Neurological improvement is associated with neck pain attenuation after surgery for cervical ossification of the posterior longitudinal ligament.
Neurological improvement is associated with neck pain attenuation after surgery for cervical ossification of the posterior longitudinal ligament.
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DOI：
10.1038/s41598-021-91268-2
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发表时间：
2021-06-07
影响因子：
4.6
通讯作者：
Yamazaki M
中科院分区：
文献类型：
--
作者：
Koda M;Yoshii T;Egawa S;Sakai K;Kusano K;Nakagawa Y;Hirai T;Wada K;Katsumi K;Kimura A;Furuya T;Maki S;Nagoshi N;Watanabe K;Kanchiku T;Nagamoto Y;Oshima Y;Ando K;Nakashima H;Takahata M;Mori K;Nakajima H;Murata K;Matsunaga S;Kaito T;Yamada K;Kobayashi S;Kato S;Ohba T;Inami S;Fujibayashi S;Katoh H;Kanno H;Takahashi H;Fujii K;Miyagi M;Inoue G;Takaso M;Imagama S;Kawaguchi Y;Takeshita K;Nakamura M;Matsumoto M;Okawa A;Yamazaki M
尽管已有报道对颈椎后纵韧带骨化（OPLL）引起的脊髓病有良好的手术结果，但与术后颈部疼痛减轻显着相关的因素仍不清楚。本研究的主要目的是通过对手术治疗的颈椎后纵韧带骨化 (OPLL) 进行前瞻性多中心登记，确定与颈椎后纵韧带骨化 (OPLL) 患者术后颈部疼痛减轻显着相关的因素。 31.3% 的患者术后颈部疼痛显着减轻（颈部疼痛减轻 50%）。手术过程中颈部疼痛的减轻没有显着差异。单变量分析和逐步逻辑回归的统计分析显示，神经功能恢复是与术后颈部疼痛减轻呈显着正相关的一个因素（p = 0.04，比值比 5.68（95% 置信区间：1.27-22.2））。总之，对于接受颈椎手术的后纵韧带骨化（OPLL）引起的脊髓型颈椎病患者来说，神经功能恢复是与术后颈部疼痛减轻呈显着正相关的独立因素。
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.
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影响因子：
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作者：
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通讯作者：
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作者：
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通讯作者：
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