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Perioperative Complications of Anterior Decompression with Fusion in Degenerative Cervical Myelopathy—A Comparative Study between Ossification of Posterior Longitudinal Ligament and Cervical Spondylotic Myelopathy Using a Nationwide Inpatient Database

For ossification of the posterior longitudinal ligament (OPLL) and cervical spondylotic myelopathy (CSM), anterior decompression with fusion (ADF) can accurately achieve spinal decompression. However, the difference in perioperative complications in ADF between OPLL and CSM is poorly described. This...

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Autores principales: Morishita, Shingo, Yoshii, Toshitaka, Inose, Hiroyuki, Hirai, Takashi, Matsukura, Yu, Ogawa, Takahisa, Fushimi, Kiyohide, Katayanagi, Junya, Jinno, Tetsuya, Okawa, Atsushi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9225569/
https://www.ncbi.nlm.nih.gov/pubmed/35743467
http://dx.doi.org/10.3390/jcm11123398
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author Morishita, Shingo
Yoshii, Toshitaka
Inose, Hiroyuki
Hirai, Takashi
Matsukura, Yu
Ogawa, Takahisa
Fushimi, Kiyohide
Katayanagi, Junya
Jinno, Tetsuya
Okawa, Atsushi
author_facet Morishita, Shingo
Yoshii, Toshitaka
Inose, Hiroyuki
Hirai, Takashi
Matsukura, Yu
Ogawa, Takahisa
Fushimi, Kiyohide
Katayanagi, Junya
Jinno, Tetsuya
Okawa, Atsushi
author_sort Morishita, Shingo
collection PubMed
description For ossification of the posterior longitudinal ligament (OPLL) and cervical spondylotic myelopathy (CSM), anterior decompression with fusion (ADF) can accurately achieve spinal decompression. However, the difference in perioperative complications in ADF between OPLL and CSM is poorly described. This study aimed to investigate the perioperative complication rates of patients with degenerative cervical myelopathy undergoing ADF, represented by OPLL and CSM, using a large national inpatient database. In the OPLL and CSM groups, postoperative complication (systemic and local) rates, reoperation rates, medical costs during hospitalization, and mortality after propensity score matching were compared. After matching, 1197 matched pairs were made. The incidence of total systemic complications was similar between both groups (OPLL, 12.4%; CSM, 12.2%). In the OPLL group, more perioperative local complications (cerebrospinal fluid leakage: CSFL, [OPLL, 2.7%; CSM, 0.3%] and surgical site infection: SSI [OPLL, 2.1%; CSM, 0.9%]) were detected, and the hospitalization cost was approximately $3200 higher than that in the CSM group. Moreover, medical costs were significantly higher in patients who experienced complications in both OPLL and CSM. The frequency of perioperative complications of OPLL and CSM in ADF was detailed using large real-world data. Compared to CSM, OPLL had more perioperative complications such as CSFL and SSI, and higher medical costs. Regardless of the disease, medical costs were significantly increased when perioperative complications occurred.
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spelling pubmed-92255692022-06-24 Perioperative Complications of Anterior Decompression with Fusion 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 Matsukura, Yu Ogawa, Takahisa Fushimi, Kiyohide Katayanagi, Junya Jinno, Tetsuya Okawa, Atsushi J Clin Med Article For ossification of the posterior longitudinal ligament (OPLL) and cervical spondylotic myelopathy (CSM), anterior decompression with fusion (ADF) can accurately achieve spinal decompression. However, the difference in perioperative complications in ADF between OPLL and CSM is poorly described. This study aimed to investigate the perioperative complication rates of patients with degenerative cervical myelopathy undergoing ADF, represented by OPLL and CSM, using a large national inpatient database. In the OPLL and CSM groups, postoperative complication (systemic and local) rates, reoperation rates, medical costs during hospitalization, and mortality after propensity score matching were compared. After matching, 1197 matched pairs were made. The incidence of total systemic complications was similar between both groups (OPLL, 12.4%; CSM, 12.2%). In the OPLL group, more perioperative local complications (cerebrospinal fluid leakage: CSFL, [OPLL, 2.7%; CSM, 0.3%] and surgical site infection: SSI [OPLL, 2.1%; CSM, 0.9%]) were detected, and the hospitalization cost was approximately $3200 higher than that in the CSM group. Moreover, medical costs were significantly higher in patients who experienced complications in both OPLL and CSM. The frequency of perioperative complications of OPLL and CSM in ADF was detailed using large real-world data. Compared to CSM, OPLL had more perioperative complications such as CSFL and SSI, and higher medical costs. Regardless of the disease, medical costs were significantly increased when perioperative complications occurred. MDPI 2022-06-13 /pmc/articles/PMC9225569/ /pubmed/35743467 http://dx.doi.org/10.3390/jcm11123398 Text en © 2022 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
Morishita, Shingo
Yoshii, Toshitaka
Inose, Hiroyuki
Hirai, Takashi
Matsukura, Yu
Ogawa, Takahisa
Fushimi, Kiyohide
Katayanagi, Junya
Jinno, Tetsuya
Okawa, Atsushi
Perioperative Complications of Anterior Decompression with Fusion 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 Anterior Decompression with Fusion 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 Anterior Decompression with Fusion 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 Anterior Decompression with Fusion 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 Anterior Decompression with Fusion 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 Anterior Decompression with Fusion 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 anterior decompression with fusion in degenerative cervical myelopathy—a comparative study between ossification of posterior longitudinal ligament and cervical spondylotic myelopathy using a nationwide inpatient database
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9225569/
https://www.ncbi.nlm.nih.gov/pubmed/35743467
http://dx.doi.org/10.3390/jcm11123398
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