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Does reconstruction of posterior ligamentous complex with extensor musculature decrease axial symptoms after cervical

Munehito Yoshida¹, Tetsuya Tamaki, Mamoru Kawakami

¹Department of Orthopaedic Surgery, Wakayama Medical College, Wakayama, Japan. myoshida@wakayama-med.ac.jp

|July 20, 2002

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Expansive laminoplasty for cervical myelopathy did not significantly impact axial symptoms. Most patients experienced minimal or no new neck and shoulder pain post-surgery, indicating the procedure

Area of Science:

Neurosurgery
Orthopedic Surgery
Spinal Surgery

Background:

Laminoplasty for cervical myelopathy generally yields positive outcomes.
However, axial symptoms (neck and shoulder pain) can be a significant complication.
These symptoms may impact patients' daily activities.

Purpose of the Study:

To determine the prevalence of preoperative and postoperative axial symptoms following expansive laminoplasty.
To assess the influence of expansive laminoplasty on existing axial symptoms.

Main Methods:

Retrospective study of 173 patients who underwent modified spinous process-splitting laminoplasty.
Investigated prevalence, grade, severity, and duration of axial symptoms before and after surgery.
Analyzed correlations with age, sex, spinal alignment, and cervical disease.

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Main Results:

14.4% of patients experienced moderate or worse neck/shoulder stiffness post-surgery.
5% experienced moderate or worse neck pain post-surgery.
Most new or worsened axial symptoms were minimal, with only one case of significant de novo pain.

Conclusions:

Expansive laminoplasty is an appropriate procedure for cervical spondylotic myelopathy.
The procedure did not demonstrate a significant influence on the development or resolution of axial symptoms.