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Comparing clinical outcomes of using 3 versus 5 titanium miniplates in laminoplasty for multilevel cervical myelopathy: A prospective cohort study
STUDY DESIGN: Prospective cohort study. OBJECTIVE: The aim of this study was to compare clinical outcomes, radiographic changes, and complications of cervical expansive open-door laminoplasty(EOLP)for cervical multilevel myelopathy, using either 3 or 5 titanium miniplates. SUMMARY OF BACKGROUND DATA...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Chinese Speaking Orthopaedic Society
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6939103/ https://www.ncbi.nlm.nih.gov/pubmed/31908935 http://dx.doi.org/10.1016/j.jot.2019.10.008 |
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author | Ji, Wei Zhang, Yi-Jian Zhou, Feng Mao, Hai-qing Yang, Hui-lin Liu, Tao |
author_facet | Ji, Wei Zhang, Yi-Jian Zhou, Feng Mao, Hai-qing Yang, Hui-lin Liu, Tao |
author_sort | Ji, Wei |
collection | PubMed |
description | STUDY DESIGN: Prospective cohort study. OBJECTIVE: The aim of this study was to compare clinical outcomes, radiographic changes, and complications of cervical expansive open-door laminoplasty(EOLP)for cervical multilevel myelopathy, using either 3 or 5 titanium miniplates. SUMMARY OF BACKGROUND DATA: Cervical EOLP is a common and effective operation for cervical myelopathy. Standard procedures utilise either 3 or 5 titanium miniplates; however, no definite conclusion has been given yet on the relationship between clinical outcomes and the quantity of titanium miniplates. METHOD: We performed a prospective study of 92 patients who underwent EOLP with either 3 (n = 34) or 5 (n = 58) titanium miniplates at our institution from March 2012 to June 2016. Clinical and radiologic outcomes and complications were compared. RESULT: Compared with the 5 titanium miniplates group, the 3 titanium miniplates group had shorter operation times and less blood loss (P < 0.05) and needed fewer costs (P < 0.01) during index hospitalisation. The preoperative cervical curvature angle decreased in both groups and revealed no significant differences. There was no significant difference between the two groups in the Japanese Orthopedic Association (JOA) score, JOA recovery rate, loss of range of motion (ROM), anteroposterior diameter (APD), or spinal canal complications (P > 0.05). CONCLUSION: Cervical EOLP using 3 titanium miniplates is associated with shorter operation times, less blood loss, and lower operation costs compared with using 5 titanium miniplates. THE TRANSLATIONAL POTENTIAL OF THIS ARTICLE: Expansive open-door laminoplasty (EOLP) is an effective procedure for treating multilevel cervical spondylotic myelopathy. The present study indicated that 3 titanium miniplates could achieve similar clinical outcomes but with shorter operation times, less blood loss and operation costs compared with 5 titanium miniplates. These findings may provide some references for clinical applications. |
format | Online Article Text |
id | pubmed-6939103 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Chinese Speaking Orthopaedic Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-69391032020-01-06 Comparing clinical outcomes of using 3 versus 5 titanium miniplates in laminoplasty for multilevel cervical myelopathy: A prospective cohort study Ji, Wei Zhang, Yi-Jian Zhou, Feng Mao, Hai-qing Yang, Hui-lin Liu, Tao J Orthop Translat Original Article STUDY DESIGN: Prospective cohort study. OBJECTIVE: The aim of this study was to compare clinical outcomes, radiographic changes, and complications of cervical expansive open-door laminoplasty(EOLP)for cervical multilevel myelopathy, using either 3 or 5 titanium miniplates. SUMMARY OF BACKGROUND DATA: Cervical EOLP is a common and effective operation for cervical myelopathy. Standard procedures utilise either 3 or 5 titanium miniplates; however, no definite conclusion has been given yet on the relationship between clinical outcomes and the quantity of titanium miniplates. METHOD: We performed a prospective study of 92 patients who underwent EOLP with either 3 (n = 34) or 5 (n = 58) titanium miniplates at our institution from March 2012 to June 2016. Clinical and radiologic outcomes and complications were compared. RESULT: Compared with the 5 titanium miniplates group, the 3 titanium miniplates group had shorter operation times and less blood loss (P < 0.05) and needed fewer costs (P < 0.01) during index hospitalisation. The preoperative cervical curvature angle decreased in both groups and revealed no significant differences. There was no significant difference between the two groups in the Japanese Orthopedic Association (JOA) score, JOA recovery rate, loss of range of motion (ROM), anteroposterior diameter (APD), or spinal canal complications (P > 0.05). CONCLUSION: Cervical EOLP using 3 titanium miniplates is associated with shorter operation times, less blood loss, and lower operation costs compared with using 5 titanium miniplates. THE TRANSLATIONAL POTENTIAL OF THIS ARTICLE: Expansive open-door laminoplasty (EOLP) is an effective procedure for treating multilevel cervical spondylotic myelopathy. The present study indicated that 3 titanium miniplates could achieve similar clinical outcomes but with shorter operation times, less blood loss and operation costs compared with 5 titanium miniplates. These findings may provide some references for clinical applications. Chinese Speaking Orthopaedic Society 2019-11-13 /pmc/articles/PMC6939103/ /pubmed/31908935 http://dx.doi.org/10.1016/j.jot.2019.10.008 Text en © 2019 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Article Ji, Wei Zhang, Yi-Jian Zhou, Feng Mao, Hai-qing Yang, Hui-lin Liu, Tao Comparing clinical outcomes of using 3 versus 5 titanium miniplates in laminoplasty for multilevel cervical myelopathy: A prospective cohort study |
title | Comparing clinical outcomes of using 3 versus 5 titanium miniplates in laminoplasty for multilevel cervical myelopathy: A prospective cohort study |
title_full | Comparing clinical outcomes of using 3 versus 5 titanium miniplates in laminoplasty for multilevel cervical myelopathy: A prospective cohort study |
title_fullStr | Comparing clinical outcomes of using 3 versus 5 titanium miniplates in laminoplasty for multilevel cervical myelopathy: A prospective cohort study |
title_full_unstemmed | Comparing clinical outcomes of using 3 versus 5 titanium miniplates in laminoplasty for multilevel cervical myelopathy: A prospective cohort study |
title_short | Comparing clinical outcomes of using 3 versus 5 titanium miniplates in laminoplasty for multilevel cervical myelopathy: A prospective cohort study |
title_sort | comparing clinical outcomes of using 3 versus 5 titanium miniplates in laminoplasty for multilevel cervical myelopathy: a prospective cohort study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6939103/ https://www.ncbi.nlm.nih.gov/pubmed/31908935 http://dx.doi.org/10.1016/j.jot.2019.10.008 |
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