Cargando…
Change in Physical and Mental Quality-of-Life between the Short- and Mid-Term Periods after Cervical Laminoplasty for Cervical Spondylotic Myelopathy: A Retrospective Cohort Study with Minimum 5 Years Follow-up
The mid-term surgical outcomes of cervical spondylotic myelopathy (CSM), evaluated using the cervical Japanese Orthopedic Association (cJOA) score, are reported to be satisfactory. However, there remains room for improvement in quality-of-life (QOL), especially after short-term follow-up. We aimed t...
Autores principales: | , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9457037/ https://www.ncbi.nlm.nih.gov/pubmed/36079160 http://dx.doi.org/10.3390/jcm11175230 |
_version_ | 1784785958092144640 |
---|---|
author | Tamai, Koji Suzuki, Akinobu Terai, Hidetomi Kato, Minori Toyoda, Hiromitsu Takahashi, Shinji Yabu, Akito Sawada, Yuta Iwamae, Masayoshi Nakamura, Hiroaki |
author_facet | Tamai, Koji Suzuki, Akinobu Terai, Hidetomi Kato, Minori Toyoda, Hiromitsu Takahashi, Shinji Yabu, Akito Sawada, Yuta Iwamae, Masayoshi Nakamura, Hiroaki |
author_sort | Tamai, Koji |
collection | PubMed |
description | The mid-term surgical outcomes of cervical spondylotic myelopathy (CSM), evaluated using the cervical Japanese Orthopedic Association (cJOA) score, are reported to be satisfactory. However, there remains room for improvement in quality-of-life (QOL), especially after short-term follow-up. We aimed to demonstrate changes in mental and physical QOL between short- and mid-term follow-ups and determine the predictive factors for deterioration of QOL. In this retrospective cohort study, 80 consecutive patients underwent laminoplasty for CSM. The outcome measures were Short Form-36 Physical Component Summary (PCS), Mental Component Summary (MCS), and cJOA scores. PCS and MCS scores were compared at the 2- and 5-year postoperative time points. Additionally, a multivariate logistic regression model was used to identify the predictive factors for deterioration. Significant factors in the logistic regression analysis were analyzed using receiver-operating characteristic curves. The results showed that MCS scores did not deteriorate after 2 years postoperatively (p = 0.912). Meanwhile, PCS significantly declined between 2 and 5 years postoperatively (p = 0.008). cJOA scores at 2 years postoperatively were significantly associated with PCS deterioration at 2-year follow-up. In conclusion, only physical QOL might show deterioration after short-term follow-up. Such deterioration is likely in patients with a cJOA score <13.0 at 2 years postoperatively. |
format | Online Article Text |
id | pubmed-9457037 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-94570372022-09-09 Change in Physical and Mental Quality-of-Life between the Short- and Mid-Term Periods after Cervical Laminoplasty for Cervical Spondylotic Myelopathy: A Retrospective Cohort Study with Minimum 5 Years Follow-up Tamai, Koji Suzuki, Akinobu Terai, Hidetomi Kato, Minori Toyoda, Hiromitsu Takahashi, Shinji Yabu, Akito Sawada, Yuta Iwamae, Masayoshi Nakamura, Hiroaki J Clin Med Article The mid-term surgical outcomes of cervical spondylotic myelopathy (CSM), evaluated using the cervical Japanese Orthopedic Association (cJOA) score, are reported to be satisfactory. However, there remains room for improvement in quality-of-life (QOL), especially after short-term follow-up. We aimed to demonstrate changes in mental and physical QOL between short- and mid-term follow-ups and determine the predictive factors for deterioration of QOL. In this retrospective cohort study, 80 consecutive patients underwent laminoplasty for CSM. The outcome measures were Short Form-36 Physical Component Summary (PCS), Mental Component Summary (MCS), and cJOA scores. PCS and MCS scores were compared at the 2- and 5-year postoperative time points. Additionally, a multivariate logistic regression model was used to identify the predictive factors for deterioration. Significant factors in the logistic regression analysis were analyzed using receiver-operating characteristic curves. The results showed that MCS scores did not deteriorate after 2 years postoperatively (p = 0.912). Meanwhile, PCS significantly declined between 2 and 5 years postoperatively (p = 0.008). cJOA