scholarly journals Impact of Diabetes Mellitus on Cervical Spine Surgery for Ossification of the Posterior Longitudinal Ligament

2021 ◽  
Vol 10 (15) ◽  
pp. 3375
Author(s):  
Atsushi Kimura ◽  
Katsushi Takeshita ◽  
Toshitaka Yoshii ◽  
Satoru Egawa ◽  
Takashi Hirai ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Cervical Spine ◽  
Postoperative Complications ◽  
Spine Surgery ◽  
Posterior Longitudinal Ligament ◽  
Lower Extremity Function ◽  
Cervical Spine Surgery ◽  
The Impact

Ossification of the posterior longitudinal ligament (OPLL) is commonly associated with diabetes mellitus (DM); however, the impact of DM on cervical spine surgery for OPLL remains unclear. This study was performed to evaluate the influence of diabetes DM on the outcomes following cervical spine surgery for OPLL. In total, 478 patients with cervical OPLL who underwent surgical treatment were prospectively recruited from April 2015 to July 2017. Functional measurements were conducted at baseline and at 6 months, 1 year, and 2 years after surgery using JOA and JOACMEQ scores. The incidence of postoperative complications was categorized into early (≤30 days) and late (>30 days), depending on the time from surgery. From the initial group of 478 patients, 402 completed the 2-year follow-up and were included in the analysis. Of the 402 patients, 127 (32%) had DM as a comorbid disease. The overall incidence of postoperative complications was significantly higher in patients with DM than in patients without DM in both the early and late postoperative periods. The patients with DM had a significantly lower JOA score and JOACMEQ scores in the domains of lower extremity function and quality of life than those without DM at the 2-year follow-up.

scholarly journals The Impact of Diabetes Mellitus on Patients Undergoing Degenerative Cervical Spine Surgery

Spine ◽  
2014 ◽  
Vol 39 (20) ◽  
pp. 1656-1665 ◽  
Author(s):  
Javier Z. Guzman ◽  
Branko Skovrlj ◽  
John Shin ◽  
Andrew C. Hecht ◽  
Sheeraz A. Qureshi ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Cervical Spine ◽  
Spine Surgery ◽  
Cervical Spine Surgery ◽  
Degenerative Cervical Spine ◽  
The Impact

P97. Correlation of UIV and cervical spine surgery to functional outcomes in AIS: a minimum 40-years follow-up

2020 ◽  
Vol 20 (9) ◽  
pp. S193
Author(s):  
Aron Sulovari ◽  
Adan Omar ◽  
Emmanuel N. Menga ◽  
Paul T. Rubery ◽  
James Sanders ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Spine Surgery ◽  
Functional Outcomes ◽  
Cervical Spine Surgery

Subjective and Objective Quality-of-Life Assessment of Outcome Measures in Cervical Spine Surgery for Degenerative Changes

2021 ◽  
Author(s):  
Marek Prokopienko ◽  
Michał Sobstyl
Keyword(s):  
Quality Of Life ◽  
Cervical Spine ◽  
Spine Surgery ◽  
Treatment Options ◽  
Life Assessment ◽  
Quality Of Life Assessment ◽  
Surgical Strategies ◽  
Cervical Spine Surgery ◽  
Objective Quality

AbstractCervical spine diskectomy is a commonly used procedure in degenerative disease of cervical spine surgery. However, it is difficult to assess the quality of life after this widely applied and variously modified procedure. This literature review presents cervical diskectomy results, according to various scales and measures in multidirectional surgical strategies. Using relevant databases, we tried to find the best treatment options for degenerative disk disease and the best method of quality-of-life assessment, searching for modalities that may influence the outcome.

The Impact of Comorbid Mental Health Disorders on Complications Following Cervical Spine Surgery With Minimum 2-Year Surveillance

Spine ◽  
2018 ◽  
Vol 43 (21) ◽  
pp. 1455-1462 ◽  
Author(s):  
Bassel G. Diebo ◽  
Joshua D. Lavian ◽  
Shian Liu ◽  
Neil V. Shah ◽  
Daniel P. Murray ◽  
...  
Keyword(s):  
Mental Health ◽  
Cervical Spine ◽  
Spine Surgery ◽  
Mental Health Disorders ◽  
Cervical Spine Surgery ◽  
Health Disorders ◽  
The Impact

Evaluation of the Quality of Information on the Internet Available to Patients Undergoing Cervical Spine Surgery

2014 ◽  
Vol 82 (1-2) ◽  
pp. e31-e39 ◽  
Author(s):  
Alexander G. Weil ◽  
Michel W. Bojanowski ◽  
Jacques Jamart ◽  
Thierry Gustin ◽  
Marc Lévêque
Keyword(s):  
Cervical Spine ◽  
Spine Surgery ◽  
The Internet ◽  
Quality Of Information ◽  
Cervical Spine Surgery

