ArticleNeurosurgical review2026
Independent predictive value of cervical facet joint degeneration in predicting axial symptoms after cervical laminoplasty.
Article in Neurosurgical review, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- A New Method for Optimizing Spinal Canal Cross-Sectional Area During Laminoplasty: Lateral Mass Gutter.Global spine journal · 2026Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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.
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