Zhitao Shangguan, Gang Chen, Wenge Liu, Jiandong Li
{"title":"改良与传统开放式椎板成形术治疗脊髓型颈椎病的临床结果:一项单一机构的经验。","authors":"Zhitao Shangguan, Gang Chen, Wenge Liu, Jiandong Li","doi":"10.1177/10225536231209556","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To compare the surgical outcomes of modified expansive open-door laminoplasty (EOL) (C4-C6) and traditional EOL (C3-C7) in patients with cervical spondylotic myelopathy (CSM).</p><p><strong>Methods: </strong>One hundred and two CSM patients were retrospectively recruited from Fujian Medical University Union Hospital between March 2012 and December 2019. Seventy-one patients with CSM underwent modified EOL, and 31 patients underwent traditional EOL. The primary endpoint was axial symptoms.</p><p><strong>Results: </strong>Patients who underwent modified EOL had a significantly lower incidence of axial symptoms (odds ratio: 0.273; 95% confidence interval: 0.184-0.691; <i>p</i> = .002). The length of hospital stay (<i>p</i> = .263), and intraoperative blood loss (<i>p</i> = .402) were not significantly different between the groups. Significantly more postoperative drainage was observed in patients who underwent modified EOL (<i>p</i> < .001), while the cost of hospitalization in patients treated with traditional EOL was higher (<i>p</i> = .011). There were significant differences between modified and traditional EOL for the changes in range of motion (<i>p</i> < .001), modified Japanese Orthopaedic Association score (<i>p</i> = .001), and the Nurick grade (<i>p</i> = .014), while the changes of visual analogue scale (<i>p</i> = .250), and the neck disability index (<i>p</i> = .134) were not significantly different between the groups.</p><p><strong>Conclusion: </strong>This study found modified EOL may decrease the incidence of axial symptoms in patients with CSM compared to traditional EOL.</p>","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Clinical outcomes of modified versus traditional expansive open-door laminoplasty for cervical spondylotic myelopathy: A single-institution experience.\",\"authors\":\"Zhitao Shangguan, Gang Chen, Wenge Liu, Jiandong Li\",\"doi\":\"10.1177/10225536231209556\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To compare the surgical outcomes of modified expansive open-door laminoplasty (EOL) (C4-C6) and traditional EOL (C3-C7) in patients with cervical spondylotic myelopathy (CSM).</p><p><strong>Methods: </strong>One hundred and two CSM patients were retrospectively recruited from Fujian Medical University Union Hospital between March 2012 and December 2019. Seventy-one patients with CSM underwent modified EOL, and 31 patients underwent traditional EOL. The primary endpoint was axial symptoms.</p><p><strong>Results: </strong>Patients who underwent modified EOL had a significantly lower incidence of axial symptoms (odds ratio: 0.273; 95% confidence interval: 0.184-0.691; <i>p</i> = .002). The length of hospital stay (<i>p</i> = .263), and intraoperative blood loss (<i>p</i> = .402) were not significantly different between the groups. Significantly more postoperative drainage was observed in patients who underwent modified EOL (<i>p</i> < .001), while the cost of hospitalization in patients treated with traditional EOL was higher (<i>p</i> = .011). There were significant differences between modified and traditional EOL for the changes in range of motion (<i>p</i> < .001), modified Japanese Orthopaedic Association score (<i>p</i> = .001), and the Nurick grade (<i>p</i> = .014), while the changes of visual analogue scale (<i>p</i> = .250), and the neck disability index (<i>p</i> = .134) were not significantly different between the groups.</p><p><strong>Conclusion: </strong>This study found modified EOL may decrease the incidence of axial symptoms in patients with CSM compared to traditional EOL.</p>\",\"PeriodicalId\":16608,\"journal\":{\"name\":\"Journal of Orthopaedic Surgery\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2023-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Orthopaedic Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/10225536231209556\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Orthopaedic Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10225536231209556","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Clinical outcomes of modified versus traditional expansive open-door laminoplasty for cervical spondylotic myelopathy: A single-institution experience.
Purpose: To compare the surgical outcomes of modified expansive open-door laminoplasty (EOL) (C4-C6) and traditional EOL (C3-C7) in patients with cervical spondylotic myelopathy (CSM).
Methods: One hundred and two CSM patients were retrospectively recruited from Fujian Medical University Union Hospital between March 2012 and December 2019. Seventy-one patients with CSM underwent modified EOL, and 31 patients underwent traditional EOL. The primary endpoint was axial symptoms.
Results: Patients who underwent modified EOL had a significantly lower incidence of axial symptoms (odds ratio: 0.273; 95% confidence interval: 0.184-0.691; p = .002). The length of hospital stay (p = .263), and intraoperative blood loss (p = .402) were not significantly different between the groups. Significantly more postoperative drainage was observed in patients who underwent modified EOL (p < .001), while the cost of hospitalization in patients treated with traditional EOL was higher (p = .011). There were significant differences between modified and traditional EOL for the changes in range of motion (p < .001), modified Japanese Orthopaedic Association score (p = .001), and the Nurick grade (p = .014), while the changes of visual analogue scale (p = .250), and the neck disability index (p = .134) were not significantly different between the groups.
Conclusion: This study found modified EOL may decrease the incidence of axial symptoms in patients with CSM compared to traditional EOL.
期刊介绍：
Journal of Orthopaedic Surgery is an open access peer-reviewed journal publishing original reviews and research articles on all aspects of orthopaedic surgery. It is the official journal of the Asia Pacific Orthopaedic Association.
The journal welcomes and will publish materials of a diverse nature, from basic science research to clinical trials and surgical techniques. The journal encourages contributions from all parts of the world, but special emphasis is given to research of particular relevance to the Asia Pacific region.
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