Choice of open side affects clinical outcomes of unilateral open-door laminoplasty for inconsistent cervical ossification of the posterior longitudinal ligament.

IF 1.6 3区 医学 Q2 SURGERY
Pan Qiao, Wen Zhang, Tiantong Xu, Rui Shao, Rong Tian
{"title":"Choice of open side affects clinical outcomes of unilateral open-door laminoplasty for inconsistent cervical ossification of the posterior longitudinal ligament.","authors":"Pan Qiao, Wen Zhang, Tiantong Xu, Rui Shao, Rong Tian","doi":"10.1186/s12893-024-02722-7","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The best open side for unilateral open-door laminoplasty (UODL) to treat inconsistent cervical ossification of the posterior longitudinal ligament (OPLL) needs to be identified.</p><p><strong>Methods: </strong>Thirty-one individuals with inconsistent OPLL who underwent UODL between January 2016 and December 2018 were retrospectively divided into two groups: when the side of the open door was consistent with the side of the larger ossification occupancy area, patients were placed in the Consistent group; when the side of the open door was contralateral to the side of the larger ossification occupancy area, patients were placed in the Contralateral group. The following parameters were evaluated: neck disability index (NDI) score, Japanese Orthopaedic Association (JOA) score, visual analog scale (VAS) score, postoperative laminoplasty opening width and angle, and spinal cord diameter ratio. Spinal cord shifts were also evaluated to compare the clinical results between the two groups.</p><p><strong>Results: </strong>Patient demographics and major problems did not differ significantly between the groups. Transient pain in the deltoid region was more frequent in the Consistent treatment group. The spinal cord diameter ratio, VAS and NDI scores, opening width, and angle in postoperative laminoplasty did not differ significantly between the two groups. The JOA scores improved in the Consistent group. The spinal cord diameter ratio and spinal cord shift were more significantly improved in the Consistent group.</p><p><strong>Conclusions: </strong>For inconsistent cervical OPLL, the open-door side that was consistent with a larger ossification occupancy area was preferred in UODL.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"24 1","pages":"405"},"PeriodicalIF":1.6000,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11662773/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12893-024-02722-7","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0

Abstract

Background: The best open side for unilateral open-door laminoplasty (UODL) to treat inconsistent cervical ossification of the posterior longitudinal ligament (OPLL) needs to be identified.

Methods: Thirty-one individuals with inconsistent OPLL who underwent UODL between January 2016 and December 2018 were retrospectively divided into two groups: when the side of the open door was consistent with the side of the larger ossification occupancy area, patients were placed in the Consistent group; when the side of the open door was contralateral to the side of the larger ossification occupancy area, patients were placed in the Contralateral group. The following parameters were evaluated: neck disability index (NDI) score, Japanese Orthopaedic Association (JOA) score, visual analog scale (VAS) score, postoperative laminoplasty opening width and angle, and spinal cord diameter ratio. Spinal cord shifts were also evaluated to compare the clinical results between the two groups.

Results: Patient demographics and major problems did not differ significantly between the groups. Transient pain in the deltoid region was more frequent in the Consistent treatment group. The spinal cord diameter ratio, VAS and NDI scores, opening width, and angle in postoperative laminoplasty did not differ significantly between the two groups. The JOA scores improved in the Consistent group. The spinal cord diameter ratio and spinal cord shift were more significantly improved in the Consistent group.

Conclusions: For inconsistent cervical OPLL, the open-door side that was consistent with a larger ossification occupancy area was preferred in UODL.

选择开放侧影响单侧开门椎板成形术治疗后纵韧带不一致颈椎骨化的临床结果。
背景:需要确定单侧开门椎板成形术(UODL)治疗后纵韧带不一致颈椎骨化(OPLL)的最佳开放侧。方法:将2016年1月至2018年12月行UODL的31例不一致OPLL患者回顾性分为两组:当打开的门的一侧与较大骨化占用面积的一侧一致时,将患者置于一致组;当开门一侧与较大骨化占用区一侧对侧时,将患者置于对侧组。评估以下参数:颈部残疾指数(NDI)评分、日本骨科协会(JOA)评分、视觉模拟评分(VAS)评分、术后椎板成形术开口宽度和角度、脊髓直径比。脊髓移位也被评估以比较两组之间的临床结果。结果:两组患者人口学特征和主要问题无显著差异。在持续治疗组,三角肌区域的短暂性疼痛更为频繁。两组术后椎板成形术的脊髓直径比、VAS和NDI评分、开口宽度和角度无显著差异。一致组的JOA得分有所提高。一致组脊髓直径比和脊髓移位的改善更为显著。结论:对于不一致的颈椎OPLL,在UODL中,与较大骨化占用面积相一致的开门侧是首选。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
BMC Surgery
BMC Surgery SURGERY-
CiteScore
2.90
自引率
5.30%
发文量
391
审稿时长
58 days
期刊介绍: BMC Surgery is an open access, peer-reviewed journal that considers articles on surgical research, training, and practice.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信