Cervical muscle strength after laminoplasty

Nakama, Sueo; Nitanai, Kikuko; Oohashi, Yoichi; Endo, Teruaki; Hoshino, Yuichi

doi:10.1007/s007760300006

Cited by 23 publications

(18 citation statements)

References 5 publications

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“…Some studies [22,40,41] demonstrated that more posterior muscle atrophy following operative invasion may relate to more postoperative axial pain. Axial pain within a few months after surgery is due to surgical trauma to the muscles, whereas chronic axial pain derives from an imbalance of the flexor and extensor muscle strengths [29]. Therefore, the increase in muscle strength may diminish axial pain.…”

Section: Discussionmentioning

confidence: 99%

“…Only one study [29] reported that the incidence of axial pain in women was twice as much as in men. The incidence of postoperative axial pain was reported to increase in three studies [16,30,47] and to decline in three [2,20,21], respectively, as compared to preoperatively.…”

Section: Clinical Featuresmentioning

confidence: 99%

“…Other clinical factors including improvement ratio (IR) in muscle strength [29], chin-chest distance [19] or both were related to postoperative axial pain ( Table 1). The results showed that extensor/flexor muscle strength ratio was significantly higher in the axial pain group 1 year after surgery than no axial pain group, indicating that neck pain was derived from an imbalance of the two muscle strengths.…”

Section: Othersmentioning

confidence: 99%

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Axial pain after posterior cervical spine surgery: a systematic review

et al. 2010

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Posterior operative approach has been the standard treatment for cervical compressive myelopathy, and axial pain after laminoplasty or laminectomy as a postoperative complication is now gradually receiving more and more attention. The objective of this study was to provide a systematic review of the current understanding of axial pain after cervical laminoplasty and laminectomy, and summarize clinical features, influence factors and preventive measures of axial pain after posterior decompressive surgery based on a review of literature published in the English language. Axial pain distributes over nuchal, periscapular and shoulder regions. Posterior surgery is not the major cause of axial pain, but axial pain can be worsened by the procedure. There are many clinical factors that influence postoperative axial pain such as age, preoperative axial pain, different surgical technique and postoperative management, but most of them are still controversial. Several surgical modifications have been innovated to reduce axial pain. Less invasive surgery, reconstruction of the extensor musculature, avoiding detachment of the semispinalis cervicis muscle and early removal of external immobilization have proved to be effective. Axial pain is under the influence of multiple factors, so comprehensive methods are required to reduce and avoid the postoperative axial pain. Because of methodological shortcomings in publications included in this systematic review, different results from different studies may be produced due to differences in study design, evaluation criteria, sample size, and incidence or severity of axial pain. More high-quality studies are necessary for drawing more reliable and convincing conclusions.

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Section: Discussionmentioning

confidence: 99%

Section: Clinical Featuresmentioning

confidence: 99%

Section: Othersmentioning

confidence: 99%

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Axial pain after posterior cervical spine surgery: a systematic review

et al. 2010

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“…Also, pain, disability and other symptoms are subjective in nature and may depend on many other factors than the problem itself. The assessment of physical impairments of the neck has been proposed as a more objective measure for the diagnosis and prognosis of neck pain and headache as well as an essential part of their overall management (Strimpakos et al, 2005b;Jull et al, 1999;Hermann and Reese, 2001;Dumas et al, 2001;Nakama et al, 2003;Strimpakos et al, 2004;Strimpakos et al, 2005a;Strimpakos et al, 2006;Nordin et al, 2008;Vaillant et al, 2008).…”

Section: Introductionmentioning

confidence: 97%

The assessment of the cervical spine. Part 1: Range of motion and proprioception

Στριμπάκος

2011

Journal of Bodywork and Movement Therapies

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Neck pain and headache of cervical origin are complaints affecting an increasing number of the general population. Mechanical factors such as sustained neck postures or movements and long-term "abnormal" physiologic loads on the neck are believed to affect the cervical structures and compromise neck function. A comprehensive assessment of neck function requires evaluation of its physical parameters such as range of motion, proprioception, strength and endurance/fatigue. The complicated structure of the cervical spine however, makes it difficult for any clinician to obtain reliable and valid results. The aim of the first part of this systematic critical review is to identify the factors influencing the assessment of range of motion and proprioception of the cervical spine.

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“…The exact cause of axial pain remains controversial. Axial pain within a few months after surgery is due to surgical trauma to the muscles, whereas chronic axial pain may derive from an imbalance of the flexor and extensor muscle strengths [27]. After open-door laminoplasty, the spinous processes were positioned obliquely and patients were susceptible to result in axial pain.…”

Section: Discussionmentioning

confidence: 99%