Cervical Sagittal Imbalance after Cervical Laminoplasty in Elderly Patients
Background Context. Cervical laminoplasty often gives rise to cervical sagittal imbalance attributable to injury of posterior structures including laminae, articular facets, muscles, and ligaments. Purpose. To determine the effect of age on sagittal cervical alignment after cervical laminoplasty pro...
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description | Background Context. Cervical laminoplasty often gives rise to cervical sagittal imbalance attributable to injury of posterior structures including laminae, articular facets, muscles, and ligaments. Purpose. To determine the effect of age on sagittal cervical alignment after cervical laminoplasty procedure so as to identify the group with the greatest degree of variation. Study Setting. Single-center retrospective chart review in a tertiary referral hospital. Outcome Measures. The sagittal vertical axis (SVA) (C2-7), T1 slope, and cervical lordosis. Methods. We included patients who underwent cervical laminoplasty between 2014 and 2018 and divided 60 consecutive patients into two groups using the cut-off age of 65 years. The Paired t-test and Mann-Whitney U test were used to compare changes between preoperative radiographic cervical sagittal parameters and those 1 year after surgery. Results. Mean patient ages in the older and younger groups were 71 years and 52 years, respectively. The difference of C2-7 SVA was greater in the older group. Conclusion. Postoperative cervical balance can be worse when laminoplasty is performed in elderly patients. |
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Cervical laminoplasty often gives rise to cervical sagittal imbalance attributable to injury of posterior structures including laminae, articular facets, muscles, and ligaments. Purpose. To determine the effect of age on sagittal cervical alignment after cervical laminoplasty procedure so as to identify the group with the greatest degree of variation. Study Setting. Single-center retrospective chart review in a tertiary referral hospital. Outcome Measures. The sagittal vertical axis (SVA) (C2-7), T1 slope, and cervical lordosis. Methods. We included patients who underwent cervical laminoplasty between 2014 and 2018 and divided 60 consecutive patients into two groups using the cut-off age of 65 years. The Paired t-test and Mann-Whitney U test were used to compare changes between preoperative radiographic cervical sagittal parameters and those 1 year after surgery. Results. Mean patient ages in the older and younger groups were 71 years and 52 years, respectively. The difference of C2-7 SVA was greater in the older group. Conclusion. Postoperative cervical balance can be worse when laminoplasty is performed in elderly patients.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2020/8810540</identifier><identifier>PMID: 33313319</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Age ; Age Factors ; Aged ; Bias ; Biomedical research ; Cervical Vertebrae - diagnostic imaging ; Cervical Vertebrae - surgery ; Female ; Humans ; Laminates ; Laminoplasty - adverse effects ; Lordosis - diagnostic imaging ; Lordosis - etiology ; Male ; Middle Aged ; Muscles ; Older people ; Patients ; Postoperative Complications ; Postoperative Period ; Retrospective Studies ; Sarcopenia ; Spinal Cord Diseases - surgery ; Standard deviation ; Surgeons ; Surgery ; Surgical outcomes ; Tertiary Care Centers ; Vertebrae</subject><ispartof>BioMed research international, 2020, Vol.2020 (2020), p.1-6</ispartof><rights>Copyright © 2020 Hyun Woong Mun et al.</rights><rights>Copyright © 2020 Hyun Woong Mun et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2020 Hyun Woong Mun et al. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c471t-6fb62c52c0d933761d5cbf4c2749ba52f3f23781a06ccb5f048dbe70d71e056f3</citedby><cites>FETCH-LOGICAL-c471t-6fb62c52c0d933761d5cbf4c2749ba52f3f23781a06ccb5f048dbe70d71e056f3</cites><orcidid>0000-0001-6937-8093 ; 0000-0002-8529-6757 ; 0000-0001-5127-2661 ; 0000-0003-3138-074X ; 0000-0003-2833-9148 ; 0000-0002-1658-6961 ; 0000-0001-8003-3264 ; 0000-0002-7902-9927 ; 0000-0003-2882-4477</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7721504/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7721504/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,4024,27923,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33313319$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Lovato, Andrea</contributor><contributor>Andrea Lovato</contributor><creatorcontrib>Oh, Jae Keun</creatorcontrib><creatorcontrib>Song, Joon Ho</creatorcontrib><creatorcontrib>Ahn, Jun