Cargando…
Perioperative Complications of Laminoplasty in Degenerative Cervical Myelopathy -A Comparative Study Between Ossification of Posterior Longitudinal Ligament and Cervical Spondylotic Myelopathy Using a Nationwide Inpatient Database
STUDY DESIGN: Retrospective cohort study. OBJECTIVES: Laminoplasty (LAMP) is one of the effective methods to successfully achieve surgical decompression in patients with degenerative cervical myelopathy (DCM). However, little evidence exists regarding the perioperative complications in LAMP for pati...
Autores principales: | , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10556883/ https://www.ncbi.nlm.nih.gov/pubmed/34920676 http://dx.doi.org/10.1177/21925682211063867 |
_version_ | 1785116965227986944 |
---|---|
author | Morishita, Shingo Yoshii, Toshitaka Inose, Hiroyuki Hirai, Takashi Yuasa, Masato Matsukura, Yu Ogawa, Takahisa Fushimi, Kiyohide Katayanagi, Junya Jinno, Tetsuya Okawa, Atsushi Fujiwara, Takeo |
author_facet | Morishita, Shingo Yoshii, Toshitaka Inose, Hiroyuki Hirai, Takashi Yuasa, Masato Matsukura, Yu Ogawa, Takahisa Fushimi, Kiyohide Katayanagi, Junya Jinno, Tetsuya Okawa, Atsushi Fujiwara, Takeo |
author_sort | Morishita, Shingo |
collection | PubMed |
description | STUDY DESIGN: Retrospective cohort study. OBJECTIVES: Laminoplasty (LAMP) is one of the effective methods to successfully achieve surgical decompression in patients with degenerative cervical myelopathy (DCM). However, little evidence exists regarding the perioperative complications in LAMP for patients with ossification of the longitudinal ligament (OPLL) compared with cervical spondylotic myelopathy (CSM). We aimed to investigate the perioperative complication rates and medical costs of DCM, including OPLL and CSM patients who underwent LAMP using a large national inpatient database. METHODS: This study identified patients who underwent LAMP for OPLL and CSM from 2010 to 2016 using the Japanese Diagnosis Procedure Combination database. We compared the incidence of perioperative complications (systemic and local), reoperation rates, medical costs during hospitalization, and mortality were between the OPLL and CSM groups after propensity score matching. RESULTS: This study included 22,714 patients (OPLL: 7485 patients, CSM: 15,229 patients). Consequently, 7169 pairs were matched. More perioperative systemic complications were detected in the OPLL group (one complication: 9.1% vs 7.7%; P = .002), especially for pneumonia (.5% vs .2%; P = .001) and dysphagia (.5% vs .2%; P = .004). The local complication rate was also higher in the OPLL group (paralysis: 1.1% vs .6%, P = .006; spinal fluid leakage: .4% vs .1%, P = .002). The hospitalization costs were approximately $2300 higher ($19,024 vs $16,770; P < .001) in the OPLL group. CONCLUSIONS: More perioperative complications and higher medical costs were noted in patients with OPLL than in patients with CSM who underwent LAMP. |
format | Online Article Text |
id | pubmed-10556883 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-105568832023-10-07 Perioperative Complications of Laminoplasty in Degenerative Cervical Myelopathy -A Comparative Study Between Ossification of Posterior Longitudinal Ligament and Cervical Spondylotic Myelopathy Using a Nationwide Inpatient Database Morishita, Shingo Yoshii, Toshitaka Inose, Hiroyuki Hirai, Takashi Yuasa, Masato Matsukura, Yu Ogawa, Takahisa Fushimi, Kiyohide Katayanagi, Junya Jinno, Tetsuya Okawa, Atsushi Fujiwara, Takeo Global Spine J Original Articles STUDY DESIGN: Retrospective cohort study. OBJECTIVES: Laminoplasty (LAMP) is one of the effective methods to successfully achieve surgical decompression in patients with degenerative cervical myelopathy (DCM). However, little evidence exists regarding the perioperative complications in LAMP for patients with ossification of the longitudinal ligament (OPLL) compared with cervical spondylotic myelopathy (CSM). We aimed to investigate the perioperative complication rates and medical costs of DCM, including OPLL and CSM patients who underwent LAMP using a large national inpatient database. METHODS: This study identified patients who underwent LAMP for OPLL and CSM from 2010 to 2016 using the Japanese Diagnosis Procedure Combination database. We compared the incidence of perioperative complications (systemic and local), reoperation rates, medical costs during hospitalization, and mortality were between the OPLL and CSM groups after propensity score matching. RESULTS: This study included 22,714 patients (OPLL: 7485 patients, CSM: 15,229 patients). Consequently, 7169 pairs were matched. More perioperative systemic complications were detected in the OPLL group (one complication: 9.1% vs 7.7%; P = .002), especially for pneumonia (.5% vs .2%; P = .001) and dysphagia (.5% vs .2%; P = .004). The local complication rate was also higher in the OPLL group (paralysis: 1.1% vs .6%, P = .006; spinal fluid leakage: .4% vs .1%, P = .002). The hospitalization costs were approximately $2300 higher ($19,024 vs $16,770; P < .001) in the OPLL group. CONCLUSIONS: More perioperative