Cargando…
Impact of Diabetes Mellitus on Cervical Spine Surgery for Ossification of the Posterior Longitudinal Ligament
Ossification of the posterior longitudinal ligament (OPLL) is commonly associated with diabetes mellitus (DM); however, the impact of DM on cervical spine surgery for OPLL remains unclear. This study was performed to evaluate the influence of diabetes DM on the outcomes following cervical spine surg...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8347558/ https://www.ncbi.nlm.nih.gov/pubmed/34362158 http://dx.doi.org/10.3390/jcm10153375 |
_version_ | 1783735119139307520 |
---|---|
author | Kimura, Atsushi Takeshita, Katsushi Yoshii, Toshitaka Egawa, Satoru Hirai, Takashi Sakai, Kenichiro Kusano, Kazuo Nakagawa, Yukihiro Wada, Kanichiro Katsumi, Keiichi Fujii, Kengo Furuya, Takeo Nagoshi, Narihito Kanchiku, Tsukasa Nagamoto, Yukitaka Oshima, Yasushi Nakashima, Hiroaki Ando, Kei Takahata, Masahiko Mori, Kanji Nakajima, Hideaki Murata, Kazuma Matsunaga, Shunji Kaito, Takashi Yamada, Kei Kobayashi, Sho Kato, Satoshi Ohba, Tetsuro Inami, Satoshi Fujibayashi, Shunsuke Katoh, Hiroyuki Kanno, Haruo Watanabe, Kota Imagama, Shiro Koda, Masao Kawaguchi, Yoshiharu Nakamura, Masaya Matsumoto, Morio Yamazaki, Masashi Okawa, Atsushi |
author_facet | Kimura, Atsushi Takeshita, Katsushi Yoshii, Toshitaka Egawa, Satoru Hirai, Takashi Sakai, Kenichiro Kusano, Kazuo Nakagawa, Yukihiro Wada, Kanichiro Katsumi, Keiichi Fujii, Kengo Furuya, Takeo Nagoshi, Narihito Kanchiku, Tsukasa Nagamoto, Yukitaka Oshima, Yasushi Nakashima, Hiroaki Ando, Kei Takahata, Masahiko Mori, Kanji Nakajima, Hideaki Murata, Kazuma Matsunaga, Shunji Kaito, Takashi Yamada, Kei Kobayashi, Sho Kato, Satoshi Ohba, Tetsuro Inami, Satoshi Fujibayashi, Shunsuke Katoh, Hiroyuki Kanno, Haruo Watanabe, Kota Imagama, Shiro Koda, Masao Kawaguchi, Yoshiharu Nakamura, Masaya Matsumoto, Morio Yamazaki, Masashi Okawa, Atsushi |
author_sort | Kimura, Atsushi |
collection | PubMed |
description | Ossification of the posterior longitudinal ligament (OPLL) is commonly associated with diabetes mellitus (DM); however, the impact of DM on cervical spine surgery for OPLL remains unclear. This study was performed to evaluate the influence of diabetes DM on the outcomes following cervical spine surgery for OPLL. In total, 478 patients with cervical OPLL who underwent surgical treatment were prospectively recruited from April 2015 to July 2017. Functional measurements were conducted at baseline and at 6 months, 1 year, and 2 years after surgery using JOA and JOACMEQ scores. The incidence of postoperative complications was categorized into early (≤30 days) and late (>30 days), depending on the time from surgery. From the initial group of 478 patients, 402 completed the 2-year follow-up and were included in the analysis. Of the 402 patients, 127 (32%) had DM as a comorbid disease. The overall incidence of postoperative complications was significantly higher in patients with DM than in patients without DM in both the early and late postoperative periods. The patients with DM had a significantly lower JOA score and JOACMEQ scores in the domains of lower extremity function and quality of life than those without DM at the 2-year follow-up. |
format | Online Article Text |
id | pubmed-8347558 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-83475582021-08-08 Impact of Diabetes Mellitus on Cervical Spine Surgery for Ossification of the Posterior Longitudinal Ligament Kimura, Atsushi Takeshita, Katsushi Yoshii, Toshitaka Egawa, Satoru Hirai, Takashi Sakai, Kenichiro Kusano, Kazuo Nakagawa, Yukihiro Wada, Kanichiro Katsumi, Keiichi Fujii, Kengo Furuya, Takeo Nagoshi, Narihito Kanchiku, Tsukasa Nagamoto, Yukitaka Oshima, Yasushi Nakashima, Hiroaki Ando, Kei Takahata, Masahiko Mori, Kanji Nakajima, Hideaki Murata, Kazuma Matsunaga, Shunji Kaito, Takashi Yamada, Kei Kobayashi, Sho Kato, Satoshi Ohba, Tetsuro Inami, Satoshi Fujibayashi, Shunsuke Katoh, Hiroyuki Kanno, Haruo Watanabe, Kota Imagama, Shiro Koda, Masao Kawaguchi, Yoshiharu Nakamura, Masaya Matsumoto, Morio Yamazaki, Masashi Okawa, Atsushi J Clin Med Article Ossification of the posterior longitudinal ligament (OPLL) is commonly associated with diabetes mellitus (DM); however, the impact of DM on cervical spine surgery for OPLL remains unclear. This study was performed to evaluate the influence of diabetes DM on the outcomes following cervical spine surgery for OPLL. In total, 478 patients with cervical OPLL who underwent surgical treatment were prospectively recruited from April 2015 to July 2017. Functional measurements were conducted at baseline and at 6 months, 1 year, and 2 years after surgery using JOA and JOACMEQ scores. The incidence of postoperative complications was categorized into early (≤30 days) and late (>30 days), depending on the time from surgery. From the initial group of 478 patients, 402 completed the 2-year follow-up and were included in the analysis. Of the 402 patients, 127 (32%) had DM as a comorbid disease. The overall incidence of postoperative