Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Spine
Abstract number: 26346
NECK PAIN WITH CERVICAL SPONDYLOTIC MYELOPATHY; POSTERIOR
PROCEDURES WORSEN NECK PAIN: IS IT TRUE?
Koji OTANI, Shin-ichi KIKUCHI, Shoji YABUKI, Akira ONDA, Takuya NIKAIDO,
Kazuyuki WATANABE, Shin-ichi KONNO
Fukushima Medical University School of Medicine, Fukushima (JAPAN)
Laminoplasty has been widely accepted for the treatment of cervical compressive
myelopathy. However, some disadvantage has been pointed out, such as loss of
cervical lordosis and range of motion, and neck pain (axial neck symptoms). We have
performed segmental partial laminectomy (SPL) in patients with cervical spondylotic
myelopathy (CSM) in order to resolve those problems (Spine 2009). The purpose of
this study was to assess pre- and postoperative neck pain after SPL for CSM and to
clarify the detail of pre- and postoperative neck pain. SPL was performed in eightyseven
patients with CSM. Outcome was prospectively assessed for JOA score and
neck complaints (before op. 6m and 1y after op). Neck complaints were assessed
using 6 items (1) neck pain today, 2) neck pain on the average, 3) neck pain at worst,
4) neck stiffness, 5) limitation of the neck-turning, and 6) limitation of neck-up or
down from Neck pain and disability scale (Wheeler, 1999). More than 2 of 10 (NRS:
numerical rating scale) was judged as positive neck symptom. From the present
study, there might be two types of neck pain with CSM. One is that posterior
decompression of spinal cord could improve neck symptoms and another is that
posterior procedure could not decrease neck pain. We should make attention to
those two types of neck symptoms in discussion of neck complaints regarding
posterior procedure.
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