Onset timing and recovery patterns in segmental motor paralysis following anterior cervical spine surgery: a multicenter study of the risk factors for persistent paralysis
This first systematic analysis reveals that paralysis onset on day 1 after anterior cervical spine surgery is associated with a poorer prognosis. Initial muscle weakness severity and multilevel surgery are key predictors of persistent paralysis. These findings may inform future preventive strategies.
Authors
- Masaki Tomori (ORCID: https://orcid.org/0000-0002-5525-6287)
- Kazuyuki Otani
- Ichiro Torigoe
- Satoshi Tamura
- Kyohei Sakaki
- Toshitaka Yoshii (ORCID: https://orcid.org/0000-0003-3511-9020)
- Motonori Hashimoto
- Hiroaki Onuma (ORCID: https://orcid.org/0000-0001-6683-9691)
- Shigeo Shindo (ORCID: https://orcid.org/0000-0002-2146-3771)
- Kenichiro Sakai (ORCID: https://orcid.org/0000-0002-7265-3460)
- Shuta Ushio
- Hiroyuki Inose (ORCID: https://orcid.org/0000-0003-4195-2545)
- Satoru Egawa (ORCID: https://orcid.org/0000-0001-9367-3906)
- Kentaro Yamada (ORCID: https://orcid.org/0000-0001-9864-2017)
- Yoshiyasu Arai
- Kentaro Sakaeda
- Takashi Hirai (ORCID: https://orcid.org/0000-0001-6200-0100)
- Yu Matsukura (ORCID: https://orcid.org/0000-0003-0014-1068)
- Jun Hashimoto (ORCID: https://orcid.org/0000-0002-5816-4599)
- Tsuyoshi Yamada (ORCID: https://orcid.org/0000-0002-3434-224X)
- Shingo Morishita
- Kazuo Kusano
Institutions
- Tokyo Medical and Dental University (JP)
- Kudanzaka Hospital (JP)
- Noguchi Hospital (JP)
- The University of Tokyo (JP)
Publication Details
- Journal
- The Spine Journal
- Published
- 2025-12-01
- DOI
- https://doi.org/10.1016/j.spinee.2025.12.005
- Primary Topic
- Cervical and Thoracic Myelopathy
- Type
- article
- Field-Weighted Citation Impact
- 0.00