{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T16:13:45Z","timestamp":1790957625028,"version":"4.1.0"},"reference-count":29,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,1,15]],"date-time":"2025-01-15T00:00:00Z","timestamp":1736899200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,1,15]],"date-time":"2025-01-15T00:00:00Z","timestamp":1736899200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Spine Journal"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To (1) determine whether preoperative neck pain improves after laminoplasty for cervical myelopathy and identify factors that could predict improvements in neck pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 88 patients with preoperative neck pain visual analogue scale (VAS) of \u22654, who underwent laminoplasty for cervical myelopathy, and were followed-up for &gt;2\u00a0years were retrospectively reviewed. Patients demonstrating \u226550% improvement in VAS scores for neck pain 2\u00a0years postoperatively compared to\u3147 preoperative assessment were included in neck pain improved (NP-improved) group. The remaining patients were assigned to neck pain unimproved (NP-unimproved) group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Overall, 54 patients (61.4%) were included in NP-improved group and 34 patients (38.6%) were included in NP-unimproved group. NP-unimproved group more frequently underwent C3 laminectomy (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.026) and had lesser degree of preoperative C2-C7 lordosis (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.006) in the extension position compared to that in the NP-improved group. Furthermore, undergoing C3 laminectomy was associated with lower probability of achieving a \u226550% improvement in neck pain VAS scores (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.018), while greater preoperative C2-C7 lordosis in the extension position was associated with a higher possibility of neck pain improvement (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.048). A cut-off value of 20.5\u00b0 for C2-C7 lordosis in the extension position predicted a \u226550% improvement in neck pain.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Preoperative neck pain should not be considered contraindication for laminoplasty as 61.4% of patients experienced \u226550% improvement in neck pain post-operatively. C3 laminectomy decreases the probability of neck pain improvement after laminoplasty, while greater C2-C7 lordosis in the extension position is associated with neck pain improvement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21925682251314490","type":"journal-article","created":{"date-parts":[[2025,1,15]],"date-time":"2025-01-15T07:37:46Z","timestamp":1736926666000},"page":"2872-2881","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Pre- and Intraoperative Factors Associated With Improvement of Neck Pain After Laminoplasty for the Treatment of Cervical Myelopathy"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3704-6355","authenticated-orcid":false,"given":"Dong-Ho","family":"Lee","sequence":"first","affiliation":[{"name":"Asan Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnold Joseph 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