Spino cranial angle as a predictor of loss of cervical lordosis after laminoplasty in patients with cervical myelopathy

Autor: Zheng Wang, Jia-Xin Xu, Zhen Liu, Ruo-Yu Li, Zhi-Wei Wang, Heng-Rui Chang, Wen-Yuan Ding, Da-Long Yang
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: BMC Surgery, Vol 21, Iss 1, Pp 1-7 (2021)
Druh dokumentu: article
ISSN: 1471-2482
DOI: 10.1186/s12893-021-01293-1
Popis: Abstract Background To explore the relationship between spino cranial angle (SCA) and loss of cervical lordosis (LOCL), and to determine whether SCA has the ability to predict LOCL for patients with cervical myelopathy. Methods A total of 68 consecutive patients with cervical myelopathy who received laminoplasty (LAMP) were selected to the current study. C2–C7 lordosis was defined as a representation of the cervical alignment. Alignment change > 0° was considered LOCL. Multiple linear regression analysis was applied to evaluate the association between LOCL and various sagittal parameters at preoperative, such as SCA, CL, T1s and cSVA. Linear regression analysis was applied to evaluate the relationships between LOCL and preoperative SCA in each subgroup. Results Patients were assigned to three groups depending on the quartile of preoperative SCA. The first quarter of patients were defined as the low SCA group, the last quarter were defined as the high SCA group and the middle half were defined as the middle SCA group. There was no statistically significant difference in age, sex and the type of OPLL among the three groups. Patients in the low SCA group showed more cervical lordosis before surgery and more LOCL after LAMP (p
Databáze: Directory of Open Access Journals