Cervical laminoplasty, a surgical technique pioneered in Japan, is used increasingly in the United States. Axial neck pain following laminoplasty has been previously reported.1–9 This concern over postoperative neck pain may deter som

Chuntarapas, Tapanut

Kim, Han J

Mesfin, Addisu

Park, Moon-Soo

Piyaskulkaew, Chaiwat

Riew, K. Daniel

Song, Kwang S

Global Spine Journal

PubMed

Digital Commons@Becker

Neck pain following laminoplasty

Addisu Mesfin

Moon-soo Park

Chaiwat Piyaskulkaew

Tapanut Chuntarapas

Kwang Sup Song

Han Jo Kim

K. Daniel Riew

CiteSeerX

Neck Pain following Laminoplasty

Study Design Retrospective evaluation of prospectively collected data. Objective To compare preoperative and postoperative neck pain following laminoplasty using the Neck Disability Index (NDI). Methods Seventy-two patients undergoing laminoplasty from 2006 to 2009 at a single institution were identified. Thirty-four patients with a minimum 1-year follow-up who completed preoperative, 6-week, and 1-year postoperative NDI questionnaires were enrolled. Demographic data and surgical data including estimated blood loss (EBL), length of surgery, number of laminoplasty levels, complications, and length of hospitalization were collected. Results Mean age was 62 years (range: 34 to 88), mean follow-up was 17 months (range: 12 to 31), and there were 21 men and 13 women. Diagnoses were cervical spondylotic myelopathy ( n = 26), ossification of the posterior longitudinal ligament ( n = 6), and central cord syndrome ( n = 2). Mean EBL was 120 mL (range: 50 to 200), and mean surgical time was 152 minutes (range: 70 to 240). Average number of laminoplasty levels was 3 (range: 1 to 5). The open door technique was used, and 24/34 (71%) did not have laminoplasty at C3 and C7. No intraoperative complications were noted, and average hospital stay was 1.6 days (range: 1 to 7). Significant improvement in NDI total score was noted at 1 year ( p &lt; 0.002) and in NDI pain score at 6 weeks ( p &lt; 0.028) and 1 year ( p &lt; 0.007) postoperatively. Conclusions Patients having laminoplasty experienced significant improvement in NDI pain subscore and NDI total scores at a minimum of 1 year postoperatively. </jats:sec

Moon-Soo Park

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http://digitalcommons.wustl.edu/cgi/viewcontent.cgi?article=5529&context=open_access_pubs

Neck pain following laminoplasty

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