caa a22 4500 445834773 CHVBK 20180317145327.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1007/s00586-010-1600-x doi (NATIONALLICENCE)springer-10.1007/s00586-010-1600-x Axial pain after posterior cervical spine surgery: a systematic review [Elektronische Daten] [Shan-Jin Wang, Sheng-Dan Jiang, Lei-Sheng Jiang, Li-Yang Dai] Posterior operative approach has been the standard treatment for cervical compressive myelopathy, and axial pain after laminoplasty or laminectomy as a postoperative complication is now gradually receiving more and more attention. The objective of this study was to provide a systematic review of the current understanding of axial pain after cervical laminoplasty and laminectomy, and summarize clinical features, influence factors and preventive measures of axial pain after posterior decompressive surgery based on a review of literature published in the English language. Axial pain distributes over nuchal, periscapular and shoulder regions. Posterior surgery is not the major cause of axial pain, but axial pain can be worsened by the procedure. There are many clinical factors that influence postoperative axial pain such as age, preoperative axial pain, different surgical technique and postoperative management, but most of them are still controversial. Several surgical modifications have been innovated to reduce axial pain. Less invasive surgery, reconstruction of the extensor musculature, avoiding detachment of the semispinalis cervicis muscle and early removal of external immobilization have proved to be effective. Axial pain is under the influence of multiple factors, so comprehensive methods are required to reduce and avoid the postoperative axial pain. Because of methodological shortcomings in publications included in this systematic review, different results from different studies may be produced due to differences in study design, evaluation criteria, sample size, and incidence or severity of axial pain. More high-quality studies are necessary for drawing more reliable and convincing conclusions. Springer-Verlag, 2010 Axial pain nationallicence Laminoplasty nationallicence Laminectomy nationallicence Cervical spine nationallicence Systematic review nationallicence Wang Shan-Jin Department of Orthopedic Surgery, Xinhua Hospital, Shanghai Jiaotong University, 1665 Kongjiang Road, 200092, Shanghai, China aut Jiang Sheng-Dan Department of Orthopedic Surgery, Xinhua Hospital, Shanghai Jiaotong University, 1665 Kongjiang Road, 200092, Shanghai, China aut Jiang Lei-Sheng Department of Orthopedic Surgery, Xinhua Hospital, Shanghai Jiaotong University, 1665 Kongjiang Road, 200092, Shanghai, China aut Dai Li-Yang Department of Orthopedic Surgery, Xinhua Hospital, Shanghai Jiaotong University, 1665 Kongjiang Road, 200092, Shanghai, China aut European Spine Journal Springer-Verlag 20/2(2011-02-01), 185-194 0940-6719 20:2<185 2011 20 586 https://doi.org/10.1007/s00586-010-1600-x text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-010-1600-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Wang Shan-Jin Department of Orthopedic Surgery, Xinhua Hospital, Shanghai Jiaotong University, 1665 Kongjiang Road, 200092, Shanghai, China aut NATIONALLICENCE 700 1- Jiang Sheng-Dan Department of Orthopedic Surgery, Xinhua Hospital, Shanghai Jiaotong University, 1665 Kongjiang Road, 200092, Shanghai, China aut NATIONALLICENCE 700 1- Jiang Lei-Sheng Department of Orthopedic Surgery, Xinhua Hospital, Shanghai Jiaotong University, 1665 Kongjiang Road, 200092, Shanghai, China aut NATIONALLICENCE 700 1- Dai Li-Yang Department of Orthopedic Surgery, Xinhua Hospital, Shanghai Jiaotong University, 1665 Kongjiang Road, 200092, Shanghai, China aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/2(2011-02-01), 185-194 0940-6719 20:2<185 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer