Effect of Preserving Paraspinal Muscles on Postoperative Axial Pain in the Selective Cervical Laminoplasty

Kato, Minori; Nakamura, Hiroaki; Konishi, Sadahiko; Dohzono, Sho; Toyoda, Hiromitsu; Fukushima, Wakaba; Kondo, Kyoko; Matsuda, Hideki

doi:10.1097/brs.0b013e318178e607

Cited by 80 publications

(83 citation statements)

References 20 publications

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“…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. One study [31] showed postoperative aggravation of axial pain, whereas five [1,2,11,25,42] reported pain alleviation.…”

Section: Clinical Featuresmentioning

confidence: 98%

“…Most of the patients experienced neck and shoulder pain in the early postoperative stages, and then these symptoms subsided gradually [10,22,42,48]. However, intractable axial pain might persist for more than 10 years after surgery [35], and often influences patients' quality of life [1,2,15,16,36,47].…”

Section: Clinical Featuresmentioning

confidence: 99%

“…The incidence of newly developed, worsened or improved pain after surgery was reported in two studies [16,47]. Only one study [29] reported that the incidence of axial pain in women was twice as much as in men.…”

Section: Clinical Featuresmentioning

confidence: 99%

“…Three studies [19,30,47] found no significant difference in age between mild and severe axial pain group, or between axial pain and no axial pain group. One study [16] found that older age ([63 years) significantly decreased the risk of postoperative axial pain (Table 1). Another study [47], on the contrary, showed that axial pain was significantly higher in patients older than 70 years of age.…”

Section: Agementioning

confidence: 99%

“…Since first described in 1996 [10], axial pain has been defined as pain from the nuchal to the periscapular or shoulder region [1,2,16,22,30,38]. Such a complication has been reported mainly after posterior cervical surgery, but has been documented also in the anterior procedure.…”

Section: Introductionmentioning

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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