Factors Negatively Influencing Postoperative Improvement After Laminoplasty in Degenerative Cervical Myelopathy

医学 椎板成形术 脊髓病 外科 骨科手术 禁忌症 单变量分析 生活质量(医疗保健) 回顾性队列研究 多元分析 内科学 替代医学 护理部 病理 精神科 脊髓
作者
Hiroyuki Inose,Toshitaka Yoshii,Atsushi Kimura,Katsushi Takeshita,Hirokazu Inoue,Asato Maekawa,Kenji Endo,Takeo Furuya,Akira Nakamura,Kanji Mori,Shunsuke Kanbara,Shiro Imagama,Shoji Seki,Shunji Matsunaga,Atsushi Okawa
出处
期刊:Clinical spine surgery [Ovid Technologies (Wolters Kluwer)]
卷期号:35 (1): E230-E235 被引量:7
标识
DOI:10.1097/bsd.0000000000001207
摘要

This was a retrospective study of prospectively collected data.In this study, we aimed to characterize a population of patients with degenerative cervical myelopathy (DCM) and a history of poor postoperative neurological recovery and to identify risk factors associated with poor neurological recovery after laminoplasty.Kyphotic cervical alignment has been considered a relative contraindication to laminoplasty in recent years; hence, laminoplasty has been decreasingly performed for the treatment of DCM in patients with cervical kyphosis. However, the effect of global spinal alignment on postoperative outcomes has not been extensively investigated.We prospectively enrolled patients who were scheduled for laminoplasty for DCM. Outcome (at enrollment and 1 y after surgery) and risk factor analyses were performed by comparing the good recovery and poor recovery groups. The Spearman correlation coefficient was used to evaluate the relationships between the recovery rate and the preoperative radiographic factors.In total, 101 patients completed the 1-year follow-up. Regarding clinical outcomes, the Japanese Orthopedic Association score for the assessment of cervical myelopathy, European Quality of Life-5 Dimensions, and Neck Disability Index scores improved postoperatively. The recovery rate was significantly correlated with the preoperative sagittal vertical axis (SVA). The patients in the poor recovery group were older than those in the good recovery group. Univariate analyses showed that the SVA and T1 pelvic angle were significantly higher in the poor recovery group. Lastly, stepwise logistic regression analysis showed that a higher SVA was an independent predictor of poor recovery after laminoplasty.The SVA and T1 pelvic angle were significantly higher in the poor recovery group. A high preoperative SVA is an independent predictor for poor recovery after laminoplasty. Therefore, indications for laminoplasty in elderly DCM patients with a high preoperative SVA should be carefully considered.Level III.

科研通智能强力驱动
Strongly Powered by AbleSci AI
科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
agont完成签到,获得积分10
1秒前
小白完成签到,获得积分10
1秒前
宝贝丫头发布了新的文献求助10
1秒前
白云发布了新的文献求助10
1秒前
111111发布了新的文献求助10
1秒前
2秒前
2秒前
LX完成签到,获得积分10
2秒前
2秒前
ding应助哈哈哈采纳,获得10
2秒前
henry发布了新的文献求助10
2秒前
乐观的丹琴完成签到,获得积分10
3秒前
3秒前
DL发布了新的文献求助10
3秒前
濮阳思远发布了新的文献求助10
3秒前
活力的招牌完成签到 ,获得积分10
4秒前
丘比特应助陆个核桃采纳,获得10
5秒前
彭映梦发布了新的文献求助10
5秒前
lynvin完成签到,获得积分10
5秒前
liz发布了新的文献求助10
6秒前
JHHHH完成签到,获得积分10
6秒前
6秒前
7秒前
7秒前
Jasper应助优雅的白山采纳,获得10
7秒前
科研通AI5应助是莉莉娅采纳,获得10
8秒前
8秒前
终醒完成签到,获得积分10
8秒前
8秒前
shijin135完成签到,获得积分10
8秒前
小金完成签到,获得积分10
9秒前
9秒前
9秒前
iTaciturne完成签到,获得积分10
10秒前
完美世界应助DL采纳,获得10
11秒前
科研通AI5应助容与采纳,获得30
11秒前
12秒前
zimu012发布了新的文献求助10
12秒前
12秒前
forever发布了新的文献求助10
12秒前
高分求助中
Continuum Thermodynamics and Material Modelling 3000
Production Logging: Theoretical and Interpretive Elements 2700
Les Mantodea de Guyane Insecta, Polyneoptera 1000
Structural Load Modelling and Combination for Performance and Safety Evaluation 1000
Conference Record, IAS Annual Meeting 1977 820
England and the Discovery of America, 1481-1620 600
電気学会論文誌D(産業応用部門誌), 141 巻, 11 号 510
热门求助领域 (近24小时)
化学 材料科学 生物 医学 工程类 有机化学 生物化学 物理 纳米技术 计算机科学 内科学 化学工程 复合材料 基因 遗传学 物理化学 催化作用 量子力学 光电子学 冶金
热门帖子
关注 科研通微信公众号,转发送积分 3577260
求助须知:如何正确求助?哪些是违规求助? 3147139
关于积分的说明 9467990
捐赠科研通 2848654
什么是DOI,文献DOI怎么找? 1565835
邀请新用户注册赠送积分活动 733177
科研通“疑难数据库(出版商)”最低求助积分说明 719781