Effect of intervertebral foramen area and width on postoperative pain relief in patients with cervical spondylotic radiculopathy

Abstract Objective This study aims to investigate the relationship between preoperative cervical intervertebral foramen width and area and the persistence of postoperative pain in patients diagnosed with cervical spondylotic radiculopathy (CSR). Methods Patients were divided into two groups, based o...

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Main Authors: Shuang Liu, Peng Pu, Qing Xiang, Jie Chen, Guangye Wang, Xiangling Pu
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Surgery
Subjects:
Online Access:https://doi.org/10.1186/s12893-025-02788-x
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author Shuang Liu
Peng Pu
Qing Xiang
Jie Chen
Guangye Wang
Xiangling Pu
author_facet Shuang Liu
Peng Pu
Qing Xiang
Jie Chen
Guangye Wang
Xiangling Pu
author_sort Shuang Liu
collection DOAJ
description Abstract Objective This study aims to investigate the relationship between preoperative cervical intervertebral foramen width and area and the persistence of postoperative pain in patients diagnosed with cervical spondylotic radiculopathy (CSR). Methods Patients were divided into two groups, based on their pain relief at the 6-month postoperative follow-up: the pain relief group and the persistent pain group. We compared various parameters, including age, sex, body mass index (BMI), duration of symptoms, preoperative Japanese Orthopedic Association (JOA) score, Neck Disability Index (NDI) score, postoperative ratio of disc space distraction, preoperative width of the intervertebral foramen (WIVF), and area of the intervertebral foramen (AIVF) between the two groups. Binomial logistic regression analysis was conducted to identify the factors affecting pain relief. Results Significant differences were observed in preoperative WIVF, AIVF, duration of symptoms, preoperative NDI scores, and the ratio of disc space distraction between the two groups (all P < 0.05). Regression models indicated that symptom duration, preoperative NDI score and ratio of disc space distraction were negatively associated with pain relief, whereas preoperative WIVF and AIVF were positively associated with pain relief. Conclusion Preoperative WIVF and AIVF may be linked to persistent postoperative pain in patients with CSR.
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spelling doaj-art-eecb21667fa340328d21d0ac1eaf5aeb2025-02-02T12:06:27ZengBMCBMC Surgery1471-24822025-01-012511810.1186/s12893-025-02788-xEffect of intervertebral foramen area and width on postoperative pain relief in patients with cervical spondylotic radiculopathyShuang Liu0Peng Pu1Qing Xiang2Jie Chen3Guangye Wang4Xiangling Pu5School of Pharmaceutical Engineering, Shenyang Pharmaceutical UniversityMedicament Department Pharmacy, People’s Hospital of Chongqing Liangping DistrictYu-Yue Pathology Scientific Research CenterThe People’s Hospital of Baoan ShenzhenThe People’s Hospital of Baoan ShenzhenYu-Yue Pathology Scientific Research CenterAbstract Objective This study aims to investigate the relationship between preoperative cervical intervertebral foramen width and area and the persistence of postoperative pain in patients diagnosed with cervical spondylotic radiculopathy (CSR). Methods Patients were divided into two groups, based on their pain relief at the 6-month postoperative follow-up: the pain relief group and the persistent pain group. We compared various parameters, including age, sex, body mass index (BMI), duration of symptoms, preoperative Japanese Orthopedic Association (JOA) score, Neck Disability Index (NDI) score, postoperative ratio of disc space distraction, preoperative width of the intervertebral foramen (WIVF), and area of the intervertebral foramen (AIVF) between the two groups. Binomial logistic regression analysis was conducted to identify the factors affecting pain relief. Results Significant differences were observed in preoperative WIVF, AIVF, duration of symptoms, preoperative NDI scores, and the ratio of disc space distraction between the two groups (all P < 0.05). Regression models indicated that symptom duration, preoperative NDI score and ratio of disc space distraction were negatively associated with pain relief, whereas preoperative WIVF and AIVF were positively associated with pain relief. Conclusion Preoperative WIVF and AIVF may be linked to persistent postoperative pain in patients with CSR.https://doi.org/10.1186/s12893-025-02788-xCervical spondylotic radiculopathyIntervertebral foramenAreaWidthPain
spellingShingle Shuang Liu
Peng Pu
Qing Xiang
Jie Chen
Guangye Wang
Xiangling Pu
Effect of intervertebral foramen area and width on postoperative pain relief in patients with cervical spondylotic radiculopathy
BMC Surgery
Cervical spondylotic radiculopathy
Intervertebral foramen
Area
Width
Pain
title Effect of intervertebral foramen area and width on postoperative pain relief in patients with cervical spondylotic radiculopathy
title_full Effect of intervertebral foramen area and width on postoperative pain relief in patients with cervical spondylotic radiculopathy
title_fullStr Effect of intervertebral foramen area and width on postoperative pain relief in patients with cervical spondylotic radiculopathy
title_full_unstemmed Effect of intervertebral foramen area and width on postoperative pain relief in patients with cervical spondylotic radiculopathy
title_short Effect of intervertebral foramen area and width on postoperative pain relief in patients with cervical spondylotic radiculopathy
title_sort effect of intervertebral foramen area and width on postoperative pain relief in patients with cervical spondylotic radiculopathy
topic Cervical spondylotic radiculopathy
Intervertebral foramen
Area
Width
Pain
url https://doi.org/10.1186/s12893-025-02788-x
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