Scientific Reports (Jun 2021)
Neurological improvement is associated with neck pain attenuation after surgery for cervical ossification of the posterior longitudinal ligament
- Masao Koda,
- Toshitaka Yoshii,
- Satoru Egawa,
- Kenichiro Sakai,
- Kazuo Kusano,
- Yukihiro Nakagawa,
- Takashi Hirai,
- Kanichiro Wada,
- Keiichi Katsumi,
- Atsushi Kimura,
- Takeo Furuya,
- Satoshi Maki,
- Narihito Nagoshi,
- Kota Watanabe,
- Tsukasa Kanchiku,
- Yukitaka Nagamoto,
- Yasushi Oshima,
- Kei Ando,
- Hiroaki Nakashima,
- Masahiko Takahata,
- Kanji Mori,
- Hideaki Nakajima,
- Kazuma Murata,
- Shunji Matsunaga,
- Takashi Kaito,
- Kei Yamada,
- Sho Kobayashi,
- Satoshi Kato,
- Tetsuro Ohba,
- Satoshi Inami,
- Shunsuke Fujibayashi,
- Hiroyuki Katoh,
- Haruo Kanno,
- Hiroshi Takahashi,
- Kengo Fujii,
- Masayuki Miyagi,
- Gen Inoue,
- Masashi Takaso,
- Shiro Imagama,
- Yoshiharu Kawaguchi,
- Katsushi Takeshita,
- Masaya Nakamura,
- Morio Matsumoto,
- Atsushi Okawa,
- Masashi Yamazaki
Affiliations
- Masao Koda
- Department of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba
- Toshitaka Yoshii
- Department of Orthopedic Surgery, Tokyo Medical and Dental University
- Satoru Egawa
- Department of Orthopedic Surgery, Tokyo Medical and Dental University
- Kenichiro Sakai
- Department of Orthopedic Surgery, Saiseikai Kawaguchi General Hospital
- Kazuo Kusano
- Department of Orthopedic Surgery, Kudanzaka Hospital
- Yukihiro Nakagawa
- Department of Orthopaedic Surgery, Wakayama Medical University Kihoku Hospital
- Takashi Hirai
- Department of Orthopedic Surgery, Tokyo Medical and Dental University
- Kanichiro Wada
- Department of Orthopedic Surgery, Hirosaki University Graduate School of Medicine
- Keiichi Katsumi
- Department of Orthopedic Surgery, Niigata University Medicine and Dental General Hospital
- Atsushi Kimura
- Department of Orthopedics, Jichi Medical University
- Takeo Furuya
- Department of Orthopedic Surgery, Chiba University Graduate School of Medicine
- Satoshi Maki
- Department of Orthopedic Surgery, Chiba University Graduate School of Medicine
- Narihito Nagoshi
- Department of Orthopaedic Surgery, School of Medicine, Keio University
- Kota Watanabe
- Department of Orthopaedic Surgery, School of Medicine, Keio University
- Tsukasa Kanchiku
- Department of Orthopedic Surgery, Yamaguchi University School of Medicine
- Yukitaka Nagamoto
- Department of Orthopedic Surgery, Osaka Rosai Hospital
- Yasushi Oshima
- Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo
- Kei Ando
- Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine
- Hiroaki Nakashima
- Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine
- Masahiko Takahata
- Department of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University
- Kanji Mori
- Department of Orthopaedic Surgery, Shiga University of Medical Science
- Hideaki Nakajima
- Department of Orthopaedics and Rehabilitation Medicine, Faculty of Medical Sciences, University of Fukui
- Kazuma Murata
- Department of Orthopedic Surgery, Tokyo Medical University
- Shunji Matsunaga
- Department of Orthopedic Surgery, Imakiire General Hospital
- Takashi Kaito
- Department of Orthopedic Surgery, Graduate School of Medicine, Osaka University
- Kei Yamada
- Department of Orthopaedic Surgery, Kurume University School of Medicine
- Sho Kobayashi
- Department of Orthopedic Surgery, Hamamatsu University School of Medicine
- Satoshi Kato
- Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kanazawa University
- Tetsuro Ohba
- Department of Orthopedic Surgery, University of Yamanashi
- Satoshi Inami
- Department of Orthopaedic Surgery, Dokkyo Medical University School of Medicine
- Shunsuke Fujibayashi
- Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University
- Hiroyuki Katoh
- Department of Orthopedic Surgery, Surgical Science, Tokai University School of Medicine
- Haruo Kanno
- Department of Orthopaedic Surgery, Tohoku University School of Medicine
- Hiroshi Takahashi
- Department of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba
- Kengo Fujii
- Department of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba
- Masayuki Miyagi
- Department of Orthopaedic Surgery, Kitasato University School of Medicine, Minami Ward
- Gen Inoue
- Department of Orthopaedic Surgery, Kitasato University School of Medicine, Minami Ward
- Masashi Takaso
- Department of Orthopaedic Surgery, Kitasato University School of Medicine, Minami Ward
- Shiro Imagama
- Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine
- Yoshiharu Kawaguchi
- Department of Orthopedic Surgery, Faculty of Medicine, University of Toyama
- Katsushi Takeshita
- Department of Orthopedics, Jichi Medical University
- Masaya Nakamura
- Department of Orthopaedic Surgery, School of Medicine, Keio University
- Morio Matsumoto
- Department of Orthopaedic Surgery, School of Medicine, Keio University
- Atsushi Okawa
- Department of Orthopedic Surgery, Tokyo Medical and Dental University
- Masashi Yamazaki
- Department of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba
- DOI
- https://doi.org/10.1038/s41598-021-91268-2
- Journal volume & issue
-
Vol. 11,
no. 1
pp. 1 – 9
Abstract
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.
