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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...

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Autores principales: Morishita, Shingo, Yoshii, Toshitaka, Inose, Hiroyuki, Hirai, Takashi, Yuasa, Masato, Matsukura, Yu, Ogawa, Takahisa, Fushimi, Kiyohide, Katayanagi, Junya, Jinno, Tetsuya, Okawa, Atsushi, Fujiwara, Takeo
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
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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.
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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
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