PMID- 27647024
OWN - NLM
STAT- MEDLINE
DCOM- 20170907
LR  - 20220408
IS  - 1878-8769 (Electronic)
IS  - 1878-8750 (Linking)
VI  - 96
DP  - 2016 Dec
TI  - Patient Satisfaction with Posterior Decompression Surgery for Cervical 
      Ossification of the Posterior Longitudinal Ligament: Prognostic Radiographic 
      Factors and Patient-Reported Outcomes for the Effectiveness of Surgical 
      Treatment.
PG  - 272-279
LID - S1878-8750(16)30837-3 [pii]
LID - 10.1016/j.wneu.2016.09.011 [doi]
AB  - OBJECTIVE: To identify the prognostic factors associated with patient 
      satisfaction after double-door laminoplasty for cervical compression myelopathy 
      due to ossification of the posterior longitudinal ligament (OPLL). METHODS: The 
      study group comprised 44 patients (30 males and 14 females) with OPLL who 
      underwent double-door laminoplasty at our institution with a minimum follow-up of 
      1 year. The mean patient age was 63.8 years (range, 48-86 years). We evaluated 
      the patients' postoperative satisfaction using a questionnaire and divided them 
      into 2 groups, satisfied and dissatisfied. We assessed various radiographic 
      parameters. The patient-reported outcomes, including the Short Form-36 Physical 
      Component Summary (SF-36 PCS), Neck Disability Index, neck pain, arm pain, and 
      Japanese Orthopedic Association Cervical Myelopathy Evaluation Questionnaire 
      (JOACMEQ), were assessed and used to evaluate the effectiveness of surgical 
      treatment according to the concept of minimum clinically important difference 
      (MCID). RESULTS: The satisfied group comprised 29 patients (65.9%). The 
      dissatisfied group had a higher percentage of hill-shaped ossifications compared 
      with the satisfied group (46.7% vs 17.2%; P = 0.04). The satisfied group had a 
      higher proportion of patients with SF-36 PCS reaching the MCID threshold value 
      (81.8% vs 14.3%; P < 0.01) and with effective surgical treatment as evaluated by 
      the JOACMEQ lower extremity function domain (61.5% vs 10.0%; P < 0.01). 
      CONCLUSION: Patient satisfaction after laminoplasty was insufficient in patients 
      with a hill-shaped ossification. The patients with OPLL who were able to 
      recognize a difference in their clinical physical function, especially lower 
      extremity function, were satisfied after laminoplasty.
CI  - Copyright A(c) 2016 Elsevier Inc. All rights reserved.
FAU - Ohya, Junichi
AU  - Ohya J
AD  - Department of Orthopedic Surgery, The University of Tokyo, Tokyo, Japan. 
      Electronic address: jun.ohya@gmail.com.
FAU - Oshima, Yasushi
AU  - Oshima Y
AD  - Department of Orthopedic Surgery, The University of Tokyo, Tokyo, Japan.
FAU - Oka, Hiroyuki
AU  - Oka H
AD  - Department of Medical Research and Management of Musculoskeletal Pain, The 
      University of Tokyo, Tokyo, Japan.
FAU - Saiki, Fumiko
AU  - Saiki F
AD  - Department of Orthopedic Surgery, The University of Tokyo, Tokyo, Japan.
FAU - Taniguchi, Yuki
AU  - Taniguchi Y
AD  - Department of Orthopedic Surgery, The University of Tokyo, Tokyo, Japan.
FAU - Matsubayashi, Yoshitaka
AU  - Matsubayashi Y
AD  - Department of Orthopedic Surgery, The University of Tokyo, Tokyo, Japan.
FAU - Tanaka, Sakae
AU  - Tanaka S
AD  - Department of Orthopedic Surgery, The University of Tokyo, Tokyo, Japan.
FAU - Chikuda, Hirotaka
AU  - Chikuda H
AD  - Department of Orthopedic Surgery, The University of Tokyo, Tokyo, Japan.
FAU - Takeshita, Katsushi
AU  - Takeshita K
AD  - Department of Orthopedic Surgery, The University of Tokyo, Tokyo, Japan; 
      Department of Orthopedic Surgery, Jichi Medical University, Tochigi, Japan.
LA  - eng
PT  - Journal Article
DEP - 20160916
PL  - United States
TA  - World Neurosurg
JT  - World neurosurgery
JID - 101528275
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Cohort Studies
MH  - Decompression, Surgical/*methods
MH  - Disability Evaluation
MH  - Female
MH  - Humans
MH  - Laminoplasty/methods/psychology
MH  - Magnetic Resonance Imaging
MH  - Male
MH  - Middle Aged
MH  - *Ossification of Posterior Longitudinal Ligament/diagnostic 
      imaging/psychology/surgery
MH  - *Patient Reported Outcome Measures
MH  - *Patient Satisfaction
MH  - Statistics, Nonparametric
MH  - Tomography Scanners, X-Ray Computed
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Cervical myelopathy
OT  - Laminoplasty
OT  - Minimum clinically important difference
OT  - Ossification of the posterior longitudinal ligament
OT  - Patient satisfaction
OT  - Surgical outcome
EDAT- 2016/09/21 06:00
MHDA- 2017/09/08 06:00
CRDT- 2016/09/21 06:00
PHST- 2016/06/21 00:00 [received]
PHST- 2016/09/06 00:00 [revised]
PHST- 2016/09/06 00:00 [accepted]
PHST- 2016/09/21 06:00 [pubmed]
PHST- 2017/09/08 06:00 [medline]
PHST- 2016/09/21 06:00 [entrez]
AID - S1878-8750(16)30837-3 [pii]
AID - 10.1016/j.wneu.2016.09.011 [doi]
PST - ppublish
SO  - World Neurosurg. 2016 Dec;96:272-279. doi: 10.1016/j.wneu.2016.09.011. Epub 2016 
      Sep 16.