Update on the management of axial neck pain, cervical radiculopathy, and myelopathy

2008 ◽  
Vol 19 (4) ◽  
pp. 425-429
Author(s):  
Paul D Kim ◽  
Steven C Ludwig ◽  
Daniel Gelb ◽  
Kornelis Poelstra
Keyword(s):  
Neck Pain ◽  
Cervical Radiculopathy ◽  
Axial Neck Pain

MECHANICAL NECK PAIN ANDCERVICOGENIC HEADACHE

Neurosurgery ◽  
2007 ◽  
Vol 60 (suppl_1) ◽  
pp. S1-21-S1-27 ◽  
Author(s):  
Nicholas U. Ahn ◽  
Uri M. Ahn ◽  
Brian Ipsen ◽  
Howard S. An
Keyword(s):  
Differential Diagnosis ◽  
Neck Pain ◽  
Cervical Spondylosis ◽  
Cervical Radiculopathy ◽  
Common Symptom ◽  
Axial Neck Pain ◽  
Work Up

Abstract MECHANICAL NECK PAIN is a very common symptom that may occur with cervical spondylosis. It can be associated with cervical radiculopathy and myelopathy or can occur in isolation. Neck pain can result from a variety of causes, including trauma, tumor, infection, and degeneration. The presentation of axial neck pain varies. This article highlights the presentation, differential diagnosis, and appropriate work-up for the patient who presents with mechanical neck pain.

Impact of Axial Neck Pain on Quality of Life After Laminoplasty

Spine ◽  
2015 ◽  
Vol 40 (24) ◽  
pp. E1292-E1298 ◽  
Author(s):  
Atsushi Kimura ◽  
Teruaki Endo ◽  
Hirokazu Inoue ◽  
Atsushi Seichi ◽  
Katsushi Takeshita
Keyword(s):  
Quality Of Life ◽  
Neck Pain ◽  
Axial Neck Pain

scholarly journals Effect of preservation of the C-6 spinous process and its paraspinal muscular attachment on the prevention of postoperative axial neck pain in C3–6 laminoplasty

2015 ◽  
Vol 22 (3) ◽  
pp. 221-229 ◽  
Author(s):  
Eiji Mori ◽  
Takayoshi Ueta ◽  
Takeshi Maeda ◽  
Itaru Yugué ◽  
Osamu Kawano ◽  
...  
Keyword(s):  
Neck Pain ◽  
Spinous Process ◽  
Posterior Longitudinal Ligament ◽  
Paraspinal Muscle ◽  
Vas Scores ◽  
The Mean ◽  
Axial Neck Pain ◽  
Process Length ◽  
Preservation Technique

OBJECT Axial neck pain after C3–6 laminoplasty has been reported to be significantly lesser than that after C3–7 laminoplasty because of the preservation of the C-7 spinous process and the attachment of nuchal muscles such as the trapezius and rhomboideus minor, which are connected to the scapula. The C-6 spinous process is the second longest spinous process after that of C-7, and it serves as an attachment point for these muscles. The effect of preserving the C-6 spinous process and its muscular attachment, in addition to preservation of the C-7 spinous process, on the prevention of axial neck pain is not well understood. The purpose of the current study was to clarify whether preservation of the paraspinal muscles of the C-6 spinous process reduces postoperative axial neck pain compared to that after using nonpreservation techniques. METHODS The authors studied 60 patients who underwent C3–6 double-door laminoplasty for the treatment of cervical spondylotic myelopathy or cervical ossification of the posterior longitudinal ligament; the minimum follow-up period was 1 year. Twenty-five patients underwent a C-6 paraspinal muscle preservation technique, and 35 underwent a C-6 nonpreservation technique. A visual analog scale (VAS) and VAS grading (Grades I–IV) were used to assess axial neck pain 1–3 months after surgery and at the final follow-up examination. Axial neck pain was classified as being 1 of 5 types, and its location was divided into 5 areas. The potential correlation between the C-6/C-7 spinous process length ratio and axial neck pain was examined. RESULTS The mean VAS scores (± SD) for axial neck pain were comparable between the C6-preservation group and the C6-nonpreservation group in both the early and late postoperative stages (4.1 ± 3.1 vs 4.0 ± 3.2 and 3.8 ± 2.9 vs 3.6 ± 3.0, respectively). The distribution of VAS grades was comparable in the 2 groups in both postoperative stages. Stiffness was the most prevalent complaint in both groups (64.0% and 54.5%, respectively), and the suprascapular region was the most common site in both groups (60.0% and 57.1%, respectively). The types and locations of axial neck pain were also similar between the groups. The C-6/C-7 spinous process length ratios were similar in the groups, and they did not correlate with axial neck pain. The reductions of range of motion and changes in sagittal alignment after surgery were also similar. CONCLUSIONS The C-6 paraspinal muscle preservation technique was not superior to the C6-nonpreservation technique for preventing postoperative axial neck pain.

