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- Title
Neurological improvement is associated with neck pain attenuation after surgery for cervical ossification of the posterior longitudinal ligament.
- Authors
Koda, Masao; Yoshii, Toshitaka; Egawa, Satoru; Sakai, Kenichiro; Kusano, Kazuo; Nakagawa, Yukihiro; Hirai, Takashi; Wada, Kanichiro; Katsumi, Keiichi; Kimura, Atsushi; Furuya, Takeo; Maki, Satoshi; Nagoshi, Narihito; Watanabe, Kota; Kanchiku, Tsukasa; Nagamoto, Yukitaka; Oshima, Yasushi; Ando, Kei; Nakashima, Hiroaki; Takahata, Masahiko
- 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.
- Subjects
NECK pain; POSTERIOR longitudinal ligament; OSSIFICATION; SPINAL cord diseases; UNIVARIATE analysis
- Publication
Scientific Reports, 2021, Vol 11, Issue 1, p1
- ISSN
2045-2322
- Publication type
Article
- DOI
10.1038/s41598-021-91268-2