{"title":"术后C4根病变可能导致颈椎椎板成形术后的轴性疼痛。","authors":"Kaho Yasuda, Yoshitada Usami, Sachio Hayama, Yoshiharu Nakaya, Takashi Fujishiro, Masashi Neo","doi":"10.22603/ssrr.2023-0018","DOIUrl":null,"url":null,"abstract":"Cervical laminoplasty (CLP) is an established procedure; however, postoperative concerns such as axial pain, C5 palsy, restriction of neck motion, and loss of lordotic curvature are commonly noted. Moreover, axial pain after laminoplasty is common. However, the cause of this complication has not been fully elucidated. Several studies have suggested the origins of these complications as cervical muscles, and the preservation of paravertebral muscles and early activation of the range of motion have been recommended. Although these countermeasures improved the rate and severity of axial pain, some unexplained axial pain after CLP persists. Specifically, it is difficult to explain the laterality of the severity of the postoperative axial pain because double-door laminoplasty is a completely symmetrical procedure. This case study suggests that the C4 nerve root may contribute to postoperative axial pain. A 48-year-old woman presented with numbness in her","PeriodicalId":22253,"journal":{"name":"Spine Surgery and Related Research","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ab/37/2432-261X-7-0461.PMC10569804.pdf","citationCount":"0","resultStr":"{\"title\":\"Postoperative C4 Radiculopathy May Result in Axial Pain after Cervical Laminoplasty.\",\"authors\":\"Kaho Yasuda, Yoshitada Usami, Sachio Hayama, Yoshiharu Nakaya, Takashi Fujishiro, Masashi Neo\",\"doi\":\"10.22603/ssrr.2023-0018\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Cervical laminoplasty (CLP) is an established procedure; however, postoperative concerns such as axial pain, C5 palsy, restriction of neck motion, and loss of lordotic curvature are commonly noted. Moreover, axial pain after laminoplasty is common. However, the cause of this complication has not been fully elucidated. Several studies have suggested the origins of these complications as cervical muscles, and the preservation of paravertebral muscles and early activation of the range of motion have been recommended. Although these countermeasures improved the rate and severity of axial pain, some unexplained axial pain after CLP persists. Specifically, it is difficult to explain the laterality of the severity of the postoperative axial pain because double-door laminoplasty is a completely symmetrical procedure. This case study suggests that the C4 nerve root may contribute to postoperative axial pain. A 48-year-old woman presented with numbness in her\",\"PeriodicalId\":22253,\"journal\":{\"name\":\"Spine Surgery and Related Research\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2023-04-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ab/37/2432-261X-7-0461.PMC10569804.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Spine Surgery and Related Research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.22603/ssrr.2023-0018\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/9/27 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Spine Surgery and Related Research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.22603/ssrr.2023-0018","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/9/27 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
Postoperative C4 Radiculopathy May Result in Axial Pain after Cervical Laminoplasty.
Cervical laminoplasty (CLP) is an established procedure; however, postoperative concerns such as axial pain, C5 palsy, restriction of neck motion, and loss of lordotic curvature are commonly noted. Moreover, axial pain after laminoplasty is common. However, the cause of this complication has not been fully elucidated. Several studies have suggested the origins of these complications as cervical muscles, and the preservation of paravertebral muscles and early activation of the range of motion have been recommended. Although these countermeasures improved the rate and severity of axial pain, some unexplained axial pain after CLP persists. Specifically, it is difficult to explain the laterality of the severity of the postoperative axial pain because double-door laminoplasty is a completely symmetrical procedure. This case study suggests that the C4 nerve root may contribute to postoperative axial pain. A 48-year-old woman presented with numbness in her