Recurrent laryngeal nerve palsy during anterior cervical spine surgery: a prospective study

2005 ◽  
Vol 2 (2) ◽  
pp. 123-127 ◽  
Author(s):  
Axel Jung ◽  
Johannes Schramm ◽  
Kai Lehnerdt ◽  
Claus Herberhold
Keyword(s):  
Cervical Spine ◽  
Prospective Study ◽  
Spine Surgery ◽  
Content Type ◽  
Cervical Spine Surgery ◽  
True Incidence ◽  
Anterior Cervical Spine Surgery ◽  
A Prospective Study ◽  
Fine Print

Object. Recurrent laryngeal nerve (RLN) palsy is a well-known complication of cervical spine surgery. Nearly all previous studies were performed without laryngoscopy in asymptomatic patients. This prospective study was undertaken to discern the true incidence of RLN palsy. Because not every RLN palsy is associated with hoarseness, the authors conducted a prospective study involving the use of pre- and postoperative laryngoscopy. Methods. Prior to anterior cervical spine surgery preoperative indirect laryngoscopy was performed in 123 patients to evaluate the status of the vocal cords as a sign of function of the RLN. To assess postoperative status in 120 patients laryngoscopy was repeated, and in cases of vocal cord malfunction follow-up examination was conducted 3 months later. In the group of 120 patients who attended follow-up examination, two (1.6%) had experienced a preoperative RLN palsy without hoarseness. Postoperatively the rate of clinically symptomatic RLN palsy was 8.3%, and the incidence of RLN palsy not associated with hoarseness (that is, clinically unapparent without laryngoscopy) was 15.9% (overall incidence 24.2%). At 3-month follow-up evaluation the rate had decreased to 2.5% in cases with hoarseness and 10.8% without hoarseness. Thus, the overall rate of early persisting RLN palsy was 11.3%. Conclusions. Laryngoscopy revealed that the true incidence of initial and persisting RLN palsy after anterior cervical spine surgery was much higher than anticipated. Especially in cases without hoarseness this could be proven, but the initial incidence of hoarseness was higher than expected. Only one third of new RLN palsy cases could be detected without laryngoscopy. Resolution of hoarseness was approximately 70% in those with preoperative hoarseness. The true rate of RLN palsy underscores the necessity to reevaluate the surgery- and intubation-related techniques for anterior cervical spine surgery and to reassess the degree of presurgical patient counseling.

scholarly journals Assessment of spino cranial angle of cervical spine sagittal balance system after multi-level anterior cervical discectomy and fusion

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Zheng Wang ◽  
Zhi-Wei Wang ◽  
Xi-Wen Fan ◽  
Xian-Da Gao ◽  
Wen-Yuan Ding ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cervical Spine ◽  
Sagittal Balance ◽  
Anterior Cervical Discectomy ◽  
Operating Characteristics ◽  
Cervical Discectomy ◽  
Multi Level ◽  
The Impact

Abstract Background To analyze the impact of spino cranial angle (SCA) on alteration of cervical alignment after multi-level anterior cervical discectomy fusion (ACDF) and explore the relationship between SCA and health-related quality of life (HRQOL) scores. Material and methods In total, 49 patients following multi-level ACDF for multi-level cervical spondylotic myelopathy (MCSM) with more than 2 years follow-up period were enrolled. Radiographic data including SCA were measured. Receiver operating characteristics (ROC) curve analysis was applied to confirm the optimal cut-off values of SCA for predicting sagittal balance. Patients were divided into two groups on the basis of the cut-off value of preoperative SCA. Correlation coefficients were analyzed between SCA and HRQOL scores. Results Optimal cut-off values for predicting sagittal balance was SCA of 88.6°. Patients with higher SCA, no matter preoperatively, postoperatively and at follow-up, got lower T1-Slope (T1s), C2–C7 lordosis angle (CA) and higher △SCA (pre vs post: p = 0.036, pre vs F/U: p = 0.022). Simultaneously, pre-SCA, post-SCA, and F/U-SCA in the high SCA group were positively correlated with the pre-NDI, post-NDI, and F/U-NDI scores respectively (pre: p < 0.001, post: p = 0.015, F/U: p = 0.003). However, no correlation was performed in the low SCA group. Conclusion An excessive SCA can be considered to cause poorer clinical outcomes at preoperative and better correction after surgery. The SCA could be used as a new reference value to determine sagittal balance parameters of the cervical spine and to assess the quality of life.

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