Low Back Pain and Cervical Spondylotic Myelopathy

Kawakita, Eiji; Kasai, Yuichi; Uchida, Atsushi

doi:10.1177/230949900901700213

Cited by 19 publications

(14 citation statements)

References 6 publications

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“…In the present study, the outcome of surgery where 28% of patients showed significant improvement in their symptoms, while 52% showed slight improvement. No improvement was seen in 20% of patients, whereas no deterioration in symptoms noted in any of patients in this study compared with the Kawakita et al and Benzel studies (12,13) . The course of the lesion may be slow and prolonged, and the patients may either remain asymptomatic or have mild cervical pain, long periods of non-progressive disability are typical, and in a few cases, the patient's condition progressively deteriorated.…”

Section: Resultscontrasting

confidence: 54%

Assessment of Spinal Cord Compression in Patients With Cervical Spondylosis, a Clinical Prospective Study of 25 Patients

Jaizany¹,

Nema²,

Hassan³

2018

IraqiJMS

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Background: Cervical spondylosis myelopathy (CSM) is a common cause of disability in older persons. Because spondylosis is a universal finding as the patients aged. Objective: To assess the demographic and management of cervical spondylosis in a sample of Iraqi patients. Methods: This is a prospective clinical study, carried out over the period from January 2013 to December 2014, and included 25 patients with cervical spondylosis myeloradiculopathy referred for surgical intervention in Neurosurgical Department in the Al-Imamein Al-Kadhimein Medical City. General examination and full neurological assessment were performed, as well as relevant investigations, particularly; radiological assessments. All of the patients were subjected to surgery, with 17 patients (68%) were treated with laminectomy and foraminotomy, while the remaining 8 patients (32%) were treated with laminectomy only. Results: They were 14 males and 11 females, slightly affects males more than females, aged 38 to 82 years it is more common in 5th and 6th decades of life, and in rural than urban areas. Myeloradiculopathic features were the most common presenting ones with C5-C7, which were the most affected levels. General examination and full neurological assessment were performed, as well as relevant investigations, particularly; radiological assessments. All of the patients were subjected to surgery, with 17 patients (68%) were treated with laminectomy and foraminotomy, while the remaining 8 patients (32%) were treated with laminectomy only. More than half of the patients were showed slight improvement in their complaints, while significant improvement occurred in more than 28 % of patients. Despite that, 20% of patients showed no improvement in their symptomatology, however; no reported deterioration was noticed in the study. Conclusion: Myeloradiculopathic feature were the most common presenting features with C5-C7 was the most level affected. Laminectomy with foraminotomy was surgery of choice in tow third of patients, with remaining one third underwent laminectomy only. Keywords: Cervical spondylosis, spinal cord compression Citation: Jaizany AJA, Nema IS, Hassan YM. Assessment of spinal cord compression in patients with cervical spondylosis, a clinical prospective study of 25 patients. Iraqi JMS. 2018; 16(2): 152-158. doi: 10.22578/IJMS.16.2.6

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Section: Resultscontrasting

confidence: 54%

Assessment of Spinal Cord Compression in Patients With Cervical Spondylosis, a Clinical Prospective Study of 25 Patients

Jaizany¹,

Nema²,

Hassan³

2018

IraqiJMS

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“…Cervical myelopathy surgery occasionally provides long-term relief of LBP. [38][39][40] Accordingly, cervical decompression preceding lumbar surgery may be beneficial for patients with tandem spinal stenosis presenting primarily with LBP. However, treatment targets are difficult to identify because the clinical features of cervical pathology-related LBP remain unclear.…”