scores at 2 years postoperatively were significantly associated with PCS deterioration at 2-year follow-up. In conclusion, only physical QOL might show deterioration after short-term follow-up. Such deterioration is likely in patients with a cJOA score <13.0 at 2 years postoperatively. MDPI 2022-09-04 /pmc/articles/PMC9457037/ /pubmed/36079160 http://dx.doi.org/10.3390/jcm11175230 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 Tamai, Koji Suzuki, Akinobu Terai, Hidetomi Kato, Minori Toyoda, Hiromitsu Takahashi, Shinji Yabu, Akito Sawada, Yuta Iwamae, Masayoshi Nakamura, Hiroaki Change in Physical and Mental Quality-of-Life between the Short- and Mid-Term Periods after Cervical Laminoplasty for Cervical Spondylotic Myelopathy: A Retrospective Cohort Study with Minimum 5 Years Follow-up |
title | Change in Physical and Mental Quality-of-Life between the Short- and Mid-Term Periods after Cervical Laminoplasty for Cervical Spondylotic Myelopathy: A Retrospective Cohort Study with Minimum 5 Years Follow-up |
title_full | Change in Physical and Mental Quality-of-Life between the Short- and Mid-Term Periods after Cervical Laminoplasty for Cervical Spondylotic Myelopathy: A Retrospective Cohort Study with Minimum 5 Years Follow-up |
title_fullStr | Change in Physical and Mental Quality-of-Life between the Short- and Mid-Term Periods after Cervical Laminoplasty for Cervical Spondylotic Myelopathy: A Retrospective Cohort Study with Minimum 5 Years Follow-up |
title_full_unstemmed | Change in Physical and Mental Quality-of-Life between the Short- and Mid-Term Periods after Cervical Laminoplasty for Cervical Spondylotic Myelopathy: A Retrospective Cohort Study with Minimum 5 Years Follow-up |
title_short | Change in Physical and Mental Quality-of-Life between the Short- and Mid-Term Periods after Cervical Laminoplasty for Cervical Spondylotic Myelopathy: A Retrospective Cohort Study with Minimum 5 Years Follow-up |
title_sort | change in physical and mental quality-of-life between the short- and mid-term periods after cervical laminoplasty for cervical spondylotic myelopathy: a retrospective cohort study with minimum 5 years follow-up |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9457037/ https://www.ncbi.nlm.nih.gov/pubmed/36079160 http://dx.doi.org/10.3390/jcm11175230 |
work_keys_str_mv | AT tamaikoji changeinphysicalandmentalqualityoflifebetweentheshortandmidtermperiodsaftercervicallaminoplastyforcervicalspondyloticmyelopathyaretrospectivecohortstudywithminimum5yearsfollowup AT suzukiakinobu changeinphysicalandmentalqualityoflifebetweentheshortandmidtermperiodsaftercervicallaminoplastyforcervicalspondyloticmyelopathyaretrospectivecohortstudywithminimum5yearsfollowup AT teraihidetomi changeinphysicalandmentalqualityoflifebetweentheshortandmidtermperiodsaftercervicallaminoplastyforcervicalspondyloticmyelopathyaretrospectivecohortstudywithminimum5yearsfollowup AT katominori changeinphysicalandmentalqualityoflifebetweentheshortandmidtermperiodsaftercervicallaminoplastyforcervicalspondyloticmyelopathyaretrospectivecohortstudywithminimum5yearsfollowup AT toyodahiromitsu changeinphysicalandmentalqualityoflifebetweentheshortandmidtermperiodsaftercervicallaminoplastyforcervicalspondyloticmyelopathyaretrospectivecohortstudywithminimum5yearsfollowup AT takahashishinji changeinphysicalandmentalqualityoflifebetweentheshortandmidtermperiodsaftercervicallaminoplastyforcervicalspondyloticmyelopathyaretrospectivecohortstudywithminimum5yearsfollowup AT yabuakito changeinphysicalandmentalqualityoflifebetweentheshortandmidtermperiodsaftercervicallaminoplastyforcervicalspondyloticmyelopathyaretrospectivecohortstudywithminimum5yearsfollowup AT sawadayuta changeinphysicalandmentalqualityoflifebetweentheshortandmidtermperiodsaftercervicallaminoplastyforcervicalspondyloticmyelopathyaretrospectivecohortstudywithminimum5yearsfollowup AT iwamaemasayoshi changeinphysicalandmentalqualityoflifebetweentheshortandmidtermperiodsaftercervicallaminoplastyforcervicalspondyloticmyelopathyaretrospectivecohortstudywithminimum5yearsfollowup AT nakamurahiroaki changeinphysicalandmentalqualityoflifebetweentheshortandmidtermperiodsaftercervicallaminoplastyforcervicalspondyloticmyelopathyaretrospectivecohortstudywithminimum5yearsfollowup |