[Distribution of Pain and Numbness in Patients with Cervical Spine Disorders].

Abstract

PURPOSE:

To elucidate the distribution of improved pain and numbness after cervical decompression surgery in patients with cervical spine disorders.

METHODS:

This study included 4 men and 5 women aged 45 to 71 years(mean 58 years)presenting with radiculopathy and 50 men and 17 women aged 35 to 88 years(mean 66 years)presenting with myelopathy.

RESULTS:

All 9 patients with radiculopathy presented with neck pain, and 3 presented with cervical angina. Among the patients with myelopathy, 2 presented with headache, 2 with onion-skin facial pain, 29 with neck pain, 8 with truncal pain, 7 with low back pain, 4 with numbness below the T4 dermatomal area, 1 with penile pain, 61 with arm pain, 49 with leg pain, and 2 without pain or numbness. Patients with myelopathy presenting with preoperative neck and arm pain had significantly better recovery rates compared to patients without such pain.

CONCLUSION:

Patients with cervical spine disorders present with pain and numbness in various areas. Preoperative neck pain and arm pain are indicators for better recovery in patients with myelopathy.

• Authors: Keita Kuraishi, Masaki Mizuno, Yasuyuki Umeda, Tomoki Ishigaki, Ryuta Yasuda, Takanori Sano, Masato Shiba, Fumihiro Kawakita, Yoshinari Nakatsuka, Kazuhiro Furukawa, Satoru Tanioka, Masanori Tsuji, Masayuki Kitagami, Seiji Hatazaki, Hidenori Suzuki
• Journal: No shinkei geka. Neurological surgery (No Shinkei Geka) Vol. 44 Issue 12 Pg. 1025-1032 (Dec 2016) ISSN: 0301-2603 [Print] Japan
• PMID: 27932746 (Publication Type: Journal Article)

Topics

• Aged
• Female
• Humans
• Hypesthesia (etiology)
• Male
• Middle Aged
• Pain (etiology)
• Spinal Diseases (complications, surgery)