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首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >C.01 Neck and arm pain after surgery for cervical myelopathy: outcomes and predictors of improvement
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C.01 Neck and arm pain after surgery for cervical myelopathy: outcomes and predictors of improvement

机译：C.01颈部和手臂颈部颈椎治疗后颈椎病：结果和预测的改进

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Background: Cervical sponylotic myelopathy (CSM) may present with neck and arm pain. This study investiagtes the change in neck/arm pain post-operatively in CSM. Methods: This ambispective study llocated 402 patients through the Canadian Spine Outcomes and Research Network. Outcome measures were the visual analogue scales for neck and arm pain (VAS-NP and VAS-AP) and the neck disability index (NDI). The thresholds for minimum clinically important differences (MCIDs) for VAS-NP and VAS-AP were determined to be 2.6 and 4.1. Results: VAS-NP improved from mean of 5.6±2.9 to 3.8±2.7 at 12 months (P<0.001). VAS-AP improved from 5.8±2.9 to 3.5±3.0 at 12 months (P<0.001). The MCIDs for VAS-NP and VAS-AP were also reached at 12 months. Based on the NDI, patients were grouped into those with mild pain/no pain (33%) versus moderate/severe pain (67%). At 3 months, a significantly high proportion of patients with moderate/severe pain (45.8%) demonstrated an improvement into mild/no pain, whereas 27.2% with mild/no pain demonstrated worsening into moderate/severe pain (P <0.001). At 12 months, 17.4% with mild/no pain experienced worsening of their NDI (P<0.001). Conclusions: This study suggests that neck and arm pain responds to surgical decompression in patients with CSM and reaches the MCIDs for VAS-AP and VAS-NP at 12 months.
机译：背景：颈腺神经腺病（CSM）可能呈现颈部和手臂疼痛。本研究在CSM中可操作地投入颈部/手臂疼痛的变化。方法：本公维研究通过加拿大脊柱结果和研究网络致残了402名患者。结果措施是颈部和臂疼痛（VAS-NP和VAS-AP）和颈部残疾指数（NDI）的视觉模拟尺度。确定VAS-NP和VAS-AP的最小临床重要差异（MCID）的阈值确定为2.6和4.1。结果：12个月，VAS-NP从平均值改善5.6±2.9至3.8±2.7（P <0.001）。 VAS-AP在12个月内从5.8±2.9增加到3.5±3.0（P <0.001）。 12个月也达到VAS-NP和VAS-AP的MCIDS。基于NDI，患者被分组为轻度疼痛/无疼痛（33％）与中度/剧烈疼痛（67％）。在3个月内，中度/严重疼痛的患者比例大（45.8％）表现出改善轻度/无疼痛，而温和/无疼痛的27.2％表现出中度/剧烈疼痛（P <0.001）。 12个月，温和/无疼痛的17.4％遭受其NDI的恶化（P <0.001）。结论：本研究表明，颈部和臂疼痛对CSM患者的手术减压作出响应，并在12个月内达到VAS-AP和VAS-NP的MCID。

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