Cervical Sagittal Imbalance after Cervical Laminoplasty in Elderly Patients

Biomed Res Int. 2020 Nov 30:2020:8810540. doi: 10.1155/2020/8810540. eCollection 2020.

Abstract

Purpose: To determine the effect of age on sagittal cervical alignment after cervical laminoplasty procedure so as to identify the group with the greatest degree of variation. Study Setting. Single-center retrospective chart review in a tertiary referral hospital. Outcome Measures. The sagittal vertical axis (SVA) (C2-7), T1 slope, and cervical lordosis.

Methods: We included patients who underwent cervical laminoplasty between 2014 and 2018 and divided 60 consecutive patients into two groups using the cut-off age of 65 years. The Paired t-test and Mann-Whitney U test were used to compare changes between preoperative radiographic cervical sagittal parameters and those 1 year after surgery.

Results: Mean patient ages in the older and younger groups were 71 years and 52 years, respectively. The difference of C2-7 SVA was greater in the older group.

Conclusion: Postoperative cervical balance can be worse when laminoplasty is performed in elderly patients.

MeSH terms

  • Age Factors
  • Aged
  • Cervical Vertebrae / diagnostic imaging
  • Cervical Vertebrae / surgery*
  • Female
  • Humans
  • Laminoplasty / adverse effects*
  • Lordosis / diagnostic imaging
  • Lordosis / etiology*
  • Male
  • Middle Aged
  • Postoperative Complications
  • Postoperative Period
  • Retrospective Studies
  • Spinal Cord Diseases / surgery
  • Tertiary Care Centers

Associated data

  • figshare/10.6084/m9.figshare.12860978