Hyong</creatorcontrib><creatorcontrib>Kim, Ji Hee</creatorcontrib><creatorcontrib>Kim, Seok Woo</creatorcontrib><creatorcontrib>Park, Moon Soo</creatorcontrib><creatorcontrib>Kim, Tae Hwan</creatorcontrib><creatorcontrib>Yuk, Chang Duk</creatorcontrib><creatorcontrib>Mun, Hyun Woong</creatorcontrib><creatorcontrib>Chang, In Bok</creatorcontrib><title>Cervical Sagittal Imbalance after Cervical Laminoplasty in Elderly Patients</title><title>BioMed research international</title><addtitle>Biomed Res Int</addtitle><description>Background Context. Cervical laminoplasty often gives rise to cervical sagittal imbalance attributable to injury of posterior structures including laminae, articular facets, muscles, and ligaments. Purpose. To determine the effect of age on sagittal cervical alignment after cervical laminoplasty procedure so as to identify the group with the greatest degree of variation. Study Setting. Single-center retrospective chart review in a tertiary referral hospital. Outcome Measures. The sagittal vertical axis (SVA) (C2-7), T1 slope, and cervical lordosis. Methods. We included patients who underwent cervical laminoplasty between 2014 and 2018 and divided 60 consecutive patients into two groups using the cut-off age of 65 years. The Paired t-test and Mann-Whitney U test were used to compare changes between preoperative radiographic cervical sagittal parameters and those 1 year after surgery. Results. Mean patient ages in the older and younger groups were 71 years and 52 years, respectively. The difference of C2-7 SVA was greater in the older group. Conclusion. Postoperative cervical balance can be worse when laminoplasty is performed in elderly patients.</description><subject>Age</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Bias</subject><subject>Biomedical research</subject><subject>Cervical Vertebrae - diagnostic imaging</subject><subject>Cervical Vertebrae - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Laminates</subject><subject>Laminoplasty - adverse effects</subject><subject>Lordosis - diagnostic imaging</subject><subject>Lordosis - etiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Muscles</subject><subject>Older people</subject><subject>Patients</subject><subject>Postoperative Complications</subject><subject>Postoperative Period</subject><subject>Retrospective Studies</subject><subject>Sarcopenia</subject><subject>Spinal Cord Diseases - surgery</subject><subject>Standard deviation</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Tertiary Care Centers</subject><subject>Vertebrae</subject><issn>2314-6133</issn><issn>2314-6141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkctLJDEQxsOirKLe9rw0eBHc0ao8uy-CDO4qDii4ew7pdKKRfoxJj8v89xuZ2fFxMpcqqB9f6quPkG8IJ4hCnFKgcFqWCILDF7JLGfKJRI5bm56xHXKQ0iPkV6KESn4lO4yxPMBql1xPXXwO1rTFnbkP45ibq642remtK4wfXSw2xMx0oR_mrUnjsgh9cdE2LrbL4taMwfVj2ifb3rTJHazrHvnz8-L39HIyu_l1NT2fTSxXOE6kryW1glpoKsaUxEbY2nNLFa9qI6hnnjJVogFpbS088LKpnYJGoQMhPdsjZyvd-aLuXGPz39G0eh5DZ-JSDybo95M-POj74VkrRVEAzwJHa4E4PC1cGnUXknVtdu2GRdKUKwDKuFIZPfyAPg6L2Gd7mZKVLIGizNSPFWXjkFJ0frMMgn4JSr8EpddBZfz7WwMb-H8sGTheAQ-hb8zf8Ek5lxnnzSuN-bxSsn94DKQN</recordid><startdate>2020</startdate><enddate>2020</enddate><creator>Oh, Jae Keun</creator><creator>Song, Joon Ho</creator><creator>Ahn, Jun Hyong</creator><creator>Kim, Ji Hee</creator><creator>Kim, Seok Woo</creator><creator>Park, Moon Soo</creator><creator>Kim, Tae Hwan</creator><creator>Yuk, Chang Duk</creator><creator>Mun, Hyun Woong</creator><creator>Chang, In Bok</creator><general>Hindawi Publishing Corporation</general><general>Hindawi</general><general>Hindawi Limited</general><scope>ADJCN</scope><scope>AHFXO</scope><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7QO</scope><scope>7T7</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-6937-8093</orcidid><orcidid>https://orcid.org/0000-0002-8529-6757</orcidid><orcidid>https://orcid.org/0000-0001-5127-2661</orcidid><orcidid>https://orcid.org/0000-0003-3138-074X</orcidid><orcidid>https://orcid.org/0000-0003-2833-9148</orcidid><orcidid>https://orcid.org/0000-0002-1658-6961</orcidid><orcidid>https://orcid.org/0000-0001-8003-3264</orcidid><orcidid>https://orcid.org/0000-0002-7902-9927</orcidid><orcidid>https://orcid.org/0000-0003-2882-4477</orcidid></search><sort><creationdate>2020</creationdate><title>Cervical Sagittal Imbalance after Cervical Laminoplasty in Elderly Patients</title><author>Oh, Jae Keun ; Song, Joon Ho ; Ahn, Jun Hyong ; Kim, Ji Hee ; Kim, Seok Woo ; Park, Moon Soo ; Kim, Tae Hwan ; Yuk, Chang Duk ; Mun, Hyun Woong ; Chang, In