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Low back pain improvement after cervical laminoplasty in patients without tandem lumbar stenosis

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Abstract

Purpose

This study aimed to demonstrate the impact of lumbar spinal stenosis (LSS) on LBP after cervical laminoplasty for cervical spinal stenosis by analyzing the clinical characteristics and surgical outcomes.

Methods

This retrospective cohort study analyzed 56 consecutive patients with cervical spinal stenosis who underwent cervical laminoplasty. Data on age, sex, Japanese Orthopaedic Association (JOA) scores, JOA Back Pain Evaluation Questionnaire (BPEQ), and visual analog scale (VAS) were collected. The patients with VAS for LBP ≥ 30 or more were included and divided into two groups: without LSS [LSS (−)]or with LSS [LSS (+)]. Preoperative clinical characteristics and postoperative changes were compared between the groups.

Results

Preoperative VAS for LBP were 50.7 ± 16.2 mm and 59.8 ± 19.5 mm in the LSS (+) and LSS (−), respectively (p = 0.09). Patients in the LSS (−) were younger (57.6 ± 11.2 vs. 70.7 ± 8.6, p < 0.001) and showed significantly milder preoperative lumbar symptoms in terms of JOA and BPEQ. Patients in the LSS (−) group showed more postoperative changes in low back pain (18.3 ± 26.4 vs. − 8.3 ± 37.6, p = 0.005) and lumbar function (10.8 ± 25.7 vs. − 2.0 ± 22.5, p = 0.04) at BPEQ, and higher recovery in terms of VAS of LBP (23.0 ± 23.8 mm vs. 5.3 ± 25.9 mm, p = 0.008) and buttocks and low limbs (12.5 ± 35.0 mm vs. − 4.3 ± 24.4 mm, p = 0.029). Nine patients in the LSS (+) group underwent lumbar surgery at 12.8 ± 8.5 months after cervical laminoplasty.

Conclusion

LBP improved after cervical laminoplasty in patients without lumbar stenosis.

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Data availability

The datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request.

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Acknowledgements

We would like to thank Editage (www.editage.com) for English language editing.

Funding

No funding was received for conducting this study.

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Author notes

  1. Hirokuni Hashikata, Masahiro Sawada and Hiroki Toda are co-authors.

Authors and Affiliations

  1. Department of Neurosurgery, Medical Research Institute Kitano Hospital, PIIF Tazuke Kofukai, 2-4-20 Ohgimachi, Kita-Ku, Osaka, 530-8480, Japan

    Hideki Hayashi, Hirokuni Hashikata, Masahiro Sawada & Hiroki Toda

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  1. Hideki Hayashi
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  2. Hirokuni Hashikata
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  3. Masahiro Sawada
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  4. Hiroki Toda
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by Hideki Hayashi and Hirokuni Hashikata. The first draft of the manuscript was written by Hideki Hayashi and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Hideki Hayashi.

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Conflict of interest

The authors have no relevant financial or non-financial interests to disclose.

Ethical approval

Study approval was obtained from the Medical Research Institute Kitano Hospital ethics committee (Permission No.: 2005010).

Informed consent

Patient consent was waived due to the retrospective nature of the study.

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Hayashi, H., Hashikata, H., Sawada, M. et al. Low back pain improvement after cervical laminoplasty in patients without tandem lumbar stenosis. Eur Spine J 32, 4437–4443 (2023). https://doi.org/10.1007/s00586-023-07951-7

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  • DOI: https://doi.org/10.1007/s00586-023-07951-7

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