Factors affecting prognosis of patients who underwent anterior decompression for cervical ossification of posterior longitudinal ligament:a multiple logistic regression analysis
- VernacularTitle:颈椎后纵韧带骨化症前路手术的多因素分析
- Author:
Yu CHEN
;
Deyu CHEN
;
Xinwei WANG
- Publication Type:Journal Article
- Keywords:
cervical spine;
ossification of posterior longitudinal ligament;
anterior decompression;
Logistic regression
- From:
Orthopedic Journal of China
2006;0(19):-
- CountryChina
- Language:Chinese
-
Abstract:
[Objective] To discuss the prognostic factors for cervical OPLL treated by anterior decompression.[Method]A total of 48 patients with cervical OPLL,who underwent anterior decompression,were followed up for 1～4 years,with an average of 2.1 years.The patients were classified into a good-prognosis group and a poor-prognosis group according to the JOA neruologic scoring system.Age,sex,JOA score,duration of symptoms,diabetes mellitus,Pavolv ratio,occupying rate,type of ossification,CT double-layer sign,hyperintense areas,level of segments,and treatment of ossification were testified using multiple logistic regression analysis.[Result]Treatment of ossification was the only statistically significant factor predicting clinical results in this study.[Conclusion]It is the most important to resect the ossification and decompress the spinal cord thoroughly in the process of antarior decompression for cervical OPLL.
