دورية أكاديمية
Factors Affecting the Surgical Outcomes of Patients Treated With “de-tension” Surgical Strategy for Multilevel Ossification of the Posterior Longitudinal Ligament in the Thoracic Spine: A Minimum 2-year Follow-Up Study of 83 Patients in a Single Center
| العنوان: | Factors Affecting the Surgical Outcomes of Patients Treated With “de-tension” Surgical Strategy for Multilevel Ossification of the Posterior Longitudinal Ligament in the Thoracic Spine: A Minimum 2-year Follow-Up Study of 83 Patients in a Single Center |
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| المؤلفون: | Chen, Guanghui, Fan, Tianqi, Chen, Zhongqiang, Li, Weishi, Qi, Qiang, Guo, Zhaoqing, Zhong, Woquan, Jiang, Yu, Song, Chunli, Sun, Chuiguo |
| المساهمون: | National Natural Science Foundation of China, Talent Incubation Foundation of Peking University Third Hospital, China Postdoctoral Science Foundation |
| المصدر: | Global Spine Journal ; page 219256822311741 ; ISSN 2192-5682 2192-5690 |
| بيانات النشر: | SAGE Publications |
| سنة النشر: | 2023 |
| مصطلحات موضوعية: | Neurology (clinical), Orthopedics and Sports Medicine, Surgery |
| الوصف: | Study Design Retrospective cohort study Objectives To describe the clinical characteristics and surgical outcomes of patients with multilevel-ossification of the posterior longitudinal ligament (mT-OPLL), and to identify risk factors for unfavorable outcomes. Methods Patients who were diagnosed with mT-OPLL and underwent one-stage thoracic posterior laminectomy combined with selective OPLL resection, spinal cord de-tension, and fusion surgery between August 2012 and October 2020 were recruited. Patients’ demographic-, surgical- and radiological-related parameters were collected and analyzed. Neurological status was evaluated with mJOA score, and recovery rate (RR) was calculated using the Hirabayashi formula. According to RR, patients were divided into a favorable outcome group (FOG, RR ≥50%) and an unfavorable outcome group (UOG, RR <50%). Univariate and multivariate analyses were used to compare the difference between the 2 groups and to identify risk factors for unfavorable outcomes. Results A total of 83 patients were included, with an average age of 50.6 ± 8.3 years. Cerebrospinal fluid leakage (60.2%) and transient neurological deterioration (9.6%) were the most common complications. The average mJOA score improved from preoperative 4.3 ± 2.2 to 9.0 ± 2.4 at the last follow-up, and the mean RR was 74.9 ± 26.3%. Disease duration, preoperative nonambulatory status, and the number of decompressed levels were identified as potential risk factors by Univariate analysis (all P < .05). Multivariate analysis showed that the preoperative disease duration and nonambulatory status were independent risk factors for unfavorable outcomes. Conclusions Long disease duration and nonambulatory status before surgery were independent risk factors for unfavorable outcomes. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| ردمك: | 978-2-19-256822-3 2-19-256822-3 |
| DOI: | 10.1177/21925682231174194 |
| الإتاحة: | https://doi.org/10.1177/21925682231174194Test |
| حقوق: | https://creativecommons.org/licenses/by-nc-nd/4.0Test/ |
| رقم الانضمام: | edsbas.F7632332 |
| قاعدة البيانات: | BASE |
| ردمك: | 9782192568223 2192568223 |
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| DOI: | 10.1177/21925682231174194 |