Scholarlink

<p>Axial symptoms after cervical laminoplasty significantly impact patient quality of life, with incidence rates of 20–40%. The relationship between cervical facet joint degeneration and postoperative axial symptoms remains unclear.&#xa0;This retrospective study analyzed 189 patients who underwent cervical laminoplasty from 2012 to 2022. Patients are divided into axial symptom (<i>n</i> = 69) and non-axial symptom (<i>n</i> = 120) groups based on persistent neck/shoulder pain (VAS ≥ 4) lasting ≥ 3 months postoperatively. Cervical facet joint degeneration is assessed using a 4-grade CT-based scoring system from C2/C3 to C6/C7. Total facet degeneration score and C4-C7 segmental score are calculated and compared between groups.&#xa0;No significant differences exist in upper cervical segments (C2/C3, C3/C4) between groups. However, the axial symptom group shows significantly higher degeneration scores in lower cervical segments: C4/C5 (1.92 ± 1.20 vs. 1.44 ± 0.71, <i>P</i> &lt; 0.001), C5/C6 (2.16 ± 0.86 vs. 1.52 ± 0.84, <i>P</i> &lt; 0.001), and C6/C7 (2.12 ± 0.91 vs. 1.57 ± 0.84, <i>P</i> &lt; 0.001). Multivariate analysis reveal that both total degeneration score (OR = 1.164, <i>P</i> &lt; 0.001) and C4-C7 score (OR = 1.269, <i>P</i> &lt; 0.001) are independent predictors of axial symptoms. ROC analysis shows C4-C7 score has superior predictive accuracy (AUC = 0.741) compared to total score (AUC = 0.694).&#xa0;Lower cervical facet joint degeneration, particularly C4-C7 segments, is a strong independent predictor of postoperative axial symptoms, providing valuable guidance for preoperative risk assessment and surgical planning.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Independent predictive value of cervical facet joint degeneration in predicting axial symptoms after cervical laminoplasty

  • 期刊论文

  • 发表日期：

    2026年1月7日

查看全文
  • Bin Zheng,
  • Panfeng Yu,
  • Zhenqi Zhu,
  • Yan Liang,
  • Haiying Liu

摘要

Axial symptoms after cervical laminoplasty significantly impact patient quality of life, with incidence rates of 20–40%. The relationship between cervical facet joint degeneration and postoperative axial symptoms remains unclear. This retrospective study analyzed 189 patients who underwent cervical laminoplasty from 2012 to 2022. Patients are divided into axial symptom (n = 69) and non-axial symptom (n = 120) groups based on persistent neck/shoulder pain (VAS ≥ 4) lasting ≥ 3 months postoperatively. Cervical facet joint degeneration is assessed using a 4-grade CT-based scoring system from C2/C3 to C6/C7. Total facet degeneration score and C4-C7 segmental score are calculated and compared between groups. No significant differences exist in upper cervical segments (C2/C3, C3/C4) between groups. However, the axial symptom group shows significantly higher degeneration scores in lower cervical segments: C4/C5 (1.92 ± 1.20 vs. 1.44 ± 0.71, P < 0.001), C5/C6 (2.16 ± 0.86 vs. 1.52 ± 0.84, P < 0.001), and C6/C7 (2.12 ± 0.91 vs. 1.57 ± 0.84, P < 0.001). Multivariate analysis reveal that both total degeneration score (OR = 1.164, P < 0.001) and C4-C7 score (OR = 1.269, P < 0.001) are independent predictors of axial symptoms. ROC analysis shows C4-C7 score has superior predictive accuracy (AUC = 0.741) compared to total score (AUC = 0.694). Lower cervical facet joint degeneration, particularly C4-C7 segments, is a strong independent predictor of postoperative axial symptoms, providing valuable guidance for preoperative risk assessment and surgical planning.