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Factors associated with surgical outcomes of cervical ossification of the posterior longitudinal ligament

To investigate factors associated with surgical outcomes of cervical ossification of the posterior longitudinal ligament (OPLL). This retrospective study included patients (662 males and 251 females; mean age 55.8 years) with symptomatic OPLL. All patients had been diagnosed with OPLL based on cervi...

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Autores principales: Yudoyono, Farid, Cho, Pyung Goo, Park, Sang Hyuk, Moon, Bong Ju, Yi, Seong, Ha, Yoon, Kim, Keung Nyun, Yoon, Do Heum, Shin, Dong Ah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6086522/
https://www.ncbi.nlm.nih.gov/pubmed/30024507
http://dx.doi.org/10.1097/MD.0000000000011342
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author Yudoyono, Farid
Cho, Pyung Goo
Park, Sang Hyuk
Moon, Bong Ju
Yi, Seong
Ha, Yoon
Kim, Keung Nyun
Yoon, Do Heum
Shin, Dong Ah
author_facet Yudoyono, Farid
Cho, Pyung Goo
Park, Sang Hyuk
Moon, Bong Ju
Yi, Seong
Ha, Yoon
Kim, Keung Nyun
Yoon, Do Heum
Shin, Dong Ah
author_sort Yudoyono, Farid
collection PubMed
description To investigate factors associated with surgical outcomes of cervical ossification of the posterior longitudinal ligament (OPLL). This retrospective study included patients (662 males and 251 females; mean age 55.8 years) with symptomatic OPLL. All patients had been diagnosed with OPLL based on cervical magnetic resonance imaging and computed tomography scans. Demographic, surgical outcome was measured using visual analog scale (VAS) and Japanese Orthopedic Association (JOA) scale scores. The results of our study indicated radicular pain was more common in segmental and circumscribe OPLL subtypes (P < 0.05). An anterior approach was favored in patients with less than 3 involved vertebral levels (P < 0.05). All surgical methods showed good outcomes (P < 0.05). Continuous and mixed OPLL subtypes showed worse surgical outcome with higher VAS and JOA scores (P < 0.05). Laminoplasty and anterior cervical discectomy and fusion were significantly associated with a higher recovery rate (P < 0.05). Among these patients, there were more complications with the anterior approach (P < 0.05). Male gender, open door laminoplasty ipsilateral, and ipsilateral-to-symptom-side opening were associated with postoperative C5 palsy (P < 0.05). Cervical OPLL may cause myelopathy, surgery is a safe and effective treatment for OPLL. There were no differences in clinical outcome according to surgical type, but complication rates varied depending on sex and surgical approach to symptom.
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spelling pubmed-60865222018-08-17 Factors associated with surgical outcomes of cervical ossification of the posterior longitudinal ligament Yudoyono, Farid Cho, Pyung Goo Park, Sang Hyuk Moon, Bong Ju Yi, Seong Ha, Yoon Kim, Keung Nyun Yoon, Do Heum Shin, Dong Ah Medicine (Baltimore) Research Article To investigate factors associated with surgical outcomes of cervical ossification of the posterior longitudinal ligament (OPLL). This retrospective study included patients (662 males and 251 females; mean age 55.8 years) with symptomatic OPLL. All patients had been diagnosed with OPLL based on cervical magnetic resonance imaging and computed tomography scans. Demographic, surgical outcome was measured using visual analog scale (VAS) and Japanese Orthopedic Association (JOA) scale scores. The results of our study indicated radicular pain was more common in segmental and circumscribe OPLL subtypes (P < 0.05). An anterior approach was favored in patients with less than 3 involved vertebral levels (P < 0.05). All surgical methods showed good outcomes (P < 0.05). Continuous and mixed OPLL subtypes showed worse surgical outcome with higher VAS and JOA scores (P < 0.05). Laminoplasty and anterior cervical discectomy and fusion were significantly associated with a higher recovery rate (P < 0.05). Among these patients, there were more complications with the anterior approach (P < 0.05). Male gender, open door laminoplasty ipsilateral, and ipsilateral-to-symptom-side opening were associated with postoperative C5 palsy (P < 0.05). Cervical OPLL may cause myelopathy, surgery is a safe and effective treatment for OPLL. There were no differences in clinical outcome according to surgical type, but complication rates varied depending on sex and surgical approach to symptom. Wolters Kluwer Health 2018-07-20 /pmc/articles/PMC6086522/ /pubmed/30024507 http://dx.doi.org/10.1097/MD.0000000000011342 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0
spellingShingle Research Article
Yudoyono, Farid
Cho, Pyung Goo
Park, Sang Hyuk
Moon, Bong Ju
Yi, Seong
Ha, Yoon
Kim, Keung Nyun
Yoon, Do Heum
Shin, Dong Ah
Factors associated with surgical outcomes of cervical ossification of the posterior longitudinal ligament
title Factors associated with surgical outcomes of cervical ossification of the posterior longitudinal ligament
title_full Factors associated with surgical outcomes of cervical ossification of the posterior longitudinal ligament
title_fullStr Factors associated with surgical outcomes of cervical ossification of the posterior longitudinal ligament
title_full_unstemmed Factors associated with surgical outcomes of cervical ossification of the posterior longitudinal ligament
title_short Factors associated with surgical outcomes of cervical ossification of the posterior longitudinal ligament
title_sort factors associated with surgical outcomes of cervical ossification of the posterior longitudinal ligament
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6086522/
https://www.ncbi.nlm.nih.gov/pubmed/30024507
http://dx.doi.org/10.1097/MD.0000000000011342
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