complications and higher medical costs were noted in patients with OPLL than in patients with CSM who underwent LAMP. SAGE Publications 2021-12-17 2023-09 /pmc/articles/PMC10556883/ /pubmed/34920676 http://dx.doi.org/10.1177/21925682211063867 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc-nd/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Articles Morishita, Shingo Yoshii, Toshitaka Inose, Hiroyuki Hirai, Takashi Yuasa, Masato Matsukura, Yu Ogawa, Takahisa Fushimi, Kiyohide Katayanagi, Junya Jinno, Tetsuya Okawa, Atsushi Fujiwara, Takeo Perioperative Complications of Laminoplasty in Degenerative Cervical Myelopathy -A Comparative Study Between Ossification of Posterior Longitudinal Ligament and Cervical Spondylotic Myelopathy Using a Nationwide Inpatient Database |
title | Perioperative Complications of Laminoplasty in Degenerative Cervical Myelopathy -A Comparative Study Between Ossification of Posterior Longitudinal Ligament and Cervical Spondylotic Myelopathy Using a Nationwide Inpatient Database |
title_full | Perioperative Complications of Laminoplasty in Degenerative Cervical Myelopathy -A Comparative Study Between Ossification of Posterior Longitudinal Ligament and Cervical Spondylotic Myelopathy Using a Nationwide Inpatient Database |
title_fullStr | Perioperative Complications of Laminoplasty in Degenerative Cervical Myelopathy -A Comparative Study Between Ossification of Posterior Longitudinal Ligament and Cervical Spondylotic Myelopathy Using a Nationwide Inpatient Database |
title_full_unstemmed | Perioperative Complications of Laminoplasty in Degenerative Cervical Myelopathy -A Comparative Study Between Ossification of Posterior Longitudinal Ligament and Cervical Spondylotic Myelopathy Using a Nationwide Inpatient Database |
title_short | Perioperative Complications of Laminoplasty in Degenerative Cervical Myelopathy -A Comparative Study Between Ossification of Posterior Longitudinal Ligament and Cervical Spondylotic Myelopathy Using a Nationwide Inpatient Database |
title_sort | perioperative complications of laminoplasty in degenerative cervical myelopathy -a comparative study between ossification of posterior longitudinal ligament and cervical spondylotic myelopathy using a nationwide inpatient database |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10556883/ https://www.ncbi.nlm.nih.gov/pubmed/34920676 http://dx.doi.org/10.1177/21925682211063867 |
work_keys_str_mv | AT morishitashingo perioperativecomplicationsoflaminoplastyindegenerativecervicalmyelopathyacomparativestudybetweenossificationofposteriorlongitudinalligamentandcervicalspondyloticmyelopathyusinganationwideinpatientdatabase AT yoshiitoshitaka perioperativecomplicationsoflaminoplastyindegenerativecervicalmyelopathyacomparativestudybetweenossificationofposteriorlongitudinalligamentandcervicalspondyloticmyelopathyusinganationwideinpatientdatabase AT inosehiroyuki perioperativecomplicationsoflaminoplastyindegenerativecervicalmyelopathyacomparativestudybetweenossificationofposteriorlongitudinalligamentandcervicalspondyloticmyelopathyusinganationwideinpatientdatabase AT hiraitakashi perioperativecomplicationsoflaminoplastyindegenerativecervicalmyelopathyacomparativestudybetweenossificationofposteriorlongitudinalligamentandcervicalspondyloticmyelopathyusinganationwideinpatientdatabase AT yuasamasato perioperativecomplicationsoflaminoplastyindegenerativecervicalmyelopathyacomparativestudybetweenossificationofposteriorlongitudinalligamentandcervicalspondyloticmyelopathyusinganationwideinpatientdatabase AT matsukurayu perioperativecomplicationsoflaminoplastyindegenerativecervicalmyelopathyacomparativestudybetweenossificationofposteriorlongitudinalligamentandcervicalspondyloticmyelopathyusinganationwideinpatientdatabase AT ogawatakahisa perioperativecomplicationsoflaminoplastyindegenerativecervicalmyelopathyacomparativestudybetweenossificationofposteriorlongitudinalligamentandcervicalspondyloticmyelopathyusinganationwideinpatientdatabase AT fushimikiyohide perioperativecomplicationsoflaminoplastyindegenerativecervicalmyelopathyacomparativestudybetweenossificationofposteriorlongitudinalligamentandcervicalspondyloticmyelopathyusinganationwideinpatientdatabase AT katayanagijunya perioperativecomplicationsoflaminoplastyindegenerativecervicalmyelopathyacomparativestudybetweenossificationofposteriorlongitudinalligamentandcervicalspondyloticmyelopathyusinganationwideinpatientdatabase AT jinnotetsuya perioperativecomplicationsoflaminoplastyindegenerativecervicalmyelopathyacomparativestudybetweenossificationofposteriorlongitudinalligamentandcervicalspondyloticmyelopathyusinganationwideinpatientdatabase AT okawaatsushi perioperativecomplicationsoflaminoplastyindegenerativecervicalmyelopathyacomparativestudybetweenossificationofposteriorlongitudinalligamentandcervicalspondyloticmyelopathyusinganationwideinpatientdatabase AT fujiwaratakeo perioperativecomplicationsoflaminoplastyindegenerativecervicalmyelopathyacomparativestudybetweenossificationofposteriorlongitudinalligamentandcervicalspondyloticmyelopathyusinganationwideinpatientdatabase |