{"title":"The role of pain trajectory and sex in predicting postoperative neck pain in patients after cervical spine surgery: A retrospective cohort study.","authors":"Yu Kondo, Daisuke Higuchi, Keita Tsushima, Yuzo Ashida, Takahiro Miki, Yuta Watanabe, Tsuneo Takebayashi","doi":"10.1177/10538127251328935","DOIUrl":null,"url":null,"abstract":"<p><p>BackgroundPostoperative neck pain is common after cervical spine surgery, with potential progression to chronic pain.ObjectiveTo assess the role of pain trajectory in predicting postoperative neck pain following cervical spine surgery and to discern sex-based differences in this relationship.MethodsA retrospective study was conducted on 133 patients (mean age:64.1 ± 11.9 years; 86 males, 47 females) undergoing cervical spine surgery. Pain trajectory, defined by Numerical Rating Scale scores on postoperative days 1, 3, 5, and 7, was analyzed using hierarchical multiple regression to evaluate its predictive value for neck pain at two weeks, with sex as a moderator.ResultsSex (B = 0.613; p < .05), slope (B = 1.528; p < .01), and intercept (B = 0.410; p < .01) were significant predictors. Pain trajectory had a stronger association with neck pain in females (B = 2.283; p < .01) than in males (B = 0.772; p = .03).ConclusionPain trajectory is a predictor of postoperative neck pain and highlights sex-based differences. Incorporating pain trajectory monitoring into clinical practice can enable the early identification of patients at higher risk for poor pain outcomes, facilitating more targeted and effective interventions.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251328935"},"PeriodicalIF":1.4000,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Back and Musculoskeletal Rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10538127251328935","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
BackgroundPostoperative neck pain is common after cervical spine surgery, with potential progression to chronic pain.ObjectiveTo assess the role of pain trajectory in predicting postoperative neck pain following cervical spine surgery and to discern sex-based differences in this relationship.MethodsA retrospective study was conducted on 133 patients (mean age:64.1 ± 11.9 years; 86 males, 47 females) undergoing cervical spine surgery. Pain trajectory, defined by Numerical Rating Scale scores on postoperative days 1, 3, 5, and 7, was analyzed using hierarchical multiple regression to evaluate its predictive value for neck pain at two weeks, with sex as a moderator.ResultsSex (B = 0.613; p < .05), slope (B = 1.528; p < .01), and intercept (B = 0.410; p < .01) were significant predictors. Pain trajectory had a stronger association with neck pain in females (B = 2.283; p < .01) than in males (B = 0.772; p = .03).ConclusionPain trajectory is a predictor of postoperative neck pain and highlights sex-based differences. Incorporating pain trajectory monitoring into clinical practice can enable the early identification of patients at higher risk for poor pain outcomes, facilitating more targeted and effective interventions.
期刊介绍:
The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty.
In each issue clinicians can find information which they can use in their patient setting the very next day.