skip to main content
Language:
Search Limited to: Search Limited to: Resource type Show Results with: Show Results with: Search type Index

Clinical effect analysis of laminectomy alone and laminectomy with instrumentation in the treatment of TOLF

BMC musculoskeletal disorders, 2021-08, Vol.22 (1), p.1-667, Article 667 [Peer Reviewed Journal]

COPYRIGHT 2021 BioMed Central Ltd. ;2021. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;The Author(s) 2021 ;ISSN: 1471-2474 ;EISSN: 1471-2474 ;DOI: 10.1186/s12891-021-04564-3 ;PMID: 34372819

Full text available

Citations Cited by
  • Title:
    Clinical effect analysis of laminectomy alone and laminectomy with instrumentation in the treatment of TOLF
  • Author: Wang, Zhi-Wei ; Wang, Zheng ; Zhou, Yan-Hong ; Sun, Jia-Yuan ; Ding, Wen-Yuan ; Yang, Da-Long
  • Subjects: Bone surgery ; Cardiovascular disease ; Care and treatment ; Cerebrospinal fluid ; Clinical effect ; Coronary artery disease ; Demography ; Diabetes ; Diabetes mellitus ; Gait ; Health aspects ; Heart diseases ; Hypertension ; Instrumentation ; Laminectomy ; Magnetic resonance imaging ; Methods ; Movement disorders ; Ossification ; Pain ; Patient outcomes ; Patients ; Spinal cord ; Spinal diseases ; Spine ; Statistical analysis ; Surgery ; Surgical outcomes ; TOLF ; Urination
  • Is Part Of: BMC musculoskeletal disorders, 2021-08, Vol.22 (1), p.1-667, Article 667
  • Description: Abstract Background To explore the clinical effect of laminectomy alone and laminectomy with instrumentation in the treatment of TOLF. Methods A retrospective study was conducted on the clinical data of 142 patients with TOLF and laminectomy who underwent spine surgery at XXX Medical University from January 2003 to January 2018. According to whether the laminectomy was combined with instrumentation, the patients were divided into two groups: group A (laminectomy alone (LA), n = 77) and group B (laminectomy with instrumentation (LI), n = 65). Comparisons of possible influencing factors of demographic variables and operation-related variables were carried out between the two groups. In this study, the clinical effects of LA and LI in the treatment of TOLF were discussed. Thus, we explored the clinical effect of LA and LI in the treatment of TOLF. Results In terms of demographics, there was a statistically significant difference in BMI between group A and group B (P < 0.05). The differences in age, sex, smoking, drinking, heart disease, hypertension and diabetes were not statistically significant (P > 0.05). In terms of preoperative symptoms, there was a significant difference in gait disturbance, pain in the LE, and urination disorder between group A and group B (P < 0.05), but there was no significant difference in other variables between the two groups (P > 0.05). In terms of operation-related variables, there was a significant difference in the preoperative duration of symptoms, intramedullary signal change on MRI, dural ossification, residual rate of cross-sectional spinal canal area on CT, shape on the sagittal MRI, operation time, pre-mJOA, post-mJOA at 1 year, and leakage of cerebrospinal fluid between group A and group B (P < 0.05), but there was no significant difference in other variables between the two groups (P > 0.05). The preoperative average JOA score of group A was 6.37 and that of group B was 5.19. In group A, the average JOA score at 6 months, 1 year and 2 years after surgery was 7.87, 8.23 and 8.26, respectively, and the average JOA score improvement rate was 32.79 %, 38.32 and 38.53 %, respectively. In group B, the average JOA score at 6 months, 1 year and 2 years after surgery was 7.74, 8.15 and 8.29, respectively, and the average JOA score improvement rate was 39.15 %, 46.86 and 47.12 %, respectively. Conclusions Currently, there is no consensus on whether instrumentation is needed after laminectomy for TOLF. We found that for patients with a long duration of gait disturbance, urination disorder, preoperative duration of symptoms, intramedullary signal change on MRI, dural ossification, residual rate of cross-sectional spinal canal area on CT less than 60 %, and shape on the sagittal MRI being beak and low, pre-mJOA had better clinical effects after LI as compared to those after LA, and the incidence of perioperative complications was lower.
  • Publisher: London: BioMed Central Ltd
  • Language: English
  • Identifier: ISSN: 1471-2474
    EISSN: 1471-2474
    DOI: 10.1186/s12891-021-04564-3
    PMID: 34372819
  • Source: SpringerOpen
    Geneva Foundation Free Medical Journals at publisher websites
    PubMed Central
    ROAD: Directory of Open Access Scholarly Resources
    ProQuest Central
    DOAJ Directory of Open Access Journals
Back to results list
INSPIRE LIBRARY - TON DUC THANG UNIVERSITY (84-028) 37 755 057 Feedback
19 Nguyen Huu Tho St. Dist.7, HCM thuvien@tdtu.edu.vn

Copyright © 2017 INSPIRE LIBRARY - TON DUC THANG UNIVERSITY

Searching Remote Databases, Please Wait