The Impact of Rigid Cervical Collars on Outcome of Patients Who Underwent Posterior Cervical Laminectomy and Fusion: A Retrospective Comparative Study

Khadivi, Masoud; Moghadam, Navid; Saghebdoust, Sajjad; Khan, Furqan Mohammed Yaseen; Eslamian, Mohammad; Jouibari, Morteza Faghih; Shafizadeh, Milad; Moosavi, Mersad; Zarei, Mohammad; Kordi, Ramin; Rostami, Mohsen

doi:10.31616/asj.2022.0218

Cited by 2 publications

(1 citation statement)

References 31 publications

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“…2F–I ). The wound was closed with drainage, and the patient began walking 3 hours postoperatively without external fixation of the neck [ 18 ].…”

Section: Methodsmentioning

confidence: 99%

Surgical Outcomes of Full Endoscopic Posterior Cervical Foraminotomy for Proximal Cervical Spondylotic Amyotrophy

Lee,

Ohmori,

Yoneyama

et al. 2024

Asian Spine J

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Study Design: Retrospective analysis of case series.Purpose: This study aimed to clarify the effects of full endoscopic posterior cervical foraminotomy (FPCF) on cervical spondylotic amyotrophy (CSA).Overview of Literature: The method for decompressing the ventral nerve root and anterior horn (AH) in CSA is controversial.Methods: Patients without myelopathy who underwent FPCF for proximal CSA between 2017 and 2022 were analyzed. The outcome measure was the results of the manual muscle testing (MMT) of the deltoid and biceps. Preoperative nerve root and AH compression were evaluated by magnetic resonance imaging. The intervertebral foramen morphology and bony decompression extent were evaluated by computed tomography.Results: FPCF was performed at the C4/5 level and at the C4/5 and C5/6 levels in 14 and 11 patients, respectively. The width of the narrowest intervertebral foramen was significantly narrower on the affected side than on the healthy side at the C4/5 (2.5 mm vs. 3.6 mm) and operated C5/6 (1.9 mm vs. 3.1 mm) levels. AH compression occurred at the C4/5 and C5/6 levels in 28% and 21% of the patients, respectively. Bony decompression was performed laterally beyond the narrowest foramen at the C4/5 and C5/6 levels in 96% and 91% of the patients, respectively. Compared with patients without AH compression, in those with AH compression, the lamina was resected medially by an average of >1.7 mm and >3.6 mm at the C4/5 and C5/6 levels, respectively. Furthermore, 76% and 81% of the facet joint surfaces were preserved at the C4/5 and C5/6 levels, respectively. Postoperative MMT grade improvement was excellent, good, and fair in 64%, 20%, and 16% of the patients, respectively.Conclusions: FPCF was effective for treating proximal CSA.

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“…2F–I ). The wound was closed with drainage, and the patient began walking 3 hours postoperatively without external fixation of the neck [ 18 ].…”

Section: Methodsmentioning

confidence: 99%

Surgical Outcomes of Full Endoscopic Posterior Cervical Foraminotomy for Proximal Cervical Spondylotic Amyotrophy

Lee,

Ohmori,

Yoneyama

et al. 2024

Asian Spine J

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Cervical Collar Use Following Cervical Spine Surgery

McKeon,

Alvarez,

Castaneda

et al. 2024

JBJS Reviews

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Background: The utility and risks associated with the use of cervical collars in the postoperative period after cervical spine surgery have been of debate. The purpose of this study was to systematically review the currently available evidence on the use of cervical collars after cervical spine surgery to assess their impact on outcomes. Methods: A literature search of the PubMed database was performed using keywords “cervical collar,” “anterior cervical discectomy and fusion (ACDF),” “posterior cervical decompression and fusion,” “laminoplasty,” “post-operative orthotic bracing,” “cervical decompression,” and “cervical orthosis” in all possible combinations. All English studies with the level of evidence of I to IV that were published from May 1, 1986, to December 3, 2023, were considered for inclusion. Results: A total of 25 articles meeting the inclusion criteria were identified and reviewed. Regarding anterior and posterior fusion procedures, cervical collar use demonstrated improved short-term patient-reported outcomes and pain control. While surgeon motivation for collar use was to increase fusion rates, this is not well drawn out in the literature with the majority of studies demonstrated no significant difference in fusion rates between patients who wore a cervical collar and those who did not. Regarding motion-preserving procedures such as cervical laminoplasty, patients with prolonged postoperative cervical collar use demonstrated increased rates of axial neck pain and decreased final range of motion (ROM). Conclusion: Surgeon motivation for postoperative cervical collar immobilization after completion of fusion procedures is to increase fusion rates and improve postoperative pain and disability despite this not being fully drawn out in the literature. After completion of motion-sparing procedures, the benefits of collar immobilization diminish with their prolonged use which could lead to increased rates of axial neck pain and decreased ROM. Cervical collar immobilization in the postoperative period should be considered its own intervention, with its own associated risk-benefit profile. Level of Evidence: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.

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The Impact of Rigid Cervical Collars on Outcome of Patients Who Underwent Posterior Cervical Laminectomy and Fusion: A Retrospective Comparative Study

Cited by 2 publications

References 31 publications

Surgical Outcomes of Full Endoscopic Posterior Cervical Foraminotomy for Proximal Cervical Spondylotic Amyotrophy

Surgical Outcomes of Full Endoscopic Posterior Cervical Foraminotomy for Proximal Cervical Spondylotic Amyotrophy

Cervical Collar Use Following Cervical Spine Surgery

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