Non-collar Fixation and Early Ambulation after Cervical Laminoplasty.

Hashimoto, Noburo; Nomura, Kazutoshi; Hirano, Mako; Fukumoto, Tetsuya; Urata, Shinichi; Sato, Hiroo; Kenii, I

doi:10.5035/nishiseisai.49.1002

Cited by 2 publications

(4 citation statements)

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“…Several possible causes of axial pain after laminoplasty have been proposed, 19 and some surgeons have recently reported that axial pain can be reduced by early postoperative ROM exercise, with a shorter duration of neck collar wear than generally prescribed, or preservation of cervical extensor muscles during surgery. 21,22 However, this issue remains controversial. Further study is needed to clarify the pathomechanisms underlying axial pain after laminoplasty and, consequently, to establish effective measures for prevention of this notorious complication.…”

Section: Discussionmentioning

confidence: 98%

Long-Term Outcome of Laminoplasty for Cervical Myelopathy Due to Disc Herniation

Sakaura¹,

Hosono²,

Mukai³

et al. 2005

Spine

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Because the 2 procedures provided the same neurologic improvement, the risks of bone graft complication with ASF must be weighed against the risks of chronic neck pain associated with laminoplasty for determining the best technique. Therefore, because our present surgical strategy for cervical myelopathy due to disc herniation, laminoplasty is the procedure of choice except for a patient with single level disc herniation without developmental canal stenosis, who is considered to be a good candidate for ASF.

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Section: Discussionmentioning

confidence: 98%

Long-Term Outcome of Laminoplasty for Cervical Myelopathy Due to Disc Herniation

Sakaura¹,

Hosono²,

Mukai³

et al. 2005

Spine

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show abstract

“…8 Recently, many surgeons have indicated that nuchal muscles may be directly involved in this complication. [10][11][12][13] However, few studies have examined local pain after posterior thoracic spine surgery. The outcomes of spine surgery should be evaluated using both neurologic recovery and axial symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…3 Conversely, neck and shoulder pain, as so-called axial pain, has come to be recognized as a key complication after cervical laminoplasty. [8][9][10][11][12][13] For 25% of patients undergoing cervical laminoplasty, axial pain was sufficiently severe as to represent a continuous chief complaint after surgery. 8 Recently, many surgeons have indicated that nuchal muscles may be directly involved in this complication.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7] Since the first report of intractable neck and shoulder pain as a noticeable complication after cervical laminoplasty by Hosono et al, 8 postlaminoplasty axial pain has come to be recognized as one of the most notorious complications. [9][10][11][12][13] However, to our knowledge, little information is available concerning local pain associated with posterior thoracic spine surgery. We therefore prospectively investigated the frequency and clinical features of local pain in patients undergoing posterior spine surgery for thoracic lesions and discuss herein the possible pathogenesis of persistent local pain after surgery.…”

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confidence: 97%

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Persistent Local Pain After Posterior Spine Surgery for Thoracic Lesions

Sakaura¹,

Hosono²,

Mukai³

et al. 2007

Journal of Spinal Disorders &Amp; Techniques

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Many surgeons have investigated local pain associated with posterior spine surgery for cervical or lumbar lesions. However, little information is available concerning local pain after posterior thoracic spine surgery. This prospective study was, thus, performed to investigate the frequency and clinical features of local pain after posterior spine surgery for thoracic lesions. In 29 consecutive patients undergoing posterior spine surgery for various thoracic spinal disorders, local pain was investigated before and after surgery. In all 19 patients with preoperative back pain presumably due to thoracic lesions, pain was well alleviated after surgery. In contrast, 6 patients (21%) newly developed persistent shoulder angle pain after surgery, which resembled axial pain after cervical laminoplasty. In 5 of these 6 patients surgical exposure was extended to the cervicothoracic junction, whereas persistent shoulder angle pain was independent of disease etiologies and surgical procedure, and all of the 5 patients had no other etiologies of local pain such as surgical site infections, hardware failures, pseudoarthrosis, other metastasis, and vertebral fractures. These results suggest that dissection of muscle attachments to the cervicothoracic junction would play some part in the development of persistent local pain after posterior spine surgery for thoracic lesions, although surgical exposure of the zygapophysial joints at the cervicothoracic junction might be a possible source of postoperative shoulder pain. Therefore, to minimize such surgical complications, muscle insertions into the cervicothoracic junction should be preserved as far as possible.

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Non-collar Fixation and Early Ambulation after Cervical Laminoplasty.

Cited by 2 publications

References 0 publications

Long-Term Outcome of Laminoplasty for Cervical Myelopathy Due to Disc Herniation

Long-Term Outcome of Laminoplasty for Cervical Myelopathy Due to Disc Herniation

Persistent Local Pain After Posterior Spine Surgery for Thoracic Lesions

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