PMID- 36498586
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20221221
IS  - 2077-0383 (Print)
IS  - 2077-0383 (Electronic)
IS  - 2077-0383 (Linking)
VI  - 11
IP  - 23
DP  - 2022 Nov 27
TI  - Prospective Investigation of Surgical Outcomes after Anterior Decompression with 
      Fusion and Laminoplasty for the Cervical Ossification of the Posterior 
      Longitudinal Ligament: A Propensity Score Matching Analysis.
LID - 10.3390/jcm11237012 [doi]
LID - 7012
AB  - The ideal surgical strategy for cervical ossification of the posterior 
      longitudinal ligament (OPLL) remains controversial due to the lack of 
      high-quality evidence. Herein, we prospectively investigated the surgical 
      outcomes of anterior cervical decompression with fusion (ADF) and laminoplasty 
      (LAMP) with cervical OPLL. Three hundred patients were included in this study 
      (ADF: n = 89; LAMP: n = 211 patients), and propensity score matching yielded 67 
      pairs of patients with ADF and LAMP, in which clinical outcomes were compared. 
      Crude analysis revealed that the ADF group showed greater neurological recovery 
      in cervical Japanese Orthopedic Association scores at two years, compared with 
      that in the LAMP group (53.1% vs. 44.3%, p = 0.037). The ratio of minimum 
      clinically important difference (MCID) success was significantly greater in the 
      ADF group (59.6% vs. 43.6%, p = 0.016). Multivariate analysis showed that the 
      factors affecting MCID success were age, body mass index, duration of symptoms, 
      and choice of ADF. In the 1:1 matched analysis, neurological improvement was more 
      favorable in the ADF group (57.2%) compared to the LAMP group (46.8%) at two 
      years (p = 0.049). However, perioperative complications, such as dysphagia and 
      graft-related complications, were more common in the ADF group.
FAU - Yoshii, Toshitaka
AU  - Yoshii T
AD  - Department of Orthopedic Surgery, Graduate School of Medicine, Tokyo Medical and 
      Dental University, Tokyo 113-8519, Japan.
FAU - Morishita, Shingo
AU  - Morishita S
AD  - Department of Orthopedic Surgery, Graduate School of Medicine, Tokyo Medical and 
      Dental University, Tokyo 113-8519, Japan.
FAU - Egawa, Satoru
AU  - Egawa S
AD  - Department of Orthopedic Surgery, Graduate School of Medicine, Tokyo Medical and 
      Dental University, Tokyo 113-8519, Japan.
FAU - Sakai, Kenichiro
AU  - Sakai K
AUID- ORCID: 0000-0002-7265-3460
AD  - Department of Orthopedic Surgery, Saiseikai Kawaguchi General Hospital, Saitama 
      332-8558, Japan.
FAU - Kusano, Kazuo
AU  - Kusano K
AD  - Department of Orthopedic Surgery, Kudanzaka Hospital, Chiyadaku 102-0074, Japan.
FAU - Tsutsui, Shunji
AU  - Tsutsui S
AD  - Department of Orthopaedic Surgery, Faculty of Medicine, Wakayama Medical 
      University, Wakayama 641-8510, Japan.
FAU - Hirai, Takashi
AU  - Hirai T
AUID- ORCID: 0000-0001-6200-0100
AD  - Department of Orthopedic Surgery, Graduate School of Medicine, Tokyo Medical and 
      Dental University, Tokyo 113-8519, Japan.
FAU - Matsukura, Yu
AU  - Matsukura Y
AD  - Department of Orthopedic Surgery, Graduate School of Medicine, Tokyo Medical and 
      Dental University, Tokyo 113-8519, Japan.
FAU - Wada, Kanichiro
AU  - Wada K
AUID- ORCID: 0000-0002-1112-5656
AD  - Department of Orthopedic Surgery, Hirosaki University Graduate School of 
      Medicine, Aomori 036-8562, Japan.
