo Fujii Masayuki Miyagi Gen Inoue Masashi Takaso Shiro Imagama Yoshiharu Kawaguchi Katsushi Takeshita Masaya Nakamura Morio Matsumoto Atsushi Okawa Masashi Yamazaki |
| author_facet | Masao Koda Toshitaka Yoshii Satoru Egawa Kenichiro Sakai Kazuo Kusano Yukihiro Nakagawa Takashi Hirai Kanichiro Wada Keiichi Katsumi Atsushi Kimura Takeo Furuya Satoshi Maki Narihito Nagoshi Kota Watanabe Tsukasa Kanchiku Yukitaka Nagamoto Yasushi Oshima Kei Ando Hiroaki Nakashima Masahiko Takahata Kanji Mori Hideaki Nakajima Kazuma Murata Shunji Matsunaga Takashi Kaito Kei Yamada Sho Kobayashi Satoshi Kato Tetsuro Ohba Satoshi Inami Shunsuke Fujibayashi Hiroyuki Katoh Haruo Kanno Hiroshi Takahashi Kengo Fujii Masayuki Miyagi Gen Inoue Masashi Takaso Shiro Imagama Yoshiharu Kawaguchi Katsushi Takeshita Masaya Nakamura Morio Matsumoto Atsushi Okawa Masashi Yamazaki |
| author_sort | Masao Koda |
| collection | DOAJ |
| description | Abstract Although favourable surgical outcomes for myelopathy caused by cervical ossification of the posterior longitudinal ligament (OPLL) have been reported, factors significantly associated with post-operative neck pain attenuation still remain unclear. The primary aim of the present study was to determine factors significantly associated with post-operative neck pain attenuation in patients with cervical OPLL using a prospective multi-centre registry of surgically treated cervical OPLL. Significant postoperative neck pain reduction (50% reduction of neck pain) was achieved in 31.3% of patients. There was no significant difference in neck pain attenuation between surgical procedures. Statistical analyses with univariate analyses followed by stepwise logistic regression revealed neurological recovery as a factor having a significant positive association with post-operative neck pain attenuation (p = 0.04, odds ratio 5.68 (95% confidence interval: 1.27–22.2)). In conclusion, neurological recovery was an independent factor having a significant positive association with post-operative neck pain attenuation in patients with cervical myelopathy caused by OPLL who underwent cervical spine surgery. |
| first_indexed | 2024-12-13T16:34:18Z |
| format | Article |
| id | doaj.art-fa8e3cf27d6940c19133ae67f2c4e2d7 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-12-13T16:34:18Z |
| publishDate | 2021-06-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-fa8e3cf27d6940c19133ae67f2c4e2d72022-12-21T23:38:27ZengNature PortfolioScientific Reports2045-23222021-06-011111910.1038/s41598-021-91268-2Neurological improvement is associated with neck pain attenuation after surgery for cervical ossification of the posterior longitudinal ligamentMasao Koda0Toshitaka Yoshii1Satoru Egawa2Kenichiro Sakai3Kazuo Kusano4Yukihiro Nakagawa5Takashi Hirai6Kanichiro Wada7Keiichi Katsumi8Atsushi Kimura9Takeo Furuya10Satoshi Maki11Narihito Nagoshi12Kota Watanabe13Tsukasa Kanchiku14Yukitaka Nagamoto15Yasushi Oshima16Kei Ando17Hiroaki Nakashima18Masahiko Takahata19Kanji Mori20Hideaki Nakajima21Kazuma Murata22Shunji Matsunaga23Takashi Kaito24Kei Yamada25Sho Kobayashi26Satoshi Kato27Tetsuro Ohba28Satoshi Inami29Shunsuke Fujibayashi30Hiroyuki Katoh31Haruo Kanno32Hiroshi Takahashi33Kengo Fujii34Masayuki Miyagi35Gen Inoue36Masashi Takaso37Shiro Imagama38Yoshiharu Kawaguchi39Katsushi Takeshita40Masaya Nakamura41Morio Matsumoto42Atsushi Okawa43Masashi Yamazaki44Department of Orthopedic Surgery, Faculty of Medicine, University of TsukubaDepartment of Orthopedic Surgery, Tokyo Medical and Dental UniversityDepartment of Orthopedic Surgery, Tokyo Medical and Dental UniversityDepartment of Orthopedic Surgery, Saiseikai Kawaguchi General HospitalDepartment of Orthopedic Surgery, Kudanzaka HospitalDepartment of Orthopaedic Surgery, Wakayama Medical University Kihoku HospitalDepartment of Orthopedic Surgery, Tokyo Medical and Dental UniversityDepartment of Orthopedic Surgery, Hirosaki University Graduate School of MedicineDepartment of Orthopedic Surgery, Niigata University Medicine and Dental General HospitalDepartment of Orthopedics, Jichi Medical UniversityDepartment of Orthopedic Surgery, Chiba University Graduate School of MedicineDepartment of Orthopedic Surgery, Chiba University Graduate School of MedicineDepartment of Orthopaedic Surgery, School of Medicine, Keio UniversityDepartment of Orthopaedic Surgery, School of Medicine, Keio UniversityDepartment of Orthopedic Surgery, Yamaguchi University School of MedicineDepartment of Orthopedic Surgery, Osaka Rosai HospitalDepartment of Orthopaedic Surgery, Faculty of Medicine, The University of TokyoDepartment of Orthopedic Surgery, Nagoya University Graduate School of MedicineDepartment of Orthopedic Surgery, Nagoya University Graduate School of MedicineDepartment of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido UniversityDepartment of Orthopaedic Surgery, Shiga University of Medical ScienceDepartment of Orthopaedics and