Factors associated with postoperative axial symptom after expansive open-door laminoplasty: retrospective study using multivariable analysis

被引:28
作者
Zhang, Xiuru [1 ]
Gao, Yanzheng [1 ]
Gao, Kun [1 ]
Yu, Zhenghong [1 ]
Lv, Dongbo [1 ]
Ma, Hao [1 ]
Zhai, Gongwei [1 ]
机构
[1] Henan Univ, Zhengzhou Univ, Henan Prov Peoples Hosp, Dept Surg Spine & Spinal Cord,Peoples Hosp, Zhengzhou 450003, Henan, Peoples R China
关键词
Axial symptom; Expansive open-door laminoplasty; C2 sagittal vertical axial; Risk factors; CERVICAL SAGITTAL BALANCE; SPINAL-CORD; INTRAMEDULLARY PRESSURE; KYPHOTIC DEFORMITY; MYELOPATHY; ALIGNMENT; PAIN; NECK; LAMINECTOMY; FUSION;
D O I
10.1007/s00586-020-06494-5
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Purpose The aim of the present study was to investigate the factors associated with axial symptom using multivariable analysis. Methods The authors retrospectively assessed 249 patients treated by open-door laminoplasty. The patients were classified into two groups: axial symptom and no axial symptom group. The possible factors included demographic variables (age, sex, BMI, smoking, heart disease, diabetes, preoperative neck pain, preoperative JOA scores, preoperative NDI, course of disease and pathogenesis) and surgical and radiological variables [operation time, intraoperative blood loss, collar wear time, preoperative cervical curvature, postoperative cervical curvature, T1 slope, preoperative and postoperative C2 sagittal vertical axis (C2 SVA)]. Results The prevalence of axial symptom was 34.9% (89/249). The collar wear time, preoperative and postoperative C2 SVA were risk factors for axial symptom. A cutoff value of 22.6 mm for preoperative C2 SVA and 3.5 weeks for collar wear time predicted the development of axial symptom. Conclusions The longer collar wear time, larger preoperative and postoperative C2 SVA were positively correlated with the higher incidence of axial symptom.
引用
收藏
页码:2838 / 2844
页数:7
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