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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Veröffentlicht in:BioMed research international 2020, Vol.2020 (2020), p.1-6
Hauptverfasser: 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
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container_end_page 6
container_issue 2020
container_start_page 1
container_title BioMed research international
container_volume 2020
creator 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
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.
doi_str_mv 10.1155/2020/8810540
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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. 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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. 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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. 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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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