FAU - Katsumi, Keiichi
AU  - Katsumi K
AUID- ORCID: 0000-0002-3997-3593
AD  - Department of Orthopedic Surgery, Niigata University Medical and Dental General 
      Hospital, Niigata 951-8520, Japan.
FAU - Koda, Masao
AU  - Koda M
AD  - Department of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba, 
      1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan.
FAU - Kimura, Atsushi
AU  - Kimura A
AUID- ORCID: 0000-0003-4948-1792
AD  - Department of Orthopedics, Faculty of medicine, Jichi Medical University, Tochigi 
      329-0498, Japan.
FAU - Furuya, Takeo
AU  - Furuya T
AUID- ORCID: 0000-0002-5378-940X
AD  - Department of Orthopedic Surgery, Chiba University Graduate School of Medicine, 
      Chiba 260-0856, Japan.
FAU - Maki, Satoshi
AU  - Maki S
AD  - Department of Orthopedic Surgery, Chiba University Graduate School of Medicine, 
      Chiba 260-0856, Japan.
FAU - Nagoshi, Narihito
AU  - Nagoshi N
AD  - Department of Orthopaedic Surgery, School of Medicine, Faculty of Medicine, Keio 
      University, Tokyo 160-8582, Japan.
FAU - Nishida, Norihiro
AU  - Nishida N
AUID- ORCID: 0000-0001-7754-6579
AD  - Department of Orthopedic Surgery, Yamaguchi University School of Medicine, 
      Yamaguchi 755-8505, Japan.
FAU - Nagamoto, Yukitaka
AU  - Nagamoto Y
AD  - Department of Orthopedic Surgery, Osaka Rosai Hospital, Osaka 591-8025, Japan.
FAU - Oshima, Yasushi
AU  - Oshima Y
AD  - Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, 
      Tokyo 113-0033, Japan.
FAU - Ando, Kei
AU  - Ando K
AD  - Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, 
      Aichi 466-8550, Japan.
FAU - Nakashima, Hiroaki
AU  - Nakashima H
AUID- ORCID: 0000-0002-0039-9678
AD  - Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, 
      Aichi 466-8550, Japan.
FAU - Takahata, Masahiko
AU  - Takahata M
AD  - Department of Orthopaedic Surgery, Faculty of Medicine and Graduate School of 
      Medicine, Hokkaido University, Sapporo 060-8638, Japan.
FAU - Mori, Kanji
AU  - Mori K
AD  - Department of Orthopaedic Surgery, Faculty of Medicine, Shiga University of 
      Medical Science, Shiga 520-2192, Japan.
FAU - Nakajima, Hideaki
AU  - Nakajima H
AUID- ORCID: 0000-0001-8260-7401
AD  - Department of Orthopaedics and Rehabilitation Medicine, Faculty of Medical 
      Sciences, University of Fukui, Fukui 910-1193, Japan.
FAU - Murata, Kazuma
AU  - Murata K
AD  - Department of Orthopedic Surgery, Faculty of Medicine, Tokyo Medical University, 
      Tokyo 160-0023, Japan.
FAU - Miyagi, Masayuki
AU  - Miyagi M
AUID- ORCID: 0000-0002-3082-9739
AD  - Department of Orthopedic Surgery, Faculty of Medicine, Kitasato University 
      Hospital, Kanagawa 252-0375, Japan.
FAU - Kaito, Takashi
AU  - Kaito T
AUID- ORCID: 0000-0003-4882-2997
AD  - Department of Orthopedic Surgery, Graduate School of Medicine, Osaka University, 
      Osaka 565-0871, Japan.
FAU - Yamada, Kei
AU  - Yamada K
AD  - Department of Orthopaedic Surgery, Kurume University School of Medicine, Fukuoka 
      830-0011, Japan.
FAU - Banno, Tomohiro
AU  - Banno T
AD  - Department of Orthopedic Surgery, Hamamatsu University School of Medicine, 
      Shizuoka 431-3125, Japan.