Rehabilitation Medicine, Faculty of Medical Sciences, University of FukuiDepartment of Orthopedic Surgery, Tokyo Medical UniversityDepartment of Orthopedic Surgery, Imakiire General HospitalDepartment of Orthopedic Surgery, Graduate School of Medicine, Osaka UniversityDepartment of Orthopaedic Surgery, Kurume University School of MedicineDepartment of Orthopedic Surgery, Hamamatsu University School of MedicineDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kanazawa UniversityDepartment of Orthopedic Surgery, University of YamanashiDepartment of Orthopaedic Surgery, Dokkyo Medical University School of MedicineDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kyoto UniversityDepartment of Orthopedic Surgery, Surgical Science, Tokai University School of MedicineDepartment of Orthopaedic Surgery, Tohoku University School of MedicineDepartment of Orthopedic Surgery, Faculty of Medicine, University of TsukubaDepartment of Orthopedic Surgery, Faculty of Medicine, University of TsukubaDepartment of Orthopaedic Surgery, Kitasato University School of Medicine, Minami WardDepartment of Orthopaedic Surgery, Kitasato University School of Medicine, Minami WardDepartment of Orthopaedic Surgery, Kitasato University School of Medicine, Minami WardDepartment of Orthopedic Surgery, Nagoya University Graduate School of MedicineDepartment of Orthopedic Surgery, Faculty of Medicine, University of ToyamaDepartment of Orthopedics, Jichi Medical UniversityDepartment of Orthopaedic Surgery, School of Medicine, Keio UniversityDepartment of Orthopaedic Surgery, School of Medicine, Keio UniversityDepartment of Orthopedic Surgery, Tokyo Medical and Dental UniversityDepartment of Orthopedic Surgery, Faculty of Medicine, University of TsukubaAbstract Although favourable surgical outcomes for myelopathy caused by cervical ossification of the posterior longitudinal ligament (OPLL) have been reported, factors significantly associated with post-operative neck pain attenuation still remain unclear. The primary aim of the present study was to determine factors significantly associated with post-operative neck pain attenuation in patients with cervical OPLL using a prospective multi-centre registry of surgically treated cervical OPLL. Significant postoperative neck pain reduction (50% reduction of neck pain) was achieved in 31.3% of patients. There was no significant difference in neck pain attenuation between surgical procedures. Statistical analyses with univariate analyses followed by stepwise logistic regression revealed neurological recovery as a factor having a significant positive association with post-operative neck pain attenuation (p = 0.04, odds ratio 5.68 (95% confidence interval: 1.27–22.2)). In conclusion, neurological recovery was an independent factor having a significant positive association with post-operative neck pain attenuation in patients with cervical myelopathy caused by OPLL who underwent cervical spine surgery.https://doi.org/10.1038/s41598-021-91268-2 |
| spellingShingle | Masao Koda Toshitaka Yoshii Satoru Egawa Kenichiro Sakai Kazuo Kusano Yukihiro Nakagawa Takashi Hirai Kanichiro Wada Keiichi Katsumi Atsushi Kimura Takeo Furuya Satoshi Maki Narihito Nagoshi Kota Watanabe Tsukasa Kanchiku Yukitaka Nagamoto Yasushi Oshima Kei Ando Hiroaki Nakashima Masahiko Takahata Kanji Mori Hideaki Nakajima Kazuma Murata Shunji Matsunaga Takashi Kaito Kei Yamada Sho Kobayashi Satoshi Kato Tetsuro Ohba Satoshi Inami Shunsuke Fujibayashi Hiroyuki Katoh Haruo Kanno Hiroshi Takahashi Kengo Fujii Masayuki Miyagi Gen Inoue Masashi Takaso Shiro Imagama Yoshiharu Kawaguchi Katsushi Takeshita Masaya Nakamura Morio Matsumoto Atsushi Okawa Masashi Yamazaki Neurological improvement is associated with neck pain attenuation after surgery for cervical ossification of the posterior longitudinal ligament Scientific Reports |
| title | Neurological improvement is associated with neck pain attenuation after surgery for cervical ossification of the posterior longitudinal ligament |
| title_full | Neurological improvement is associated with neck pain attenuation after surgery for cervical ossification of the posterior longitudinal ligament |
| title_fullStr | Neurological improvement is associated with neck pain attenuation after surgery for cervical ossification of the posterior longitudinal ligament |
| title_full_unstemmed | Neurological improvement is associated with neck pain attenuation after surgery for cervical ossification of the posterior longitudinal ligament |
| title_short | Neurological improvement is associated with neck pain attenuation after surgery for cervical ossification of the posterior longitudinal ligament |
| title_sort | neurological improvement is associated with neck pain attenuation after surgery for cervical ossification of the posterior longitudinal ligament |
| url | https://doi.org/10.1038/s41598-021-91268-2 |
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