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. 2010 Oct 13;20(2):185–194. doi: 10.1007/s00586-010-1600-x

Table 1.

Summary of clinical studies on statistic evaluation of the correlation between clinical factors and axial pain after laminoplasty

References Clinical factors Correlation description Statistic analysis
Higashino et al. [6] JOA recovery rate, C2–7 Cobb angle, ROM Relationship between the recovery rate of the JOA score; the C2–7 angle, the ROM and AP was NS NA
Hosono et al. [10] The facet joint resection ratio The average resection ratio between the groups with or without AP was NS NA
Hyun et al. [11] Postoperative ROM, interval changes in ROM Relationship between AP NRS scores and ROM or interval changes in ROM was NS Spearman rank correlation coefficients
Kang et al. [15] ROM Relationship between postoperative ROM and postoperative AP was NS Pearson correlation coefficient test
Kato et al. [16] Age (>63 years), preservation of muscles attached at C2 or C7, female, types of disease (CSM/OPLL), duration of symptoms, change of alignment, change of ROM, preoperative JOA and recovery rate, operation time and blood loss Older age and preservation of paraspinal muscles attached at C2 each significantly decreased the risk of postoperative AP. But other factors were each unrelated to AP Multivariate logistic regression analysis
Kawaguchi et al. [19] Age, gender, types of disease (CSM/OPLL), pre- or postoperative JOA scores, operation time, and blood loss, number of bone graft, CPK activity, chin–chest distance, rotational neck ROM, number of fused laminae, neck ROM, open-door side or either hinge side Operation time, chin–chest distance, the number of fused laminae between severe AS group and mild group was significantly different t test with Welch’s correction
But other factors were NS between the two groups. The AS area was not related to the open side or either hinge side
Kawakami et al. [20] Preoperative instability, ROM The prevalence of AS between patients with and without preoperative instability was NS χ2 analysis and Student’s t test
Relationship between postoperative ROM and postoperative AP was NS
Matsumoto et al. [26] Lamina closure AP score between the groups with or without lamina closure was NS Unpaired t test
Nakama et al. [29] IR in muscle strength, IR = post/pre In men, the correlation between the IR in muscle strength and alleviation of the AP was strongly negative for extension and flexion. In women, the correlation was significant only for extensor strength Spearman rank correlation coefficient
Ohnari et al. [30] Age, sex, surgery time, duration of cervical orthosis, blood loss, reconstructive surgery of SSC muscle, preoperative AP All the factors between postoperative AP group and no AP group was NS Fisher exact test and Mann–Whitney U test
Okada et al. [31] C2–7 Cobb angle Relationship between positive change of Cobb angle and improvement in AP was minimally significant Pearson correlation coefficient test
Sasai et al. [37] The number of EBLP The postoperative AS score significantly correlated with the numbers of EBLPs Spearman rank correlation analysis
Yoshida et al. [47] Age, pre- or postoperative JOA scores, preoperative AP, A–P canal diameter, JOA recovery rate, cervical disease (CSM/CDH/OPLL), cervical alignment The recovery rate score between the worse than moderate AP and less than mild AP showed significant difference Student’s t test with Welch’s correction
But the age, A–P canal diameter, pre- or postoperative JOA scores between the two groups was NS. Relation between AP and cervical disease or cervical alignment was NS. The incidence of postoperative AP was significantly higher in patients beyond 70 years of age and who had preoperative AP

NA not available, AP axial pain, AS axial symptoms, NS not significant, CDH cervical disc herniation, ROM range of motion, IR improvement ratio, EBLP en bloc laminoplasty