Top

European Spine Journal

Published in:

01-06-2016 | Original Article

Identification of head control deficits following anterior cervical discectomy and fusion in patients with cervical spondylotic myelopathy

Authors: Chih-Hsiu Cheng, Andy Chien, Wei-Li Hsu, Dar-Ming Lai, Shwn-Fen Wang, Jaw-Lin Wang

Published in: European Spine Journal | Issue 6/2016

Abstract

Purpose

To investigate the presence of head control deficits and its course of recovery after anterior cervical discectomy and fusion (ACDF) surgery in cervical spondylotic myelopathy (CSM) patients.

Methods

Thirty-seven CSM patients were assessed for their C2–C7 cervical lordosis, neck Range of Motion (ROM), repositioning accuracy, neck strength as well as surface electromyography of the neck muscle activities during slow head motions. Assessments were performed preoperatively and then at 3- and 6-month postoperatively.

Results

No significant difference was found for the C2–C7 cervical lordosis postoperatively at 6-month. ROM was restricted immediately after surgery but recovered over time, however, neck strength remained significantly reduced postoperatively. Reposition accuracy improved immediately after surgery but declined again at 6-month follow-up. In addition, muscle activities required to control head motions showed a continuous reduction postoperatively.

Conclusions

Adequate C2–C7 cervical lordosis was maintained in the current study with improvement of slow head motion control and ROM at 6-month. However, improvement in head position sense was not maintained and neck strength showed continuous declination overtime. Assessment and monitoring of head control deficits should be routinely considered in CSM patients.

Salvi FJ, Jones JC, Weigert BJ (2006) The assessment of cervical myelopathy. Spine J 6:182S–189S. doi:10.1016/j.spinee.2006.05.006 CrossRefPubMed

Takayama H, Muratsu H, Doita M, Harada T, Yoshiya S, Kurosaka M (2005) Impaired joint proprioception in patients with cervical myelopathy. Spine 30:83–86 (Phila Pa 1976) CrossRefPubMed

Andre-Deshays C, Revel M, Berthoz A (1991) Eye-head coupling in humans. II. Phasic components. Exp Brain Res Exp Hirnforsch 84:359–366

Lephart SM, Pincivero DM, Giraldo JL, Fu FH (1997) The role of proprioception in the management and rehabilitation of athletic injuries. Am J Sports Med 25:130–137CrossRefPubMed

Proske U, Wise AK, Gregory JE (2000) The role of muscle receptors in the detection of movements. Prog Neurobiol 60:85–96CrossRefPubMed

Ito T, Oyanagi K, Takahashi H, Takahashi HE, Ikuta F (1996) Cervical spondylotic myelopathy. Clinicopathologic study on the progression pattern and thin myelinated fibers of the lesions of seven patients examined during complete autopsy. Spine 21:827–833 (Phila Pa 1976) CrossRefPubMed

Ross ED, Kirkpatrick JB, Lastimosa AC (1979) Position and vibration sensations: functions of the dorsal spinocerebellar tracts? Ann Neurol 5:171–176. doi:10.1002/ana.410050211 CrossRefPubMed

Holly LT, Dong Y, Albistegui-DuBois R, Marehbian J, Dobkin B (2007) Cortical reorganization in patients with cervical spondylotic myelopathy. J Neurosurg Spine 6:544–551. doi:10.3171/spi.2007.6.6.5 CrossRefPubMedPubMedCentral

Takayama H, Muratsu H, Doita M, Harada T, Kurosaka M, Yoshiya S (2005) Proprioceptive recovery of patients with cervical myelopathy after surgical decompression. Spine 30:1039–1044 (Phila Pa 1976) CrossRefPubMed

10.

Fujibayashi S, Neo M, Yoshida M, Miyata M, Takemoto M, Nakamura T (2010) Neck muscle strength before and after cervical laminoplasty: relation to axial symptoms. J spinal Disord Tech 23:197–202. doi:10.1097/BSD.0b013e3181a1a73e CrossRefPubMed

11.

Ratliff JK, Cooper PR (2003) Cervical laminoplasty: a critical review. J Neurosurg 98:230–238PubMed

12.

Sasai K, Saito T, Akagi S, Kato I, Ogawa R (2000) Cervical curvature after laminoplasty for spondylotic myelopathy–involvement of yellow ligament, semispinalis cervicis muscle, and nuchal ligament. J Spinal Disord 13:26–30CrossRefPubMed

13.

