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Factors associated with postoperative axial symptom after expansive open-door laminoplasty: retrospective study using multivariable analysis

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Abstract

Purpose

The aim of the present study was to investigate the factors associated with axial symptom using multivariable analysis.

Methods

The authors retrospectively assessed 249 patients treated by open-door laminoplasty. The patients were classified into two groups: axial symptom and no axial symptom group. The possible factors included demographic variables (age, sex, BMI, smoking, heart disease, diabetes, preoperative neck pain, preoperative JOA scores, preoperative NDI, course of disease and pathogenesis) and surgical and radiological variables [operation time, intraoperative blood loss, collar wear time, preoperative cervical curvature, postoperative cervical curvature, T1 slope, preoperative and postoperative C2 sagittal vertical axis (C2 SVA)].

Results

The prevalence of axial symptom was 34.9% (89/249). The collar wear time, preoperative and postoperative C2 SVA were risk factors for axial symptom. A cutoff value of 22.6 mm for preoperative C2 SVA and 3.5 weeks for collar wear time predicted the development of axial symptom.

Conclusions

The longer collar wear time, larger preoperative and postoperative C2 SVA were positively correlated with the higher incidence of axial symptom.

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Acknowledgements

This work was financially supported by The Key Science and Technology Program of Henan Province (162102310018) and Henan provincial Scientific and technological research project (SBGJ2018076).

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Authors and Affiliations

  1. Department of Surgery of Spine and Spinal Cord, Henan Provincial People’s Hospital; People’s Hospital of Zhengzhou University, People’s Hospital of Henan University, Zhengzhou, 450003, Henan, China

    Xiuru Zhang, Yanzheng Gao, Kun Gao, Zhenghong Yu, Dongbo Lv, Hao Ma & Gongwei Zhai

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  1. Xiuru Zhang
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Correspondence to Yanzheng Gao.

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Zhang, X., Gao, Y., Gao, K. et al. Factors associated with postoperative axial symptom after expansive open-door laminoplasty: retrospective study using multivariable analysis. Eur Spine J 29, 2838–2844 (2020). https://doi.org/10.1007/s00586-020-06494-5

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