SynthesisEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2016
Prevalence of axial symptoms after posterior cervical decompression: a meta-analysis.
Synthesis in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 40 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
40 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Quality assessment of systematic reviews of surgical treatment of cervical spine degenerative diseases: an overview.Einstein (Sao Paulo, Brazil) · 2022Pooled it
- Is laminoplasty or laminectomy the best strategy for CJournal of orthopaedic surgery and research · 2021Pooled it
- Pooled it
- Clinical efficacy and safety analysis of the "Pre-set screw path technique" in cervical posterior single door laminoplasty with supportive titanium plate fixation: a prospective randomized controlled study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Trial
- Differential Impact of C2-7 Sagittal Vertical Axis on Postoperative Axial Symptoms in Laminoplasty vs Laminectomy With Fusion: A Propensity Score-Trimmed Retrospective Cohort Study.Medical science monitor : international medical journal of experimental and clinical research · 2026Article
- Axial pain after anterior cervical discectomy and fusion: risk factor analysis and imaging evaluation.BMC musculoskeletal disorders · 2026Article
- Independent predictive value of cervical facet joint degeneration in predicting axial symptoms after cervical laminoplasty.Neurosurgical review · 2026Article
- Effectiveness of Fu's Subcutaneous Needling for Managing Postoperative Axial Symptoms After Cervical Laminoplasty: A Retrospective Observational Study.Journal of pain research · 2026Article
- Therapeutic Efficacy of Full-Endoscopic Unilateral Laminotomy with Bilateral Decompression for Degenerative Cervical Myelopathy: A Retrospective Cohort Study.Therapeutics and clinical risk management · 2026Article
- Comparison of Two Posterior Minimally Invasive Approaches for Odontoid Fractures: Midline Nuchal Ligament Approach vs. Paramedian Muscle-Splitting Approach.Orthopaedic surgery · 2026Article
- Clinical efficacy of modified laminoplasty in the treatment of cervical spondylotic myelopathy.BMC musculoskeletal disorders · 2025Article
- Preservation of short-term cervical posterior muscle volume and cervical alignment: a comparison between three types of modified muscle-sparing laminoplasty and conventional open-door laminoplasty for multilevel degenerative cervical myelopathy.BMC musculoskeletal disorders · 2025Article
- All-Level Versus Alternative-Level in Unilateral Laminoplasty: A Retrospective Comparative Study.Orthopaedic surgery · 2025Article
- Impact of congenital spinal stenosis on the outcome of three-level anterior cervical discectomy and fusion in patients with cervical spondylotic myelopathy: a retrospective study.International orthopaedics · 2024Article
- Comparison of radiological and clinical outcomes of cervical laminoplasty versus lateral mass screw fixation in patients with ossification of the posterior longitudinal ligament.BMC musculoskeletal disorders · 2024Article
- Evaluation of the Anatomical Reference Point in Posterior Minimally Invasive Atlantoaxial Spine Surgery: A Cadaveric Anatomical Study.Orthopaedic surgery · 2024Article
- Clinical and Radiographic Outcomes of Modified Posterior Atlantoaxial Temporary Fixation with Preservation of Semispinalis Cervicis: A Comparative Study.Global spine journal · 2024Article
- Article
- Efficacy of the PainVision apparatus for assessment of axial neck pain after cervical laminoplasty: a prospective study.Journal of orthopaedic surgery and research · 2023Article
- Uniportal full endoscopic spinous process-preserving laminectomy for bilateral decompression in cervical stenotic myelopathy: patient series.Journal of neurosurgery. Case lessons · 2023Article
Corrections and comments
- Erratum issued
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo investigate the prevalence of axial symptoms (AS) in patients following posterior cervical decompression.
methodsWe 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.
resultsOur 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.
conclusionsPosterior 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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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.