Malmstrom EM, Karlberg M, Melander A, Magnusson M (2003) Zebris versus Myrin: a comparative study between a three-dimensional ultrasound movement analysis and an inclinometer/compass method: intradevice reliability, concurrent validity, intertester comparison, intratester reliability, and intraindividual variability. Spine 28:E433–E440CrossRefPubMed

14.

Conley MS, Meyer RA, Bloomberg JJ, Feeback DL, Dudley GA (1995) Noninvasive analysis of human neck muscle function. Spine 20:2505–2512CrossRefPubMed

15.

Lee HY, Teng CC, Chai HM, Wang SF (2006) Test-retest reliability of cervicocephalic kinesthetic sensibility in three cardinal planes. Man Ther 11:61–68CrossRefPubMed

16.

Wu S, Ma C, Mai M, Li G (2010) Translation and validation study of Chinese versions of the neck disability index and the neck pain and disability scale. Spine 35:1575–1579. doi:10.1097/BRS.0b013e3181c6ea1b (Phila Pa 1976) CrossRefPubMed

17.

Duggal N, Rabin D, Bartha R, Barry RL, Gati JS, Kowalczyk I, Fink M (2010) Brain reorganization in patients with spinal cord compression evaluated using fMRI. Neurology 74:1048–1054. doi:10.1212/WNL.0b013e3181d6b0ea CrossRefPubMed

18.

Cheng CH, Wang JL, Lin JJ, Wang SF, Lin KH (2010) Position accuracy and electromyographic responses during head reposition in young adults with chronic neck pain. J Electromyogr Kinesiol 20:1014–1020. doi:10.1016/j.jelekin.2009.11.002 CrossRefPubMed

19.

Lee PJ, Rogers EL, Granata KP (2006) Active trunk stiffness increases with co-contraction. J Electromyogr Kinesiol 16:51–57CrossRefPubMedPubMedCentral

20.

Falla D, Rainoldi A, Merletti R, Jull G (2003) Myoelectric manifestations of sternocleidomastoid and anterior scalene muscle fatigue in chronic neck pain patients. Clin Neurophysiol 114:488–495CrossRefPubMed

21.

Granata KP, Marras WS (2000) Cost-benefit of muscle cocontraction in protecting against spinal instability. Spine 25:1398–1404CrossRefPubMed

22.

Revel M, Minguet M, Gregoy P, Vaillant J, Manuel JL (1994) Changes in cervicocephalic kinesthesia after a proprioceptive rehabilitation program in patients with neck pain: a randomized controlled study. Arch Phys Med Rehabil 75:895–899CrossRefPubMed

23.

Loudon JK, Ruhl M, Field E (1997) Ability to reproduce head position after whiplash injury. Spine 22:865–868CrossRefPubMed

24.

Kristjansson E, Dall’Alba P, Jull G (2003) A study of five cervicocephalic relocation tests in three different subject groups. Clin Rehabil 17:768–774CrossRefPubMed

25.

Emery SE (2015) Anterior approaches for cervical spondylotic myelopathy: which? When? How? Eur Spine J 24(Suppl 2):150–159. doi:10.1007/s00586-015-3784-6 CrossRefPubMed

Title: Identification of head control deficits following anterior cervical discectomy and fusion in patients with cervical spondylotic myelopathy
Authors: Chih-Hsiu Cheng
Andy Chien
Wei-Li Hsu
Dar-Ming Lai
Shwn-Fen Wang
Jaw-Lin Wang
Publication date: 01-06-2016
Publisher: Springer Berlin Heidelberg
Published in: European Spine Journal / Issue 6/2016
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-015-4368-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Identification of head control deficits following anterior cervical discectomy and fusion in patients with cervical spondylotic myelopathy

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 6/2016

An RCT study on the feasibility of anterior transpedicular screw fixation in the cervicothoracic junction

Combining pedicle screw stimulation with spinal navigation, a protocol to maximize the safety of neural elements and minimize radiation exposure in thoracolumbar spine instrumentation

Erratum to: Prevalence of axial symptoms after posterior cervical decompression: a meta-analysis

Metal artifact reduction using virtual monochromatic images for patients with pedicle screws implants on CT

Transdiscal screw versus pedicle screw fixation for high-grade L5-S1 isthmic spondylolisthesis in patients younger than 60 years: a case–control study

Sacroiliac joint fusion for low back pain: a systematic review and meta-analysis