SURGICAL TREATMENT OF AXIAL NECK PAIN

1999 ◽  
Vol 92 (Supplement) ◽  
pp. S52
Author(s):  
John Ratliff ◽  
Rand Voorliies
Keyword(s):  
Surgical Treatment ◽  
Neck Pain ◽  
Axial Neck Pain

Outcome Study of Surgical Treatment for Axial Neck Pain

2001 ◽  
Vol 94 (6) ◽  
pp. 595-602 ◽  
Author(s):  
JOHN RATLIFF ◽  
RAND M. VOORHIES
Keyword(s):  
Surgical Treatment ◽  
Neck Pain ◽  
Outcome Study ◽  
Axial Neck Pain

scholarly journals Axial Neck Pain after Cervical Laminoplasty

2010 ◽  
Vol 47 (2) ◽  
pp. 107 ◽  
Author(s):  
Chul Bum Cho ◽  
Chung Kee Chough ◽  
Jong Yang Oh ◽  
Hae Kwan Park ◽  
Kyung Jin Lee ◽  
...  
Keyword(s):  
Neck Pain ◽  
Cervical Laminoplasty ◽  
Axial Neck Pain

scholarly journals The impact of cervical sagittal parameters on axial neck pain in patients with cervical kyphosis

2020 ◽  
Author(s):  
Jia Li ◽  
Di Zhang ◽  
Yong Shen
Keyword(s):  
Risk Factors ◽  
Neck Pain ◽  
Sagittal Alignment ◽  
Multivariate Logistic Regression Analysis ◽  
Cervical Disc ◽  
Multivariate Logistic Regression ◽  
Cervical Kyphosis ◽  
T1 Slope ◽  
Sagittal Parameters ◽  
Axial Neck Pain

Abstract Background:Cervical sagittal alignment is closely related with cervical disc degeneration and impacts the spinal function and quality of life, especially for cervical kyphosis (CK). The purpose of this study was to evaluate the influence of cervical sagittal parameters on the axial neck pain (ANP) in patients with CK.Methods: A retrospective analysis was performed of data from 263 patients who underwent to the authors’ department of this institution between January 2012 and December 2018. Radiographic evaluations were performed at authors’ department, including CK types, C2-7 sagittal vertical axis (SVA), thoracic inlet angle (TIA), T1 slope, neck tilt (NT), cranial tilt and cervical tilt. Sagittal alignment of the cervical spine was classified into 2 types: global and regional type. Multivariate logistic regression analysis was performed to evaluate these parameters as the risk factors for ANP.Results: Patients in this study were divided into 2 groups according to ANP. There were 92 patients in ANP group and 171 patients in Non-ANP group. There was no significant difference in age (P=0.196), gender (P=0.516), TIA(P=0.139), NT (P=0.676), CK types (P=0.533), cranial tilt (P=0.332), cervical tilt (P=0.585) and cervical disc degeneration (P=0.695) between the two groups. T1 slope, C2-7 SVA in the ANP group was significantly higher than in the Non-ANP group (P < 0.05). After multivariate logistic regression analysis, C2-7 SVA (P=0.003, OR 2.318, 95% CI 1.373-4.651) and T1 slope (P=0.028, OR 2.563, 95% CI 1.186-4.669) were the two risk factors for the ANP.Conclusions: Based on this study, cervical sagittal parameters have a significant effect on the happening of axial neck pain in patients with CK. A higher T1 slope and larger C2-7 SVA are closely lead to the development of neck pain.

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