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
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design and Ethics
2.2. Patient Population
2.3. Surgical Procedure
2.4. Radiological Evaluations
2.5. Clinical Evaluations
2.6. QOL Parameters
2.7. Study Design & Statistical Analysis
2.7.1. Main Analysis
2.7.2. Sub-Analysis
3. Results
3.1. Patient Details
3.2. Main Analysis
3.2.1. Average Change in PCS and MCS Scores
3.2.2. Individual Change in PCS and MCS Scores
3.3. Sub-Analysis
3.3.1. Comparison of the Change in SF-36 Subdomain Scores
3.3.2. Predictive Factors for the Deterioration in PCS Scores
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Variables | Values | p-Value |
---|---|---|
Total numbers (cases) | 80 | |
Age (years) | 64.0 ± 11.2 | |
Sex (female/male) | 25/55 | |
MRI findings | ||
Number of stenosis levels | ||
Single-level stenosis | 12 (15.0%) | |
Double-level stenosis | 48 (60.0%) | |
Triple-level stenosis | 20 (25.0%) | |
Snake-eye appearance (+) | 31 (38.8%) | |
Complications | ||
C5 palsy | 3 (3.8%) | |
Surgical site infection | 1 (1.3%) | |
Reoperation within 5 years | 2 (2.6%) | |
cJOA score | ||
Preoperative | 9.7 ± 3.4 | <0.001 * |
3 months postop | 13.3 ± 2.1 | |
2 years postop | 13.5 ± 2.5 | |
5 years postop | 13.1 ± 2.8 | |
Neck pain VAS | 0.018 * | |
Preoperative | 24.7 ± 29.0 | |
3 months postop | 13.9 ± 20.4 | |
2 years postop | 12.9 ± 21.1 | |
5 years postop | 12.6 ± 20.8 | |
Arm pain VAS | 0.045 * | |
Preoperative | 31.4 ± 33.0 | |
3 months postop | 20.0 ± 25.6 | |
2 years postop | 17.0 ± 25.6 | |
5 years postop | 16.6 ± 27.1 | |
Arm numbness | <0.001 * | |
Preoperative | 58.6 ± 30.0 | |
3 months postop | 33.9 ± 27.7 | |
2 years postop | 33.4 ± 28.0 | |
5 years postop | 34.1 ± 28.3 |
Improved or Stable | Deterioration | p-Value | |
---|---|---|---|
SF-36 PCS | 38 | 42 | 0.001 # |
SF-36 MCS | 59 | 21 |
Domains | Without Deterioration | Deterioration | p-Value |
---|---|---|---|
Physical functioning | 6.6 ± 12.0 | −19.4 ± 19.5 | <0.001 |
Role physical | 4.4 ± 27.1 | −17.4 ± 27.3 | <0.001 |
Bodily pain | 4.6 ± 14.6 | −12.4 ± 23.8 | <0.001 |
General health perceptions | 0.8 ± 12.1 | −5.9 ± 12.2 | 0.015 |
Vitality | 1.8 ± 19.0 | −7.6 ± 15.6 | 0.018 |
Social functioning | 7.6 ± 20.0 | −3.0 ± 27.9 | 0.058 |
Role emotional | 7.7 ± 24.2 | −8.9 ± 31.4 | 0.011 |
Mental health | 0.7 ± 16.9 | −4.2 ± 18.3 | 0.221 |
Explanatory Variables | Reference | Adjusted OR | p-Value | 95% CI |
---|---|---|---|---|
Age | Continuous | 1.05 | 0.131 | 0.98–1.11 |
Sex (male) | Female | 1.05 | 0.937 | 0.36–3.08 |
cJOA at 2 ys postop | Continuous | 0.57 | 0.008 | 0.38–0.86 |
PCS at 2 ys postop | Continuous | 1.07 | 0.052 | 0.99–1.14 |
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Tamai, K.; Suzuki, A.; Terai, H.; Kato, M.; Toyoda, H.; Takahashi, S.; Yabu, A.; Sawada, Y.; Iwamae, M.; Nakamura, H. 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. J. Clin. Med. 2022, 11, 5230. https://doi.org/10.3390/jcm11175230
Tamai K, Suzuki A, Terai H, Kato M, Toyoda H, Takahashi S, Yabu A, Sawada Y, Iwamae M, Nakamura H. 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. Journal of Clinical Medicine. 2022; 11(17):5230. https://doi.org/10.3390/jcm11175230
Chicago/Turabian StyleTamai, Koji, Akinobu Suzuki, Hidetomi Terai, Minori Kato, Hiromitsu Toyoda, Shinji Takahashi, Akito Yabu, Yuta Sawada, Masayoshi Iwamae, and Hiroaki Nakamura. 2022. "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" Journal of Clinical Medicine 11, no. 17: 5230. https://doi.org/10.3390/jcm11175230
APA StyleTamai, K., Suzuki, A., Terai, H., Kato, M., Toyoda, H., Takahashi, S., Yabu, A., Sawada, Y., Iwamae, M., & Nakamura, H. (2022). 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. Journal of Clinical Medicine, 11(17), 5230. https://doi.org/10.3390/jcm11175230