Bok</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c471t-6fb62c52c0d933761d5cbf4c2749ba52f3f23781a06ccb5f048dbe70d71e056f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Age</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Bias</topic><topic>Biomedical research</topic><topic>Cervical Vertebrae - diagnostic imaging</topic><topic>Cervical Vertebrae - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Laminates</topic><topic>Laminoplasty - adverse effects</topic><topic>Lordosis - diagnostic imaging</topic><topic>Lordosis - etiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Muscles</topic><topic>Older people</topic><topic>Patients</topic><topic>Postoperative Complications</topic><topic>Postoperative Period</topic><topic>Retrospective Studies</topic><topic>Sarcopenia</topic><topic>Spinal Cord Diseases - surgery</topic><topic>Standard deviation</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>Tertiary Care Centers</topic><topic>Vertebrae</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oh, Jae Keun</creatorcontrib><creatorcontrib>Song, Joon Ho</creatorcontrib><creatorcontrib>Ahn, Jun Hyong</creatorcontrib><creatorcontrib>Kim, Ji Hee</creatorcontrib><creatorcontrib>Kim, Seok Woo</creatorcontrib><creatorcontrib>Park, Moon Soo</creatorcontrib><creatorcontrib>Kim, Tae Hwan</creatorcontrib><creatorcontrib>Yuk, Chang Duk</creatorcontrib><creatorcontrib>Mun, Hyun Woong</creatorcontrib><creatorcontrib>Chang, In Bok</creatorcontrib><collection>الدوريات العلمية والإحصائية - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BioMed research international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oh, Jae Keun</au><au>Song, Joon Ho</au><au>Ahn, Jun Hyong</au><au>Kim, Ji Hee</au><au>Kim, Seok Woo</au><au>Park, Moon Soo</au><au>Kim, Tae Hwan</au><au>Yuk, Chang Duk</au><au>Mun, Hyun Woong</au><au>Chang, In Bok</au><au>Lovato, Andrea</au><au>Andrea Lovato</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cervical Sagittal Imbalance after Cervical Laminoplasty in Elderly Patients</atitle><jtitle>BioMed research international</jtitle><addtitle>Biomed Res Int</addtitle><date>2020</date><risdate>2020</risdate><volume>2020</volume><issue>2020</issue><spage>1</spage><epage>6</epage><pages>1-6</pages><issn>2314-6133</issn><eissn>2314-6141</eissn><abstract>Background Context. Cervical laminoplasty often gives rise to cervical sagittal imbalance attributable to injury of posterior structures including laminae, articular facets, muscles, and ligaments. Purpose. To determine the effect of age on sagittal cervical alignment after cervical laminoplasty procedure so as to identify the group with the greatest degree of variation. Study Setting. Single-center retrospective chart review in a tertiary referral hospital. Outcome Measures. The sagittal vertical axis (SVA) (C2-7), T1 slope, and cervical lordosis. Methods. We included patients who underwent cervical laminoplasty between 2014 and 2018 and divided 60 consecutive patients into two groups using the cut-off age of 65 years. The Paired t-test and Mann-Whitney U test were used to compare changes between preoperative radiographic cervical sagittal parameters and those 1 year after surgery. Results. Mean patient ages in the older and younger groups were 71 years and 52 years, respectively. The difference of C2-7 SVA was greater in the older group. Conclusion. Postoperative cervical balance can be worse when laminoplasty is performed in elderly patients.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>33313319</pmid><doi>10.1155/2020/8810540</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-6937-8093</orcidid><orcidid>https://orcid.org/0000-0002-8529-6757</orcidid><orcidid>https://orcid.org/0000-0001-5127-2661</orcidid><orcidid>https://orcid.org/0000-0003-3138-074X</orcidid><orcidid>https://orcid.org/0000-0003-2833-9148</orcidid><orcidid>https://orcid.org/0000-0002-1658-6961</orcidid><orcidid>https://orcid.org/0000-0001-8003-3264</orcidid><orcidid>https://orcid.org/0000-0002-7902-9927</orcidid><orcidid>https://orcid.org/0000-0003-2882-4477</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Age Age Factors Aged Bias Biomedical research Cervical Vertebrae - diagnostic imaging Cervical Vertebrae - surgery Female Humans Laminates Laminoplasty - adverse effects Lordosis - diagnostic imaging Lordosis - etiology Male Middle Aged Muscles Older people Patients Postoperative Complications Postoperative Period Retrospective Studies Sarcopenia Spinal Cord Diseases - surgery Standard deviation Surgeons Surgery Surgical outcomes Tertiary Care Centers Vertebrae |
title | Cervical Sagittal Imbalance after Cervical Laminoplasty in Elderly Patients |
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