SynthesisBMC surgery2025
Risk factors of axial symptoms after posterior cervical spine surgery: a meta-analysis.
Synthesis in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- 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
- Preoperative cervical extension range of motion and C7 preservation as predictors of axial symptoms following laminoplasty.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 · 2026Article
- Endoscopic-assisted anterior transarticular screw fixation and arthrodesis for atlantoaxial instability via a retropharyngeal approach: technical note and preliminary clinical outcomes.North American Spine Society journal · 2026Article
- Cervical medial branch nerve integrity after cervical spine surgery: Considerations for radiofrequency ablation.Interventional pain medicine · 2026Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundAxial symptoms are a frequent complication after posterior cervical spine surgery.While literature has documented risk factors for these symptoms, they are still debated. This study's objective was to explore the risk elements associated with axial symptoms following posterior cervical spine surgery.
methodsOur search encompassed The Cochrane Library, PubMed, Embase, and web of science databases, focusing on studies documenting complications related to cervical laminectomy and laminoplasty. In every study included, we documented axial symptom occurrences and computed Odds Ratios (ORs), 95% confidence intervals (Cls), Q values, and 12 values.
resultsNineteen different studies were finally included, and a summary of the key risk and protective factors identified in the included studies is provided below: preoperative neck pain (OR = 2.22,95%CI (1.48,3.33), P = 0.0001), facet joint destruction(OR = 2.32,95%CI (1.59,3.39),P < 0.0001), C2involvement(OR = 3.78,95%CI(2.04,7.01), P < 0.0001),C7spinous process (muscle) destruction (OR = 3.38,95%CI (1.13,10.08),P = 0.03), conventional posterior cervical spine surgery (OR = 6.18,95%CI (2.43,15.69),P = 0.0001) protective factors were as follows: Increase range of motion after cervical spine surgery (OR = 0.64,95%CI (0.44,0.92), P = 0.02), enlargement of the preoperative C2-7 Cobb angle (OR = 0.57,95%CI(0.39,0.82),P = 0.003).
conclusionPreoperative neck pain, facet joints destruction, C7 spinous process(muscle)destruction, conventional posterior cervical spine surgery and C2 involvement were risk factors for postoperative axial symptoms after posterior cervical spine surgery, and a larger preoperative C2-C7 Cobb angle and increased postoperative cervical range of motion were protective factors for postoperative axial symptoms, however, gender, age, operation time, JOA score, C2-7 SVA, blood loss, and types of disease were not associated with postoperative axial symptoms. Considering the scarce volume of research available, this inference demands careful interpretation and necessitates expanded studies.
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