Section: Discussionmentioning

confidence: 99%

Relief of Low Back Pain After Posterior Decompression for Lumbar Spinal Stenosis

Kakiuchi

Wada

Harada

et al. 2021

Spine

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Study Design. A retrospective study.Objective. The aim of this study was to confirm that decompression for lumbar spinal stenosis (LSS) relieves low back pain (LBP) as adequately as it relieves leg pain and to identify predictors for inadequate LBP relief. Summary of Background Data. Although decompression for LSS is generally thought to yield worse results for LBP than for leg pain, some studies have reported similar improvements in pain scores between LBP and leg pain. To treat LBP or take measures to prevent inadequate LBP relief, reliable predictors for LBP relief should be identified. Methods. We retrospectively reviewed 175 patients who underwent posterior element-preserving decompression and evaluated the relief of LBP and leg pain using numeric rating scales (NRSs). Associations between demographic, clinical, or imaging parameters and LBP relief at 1 and 4 years were analyzed by stepwise linear regression analyses. The imaging parameters included Modic change type 1, disc degeneration, foraminal stenosis, vertebral slipping (within Grade 1), scoliosis (<158) and lordosis. Results. The mean improvements in LBP and leg pain NRS scores from baseline were 5.22 and 4.70 points (P ¼ 0.064, paired t test) at 1 year and 5.12 and 4.62 points (P ¼ 0.068) at 4 years, respectively. Poor LBP scores at 4 years were significantly associated with long-lasting LBP (beta ¼ 0.31, P < 0.0001) and moderate or severe arm symptoms with cervical spinal cord compression or intramedullary hyperintense signal on T2weighted MRI (beta ¼ 0.22, P ¼ 0.0014). The imaging parameters of the lumbar spine failed to show clear associations with poor LBP scores at 4 years, although Modic change type 1 showed a significant association with poor LBP scores at 1 year (beta ¼ 0.28, P < 0.0001). Conclusion.Posterior decompression relieves LBP as well as leg pain. Long-lasting LBP and concurrent symptomatic cervical myelopathy are important predictors for inadequate LBP relief. There were no reliable imaging parameters predictive of inadequate LBP relief. K e y w o r d s : a r m s y m p t o m , c e r v i c a l m y e l o p a t h y , decompression, disc degeneration, duration of LBP, foraminal stenosis, leg pain, low back pain, lumbar spinal stenosis, Modic change Type 1, numeric rating scale, predictor, spinous process-splitting approach, suspension laminoplasty.

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“…Interestingly, cervical myelopathy may also cause non-dermatomal extremity pain or even low back pain, known as a false-localising sign, as was present in case 2. Although the mechanism of this phenomena has not been fully established, it is proposed to result from a disorder of the spinothalamic tract 24 25…”

Section: Discussionmentioning

confidence: 99%

Rare cause of neck pain: tumours of the posterior elements of the cervical spine

2016

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Here we present two cases of primary bone tumours of the cervical spine in patients who had persistent neck pain-in one case, lasting 8 years. In each case, there was a delay in diagnosis and referral to a spine specialist was prolonged. Primary bone tumours of the spine are rare, which is in contrast to the wide prevalence of cervical neck pain. Many primary care providers may go an entire career without encountering a symptomatic primary cervical spine tumour. In this paper, we discuss the clinical course and treatment of each patient and review the current literature on primary bone tumours of the spine. Owing to the subtle roentgenographic findings of primary cervical tumours, we highlight the importance of advanced imaging in the clinical work-up of simple axial neck pain lasting >6 weeks to avoid misdiagnosis of serious pathology.

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Low Back Pain and Cervical Spondylotic Myelopathy

Abstract: In some patients, low back pain may be improved following cervical laminoplasty.

Cited by 19 publications

References 6 publications

Assessment of Spinal Cord Compression in Patients With Cervical Spondylosis, a Clinical Prospective Study of 25 Patients

Assessment of Spinal Cord Compression in Patients With Cervical Spondylosis, a Clinical Prospective Study of 25 Patients

Relief of Low Back Pain After Posterior Decompression for Lumbar Spinal Stenosis

Rare cause of neck pain: tumours of the posterior elements of the cervical spine

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