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Paresthesia Symptoms Negatively Impact Spinal Surgery Satisfaction

Author: Osaka Metropolitan University
Published: 2024/02/20
Publication Type: Observational Study
Peer-Reviewed: Yes
Topic: Spinal Cord Injury (SCI) - Publications List

Page Content: Synopsis Introduction Main

Synopsis: Patients often not satisfied with treatment for myelopathy when they have severe residual paresthesia, even when function and quality of life are improved after surgery.

Surgery for cervical spondylotic myelopathy aims to improve and/or prevent further deterioration in physical function and quality of life.

However, patients are often not satisfied with their treatment for myelopathy when they have severe residual paresthesia, even when physical function and quality of life are improved after surgery.

Introduction

Pins and needles, sudden cold, burning, itching, numbness in the limbs - these are symptoms of paresthesia in cervical spondylotic myelopathy caused by compression of the spinal cord pathway in the cervical spine due to aging or other factors. Motor symptoms such as difficulty walking and urinating develop gradually, requiring surgical treatment.

Main Item

Surgery for cervical spondylotic myelopathy aims to improve and/or prevent further deterioration in physical function and quality of life. However, patients are often not satisfied with their treatment for myelopathy when they have severe residual paresthesia, even when physical function and quality of life are improved after surgery.

Continued below image.
Person with residual paresthesia holding their left wrist.
Surgery aims to enhance patients' physical function and quality of life, yet despite treatment, some patients remain discontent due to severe residual paresthesia - Image Credit: Osaka Metropolitan University.
Continued...

A team of researchers led by Dr. Koji Tamai of the Department of Orthopedics at the Graduate School of Medicine at Osaka Metropolitan University surveyed 187 patients with paresthesia who underwent spinal surgery to assess postoperative symptoms. They found that 86 patients reported continuing to experience severe residual paresthesia, as indicated by a score of 40 or more out of 100 on a self-scoring scale used as a standard in surgery assessments.

"The study also found that 'satisfaction with postoperative treatment' was lower for those who still had paresthesia in their hands and feet, regardless of whether their motor symptoms had improved or not," Dr. Tamai said.

"Furthermore, this study revealed that patients who complain of pain prior to surgery are more likely to have residual paresthesia. We hope future research will focus on developing treatment strategies for residual paresthesia."

Attribution/Source(s):
This peer reviewed publication was selected for publishing by the editors of Disabled World (DW) due to its significant relevance to the disability community. Originally authored by Osaka Metropolitan University, and published on 2024/02/20, the content may have been edited for style, clarity, or brevity. For further details or clarifications, Osaka Metropolitan University can be contacted at omu.ac.jp/en/. NOTE: Disabled World does not provide any warranties or endorsements related to this article.

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Cite This Page (APA): Osaka Metropolitan University. (2024, February 20). Paresthesia Symptoms Negatively Impact Spinal Surgery Satisfaction. Disabled World (DW). Retrieved January 25, 2025 from www.disabled-world.com/disability/types/spinal/csm.php

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