Analysis of sagittal alignment parameters following anterior cervical hybrid decompression and fusion of multilevel cervical Spondylotic myelopathy

Autor:	Weihong Xu, Zhibin Lan, Yuming Huang
Jazyk:	angličtina
Rok vydání:	2019
Předmět:	Male medicine.medical_specialty China lcsh:Diseases of the musculoskeletal system Lordosis Sports medicine Decompression Radiography Sagittal alignment Disability Evaluation Rheumatology Internal medicine medicine Humans Orthopedics and Sports Medicine ACHDF Aged Retrospective Studies T1 slope cervical tilting business.industry Recovery of Function Middle Aged medicine.disease Decompression Surgical Sagittal plane Biomechanical Phenomena medicine.anatomical_structure Spinal Fusion Treatment Outcome C2–7 lordosis C2–7 SVA Orthopedic surgery Cervical Vertebrae Quality of Life Female Spondylosis lcsh:RC925-935 business Nuclear medicine Cervical vertebrae Research Article
Zdroj:	BMC Musculoskeletal Disorders, Vol 20, Iss 1, Pp 1-8 (2019) BMC Musculoskeletal Disorders
ISSN:	1471-2474
Popis:	Background To investigate the relationships between sagittal parameters and health-related quality of life (HRQOL) scores following anterior cervical hybrid decompression and fusion (ACHDF) of multilevel cervical spondylotic myelopathy (CSM) and to study the impact of the T1 slope (T1 s). Methods In total, 42 patients with complete radiographic measurements following ACHDF in the Spine Surgery Department of the First Affiliated Hospital of Fujian Medical University from August 2014 to January 2017 were retrospectively analysed. Radiographic measurements included C2–7 lordosis, T1 s, C2–7 sagittal vertical axis (SVA), cervical tilting and cranial tilting. The neck disability index (NDI) was used to evaluate the HRQOL. Spearman’s correlation coefficients were calculated between pairs of cervical sagittal parameters and NDI scores. Results Preoperative NDI scores were correlated with preoperative T1 s (r = 0.413); follow-up NDI scores were correlated with follow-up T1 s (r = 0.534). The regression analysis indicated that a preoperative T1 s value of 42.36° corresponded to a preoperative NDI score of 25 (r2 = 0.171, P
Databáze:	OpenAIRE
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