complications was significantly higher in patients with DM than in patients without DM in both the early and late postoperative periods. The patients with DM had a significantly lower JOA score and JOACMEQ scores in the domains of lower extremity function and quality of life than those without DM at the 2-year follow-up. MDPI 2021-07-29 /pmc/articles/PMC8347558/ /pubmed/34362158 http://dx.doi.org/10.3390/jcm10153375 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Kimura, Atsushi Takeshita, Katsushi Yoshii, Toshitaka Egawa, Satoru Hirai, Takashi Sakai, Kenichiro Kusano, Kazuo Nakagawa, Yukihiro Wada, Kanichiro Katsumi, Keiichi Fujii, Kengo Furuya, Takeo Nagoshi, Narihito Kanchiku, Tsukasa Nagamoto, Yukitaka Oshima, Yasushi Nakashima, Hiroaki Ando, Kei Takahata, Masahiko Mori, Kanji Nakajima, Hideaki Murata, Kazuma Matsunaga, Shunji Kaito, Takashi Yamada, Kei Kobayashi, Sho Kato, Satoshi Ohba, Tetsuro Inami, Satoshi Fujibayashi, Shunsuke Katoh, Hiroyuki Kanno, Haruo Watanabe, Kota Imagama, Shiro Koda, Masao Kawaguchi, Yoshiharu Nakamura, Masaya Matsumoto, Morio Yamazaki, Masashi Okawa, Atsushi Impact of Diabetes Mellitus on Cervical Spine Surgery for Ossification of the Posterior Longitudinal Ligament |
title | Impact of Diabetes Mellitus on Cervical Spine Surgery for Ossification of the Posterior Longitudinal Ligament |
title_full | Impact of Diabetes Mellitus on Cervical Spine Surgery for Ossification of the Posterior Longitudinal Ligament |
title_fullStr | Impact of Diabetes Mellitus on Cervical Spine Surgery for Ossification of the Posterior Longitudinal Ligament |
title_full_unstemmed | Impact of Diabetes Mellitus on Cervical Spine Surgery for Ossification of the Posterior Longitudinal Ligament |
title_short | Impact of Diabetes Mellitus on Cervical Spine Surgery for Ossification of the Posterior Longitudinal Ligament |
title_sort | impact of diabetes mellitus on cervical spine surgery for ossification of the posterior longitudinal ligament |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8347558/ https://www.ncbi.nlm.nih.gov/pubmed/34362158 http://dx.doi.org/10.3390/jcm10153375 |
work_keys_str_mv | AT kimuraatsushi impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT takeshitakatsushi impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT yoshiitoshitaka impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT egawasatoru impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT hiraitakashi impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT sakaikenichiro impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT kusanokazuo impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT nakagawayukihiro impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT wadakanichiro impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT katsumikeiichi impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT fujiikengo impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT furuyatakeo impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT nagoshinarihito impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT kanchikutsukasa impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT nagamotoyukitaka impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT oshimayasushi impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT nakashimahiroaki impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT andokei impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT takahatamasahiko impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT morikanji impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT nakajimahideaki impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT muratakazuma impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT matsunagashunji impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT kaitotakashi impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT yamadakei impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT kobayashisho impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT katosatoshi impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT ohbatetsuro impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT inamisatoshi impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT fujibayashishunsuke impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT katohhiroyuki impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT kannoharuo impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT watanabekota impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT imagamashiro impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT kodamasao impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT kawaguchiyoshiharu impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT nakamuramasaya impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT matsumotomorio impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT yamazakimasashi impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament AT okawaatsushi impactofdiabetesmellitusoncervicalspinesurgeryforossificationoftheposteriorlongitudinalligament |