FAU - Kato, Satoshi
AU  - Kato S
AUID- ORCID: 0000-0003-4762-5932
AD  - Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kanazawa 
      University, Kanazawa 920-8641, Japan.
FAU - Ohba, Tetsuro
AU  - Ohba T
AD  - Department of Orthopedic Surgery, Faculty of Medicine, University of Yamanashi, 
      Yamanashi 409-3898, Japan.
FAU - Inami, Satoshi
AU  - Inami S
AD  - Department of Orthopaedic Surgery, Dokkyo Medical University School of Medicine, 
      Tochigi 321-0293, Japan.
FAU - Fujibayashi, Shunsuke
AU  - Fujibayashi S
AD  - Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, 
      Kyoto 606-8507, Japan.
FAU - Katoh, Hiroyuki
AU  - Katoh H
AUID- ORCID: 0000-0003-0046-3008
AD  - Department of Orthopedic Surgery, Surgical Science, Tokai University School of 
      Medicine, Kanagawa 259-1193, Japan.
FAU - Kanno, Haruo
AU  - Kanno H
AD  - Department of Orthopaedic Surgery, Tohoku University School of Medicine, Miyagi 
      980-8574, Japan.
FAU - Taneichi, Hiroshi
AU  - Taneichi H
AD  - Department of Orthopaedic Surgery, Dokkyo Medical University School of Medicine, 
      Tochigi 321-0293, Japan.
FAU - Imagama, Shiro
AU  - Imagama S
AD  - Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, 
      Aichi 466-8550, Japan.
FAU - Kawaguchi, Yoshiharu
AU  - Kawaguchi Y
AD  - Department of Orthopedic Surgery, Faculty of Medicine, University of Toyama, 
      Toyama 930-0194, Japan.
FAU - Takeshita, Katsushi
AU  - Takeshita K
AD  - Department of Orthopedics, Faculty of medicine, Jichi Medical University, Tochigi 
      329-0498, Japan.
FAU - Matsumoto, Morio
AU  - Matsumoto M
AD  - Department of Orthopaedic Surgery, School of Medicine, Faculty of Medicine, Keio 
      University, Tokyo 160-8582, Japan.
FAU - Yamazaki, Masashi
AU  - Yamazaki M
AUID- ORCID: 0000-0002-9293-3531
AD  - Department of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba, 
      1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan.
FAU - Okawa, Atsushi
AU  - Okawa A
AD  - Department of Orthopedic Surgery, Graduate School of Medicine, Tokyo Medical and 
      Dental University, Tokyo 113-8519, Japan.
LA  - eng
GR  - 20ek0109364h0003/Japan Agency for Medical Research and Development/
PT  - Journal Article
DEP - 20221127
PL  - Switzerland
TA  - J Clin Med
JT  - Journal of clinical medicine
JID - 101606588
PMC - PMC9736093
OTO - NOTNLM
OT  - anterior decompression and fusion
OT  - laminoplasty
OT  - minimum clinically important difference
OT  - neurological recovery
OT  - ossification of the posterior longitudinal ligament
OT  - propensity score matching
COIS- This study was supported by Japan Agency for Medical Research and Development and 
      Japanese Health Labour Sciences Research Grant. This study was approved by each 
      institutional review board.
EDAT- 2022/12/12 06:00
MHDA- 2022/12/12 06:01
PMCR- 2022/11/27
CRDT- 2022/12/11 01:13
PHST- 2022/10/18 00:00 [received]
PHST- 2022/11/08 00:00 [revised]
PHST- 2022/11/22 00:00 [accepted]
PHST- 2022/12/11 01:13 [entrez]
PHST- 2022/12/12 06:00 [pubmed]
PHST- 2022/12/12 06:01 [medline]
PHST- 2022/11/27 00:00 [pmc-release]
AID - jcm11237012 [pii]
AID - jcm-11-07012 [pii]
AID - 10.3390/jcm11237012 [doi]
PST - epublish
SO  - J Clin Med. 2022 Nov 27;11(23):7012. doi: 10.3390/jcm11237012.