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European Spine Journal

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01-07-2016 | Original Article

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

Authors: Miao Wang, Xiao Ji Luo, Qian Xing Deng, Jia Hong Li, Nan Wang

Published in: European Spine Journal | Issue 7/2016

Abstract

Purpose

To investigate the prevalence of axial symptoms (AS) in patients following posterior cervical decompression.

Methods

We searched the PubMed, Embase, and Cochrane databases for relevant studies that reported the incidence of AS after posterior cervical decompression, and manually screened reference lists for additional studies. Relevant prevalence estimates were calculated. Subgroup analysis, sensitivity analysis and publication bias assessment were also performed.

Results

Our meta-analysis included 44 studies, with 893 AS cases in 2984 patients. The pooled AS prevalence was 28 % (95 % CI 24–32). The prevalence of AS was higher after expansive open-door laminoplasty (39 %) than after modified open-door laminoplasty (MOLP, 23 %) and laminectomy instrumented fusion (29 %). AS prevalence was also higher in those that wore a neck collar for 2–3 months (34 %) compared with 2 weeks (21 %). The lowest AS prevalence (9 %) was found in patients who underwent MOLP with C3 laminectomy and C7 spinous processes conserved. There was an intermediate AS prevalence after MOLP with C7 spinous processes conserved (16 %), MOLP with preservation of the unilateral posterior muscular-ligament complex (19 %), MOLP with C3 laminectomy (22 %), and MOLP with plate fixation (23 %). Prevalence of AS might be higher in patients <60 years and increased in populations with a higher proportion of females.

Conclusions

Posterior cervical surgery carries a high risk of postoperative AS. Postoperative AS may be reduced through preserving posterior muscles and structures, stabilizing cervical vertebrae, and reducing external cervical immobilization time.

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Title: Prevalence of axial symptoms after posterior cervical decompression: a meta-analysis
Authors: Miao Wang
Xiao Ji Luo
Qian Xing Deng
Jia Hong Li
Nan Wang
Publication date: 01-07-2016
Publisher: Springer Berlin Heidelberg
Published in: European Spine Journal / Issue 7/2016
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-016-4524-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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