Online ISSN: 2515-8260

Keywords : neck pain

Early results of modified C4-C7 laminoplasty with C3 laminectomy for cervical spondylotic myelopathy in Indian population: An institutional experience

Trunal Patel, Parth Patel, Baiju Patel, Saral Patel

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 922-928

Introduction: Laminoplasty is indicated in patients with cervical spondylotic myelopathy
(CSM) who have multilevel cervical spinal cord compression and a neutral or lordotic
cervical spine alignment. However, axial neck pain is a common complication post-surgery,
which may be caused by surgical damage to the semispinalis cervicis (SSC) muscle
attachment on the C2 spinous process. Modified C4-C7 laminoplasty with C3 laminectomy
completely preserves the SSC insertion on C2 and reduces the incidence of axial neck pain at
subsequent follow-ups.
Aim: Our study aims to evaluate the clinical and radiological outcome of C4-C7 laminoplasty
with C3 laminectomy for CSM in the Indian population.
Materials and Methods: We performed a retrospective analysis of 21 patients who
underwent the surgery for CSM with a minimum one-year follow-up. Clinical improvement
is measured using the modified Japanese Orthopedic Association (MJOA) score and visual
analogue scale (VAS). Radiographic parameters evaluated were the C2-C7 lordosis angle and
the cervical range of motion (ROM).
Results: In our study, the mean age of the patients was 54±7.7 years, and follow-up period
was 20.5±4.6 months. At a one-year follow-up, the mean pre-operative MJOA score
improved from 9.5±1.9 to 14.9±1.1 (p<0.001). Pre-operative axial neck pain was present in
nine patients with a mean VAS score of 4.9±0.8, which improved to 3.7±0.7 (p<0.001) at
three-month follow-up. At the final follow-up, only four patients had axial neck pain with a
mean VAS score of 1.1±1.4.
Conclusion: C3 laminectomy with C4-C7 laminoplasty is a safe, effective technique, which
achieves good neurological improvement and reduces the incidence and severity of postoperative
axial neck pain in the Indian population

Correlation between neck pain characteristics and gait parameters in patients with chronic mechanical neck pain

Ebtesam Wafik Shehab; Nahed Ahmed Salem; Sandra Ahmed; Abdelaziz Abdelaziz Elsherif

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 1350-1357

Background: Neck pain is now a widely recognized musculoskeletal problem in the global community. It has been linked to a variety of problems in the cervical spine as well as other structures. Walking is a basic human activity that is simple to perform, has a low risk of injury, and has many health benefits.
Aim: The present study was done to objectively investigate if there is a relationship between neck pain characteristics and gait parameters in people who had chronic mechanical neck pain (CMNP). Material and methods: Twenty-six participants suffering chronic mechanical neck pain (G1) and twenty-six normal healthy matched subjects (G2) were assessed for neck pain characteristics and gait parameters. The visual analogue scale (VAS) was applied to assess pain intensity, the Neck disability Index (NDI) Arabic version was applied to assess neck function, and the Biodex Gait Trainer 2 TM device was used to assess spatiotemporal gait parameters.
Results: in comparison with the control group, the study group displayed a significant reduction of walking velocity, both feet step length, and left foot time of support. There were significant correlations between VAS, NDI, and gait parameters in patients with CMNP.
Conclusion: people with chronic mechanical neck pain showed a decrease in walking velocity, step length, and time on each foot. These results demonstrate that neck pain seems to have an effect on spinal health and gait.