Long-Term Outcomes of Cervical Laminoplasty in the Elderly
Incidences of cervical laminoplasty in the elderly are increasing; the influence of other age-related complications and neurological status must be considered for justifying surgery. This study identified the aforementioned influence on long-term outcomes of cervical laminoplasty in patients aged ≥7...
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doaj-68d2146c0fd04bcea6e272a49e51bf402020-11-24T23:54:19ZengHindawi LimitedBioMed Research International2314-61332314-61412015-01-01201510.1155/2015/713952713952Long-Term Outcomes of Cervical Laminoplasty in the ElderlyYasushi Oshima0Kota Miyoshi1Yoji Mikami2Hideki Nakamoto3Sakae Tanaka4Department of Orthopaedic Surgery, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, JapanDepartment of Orthopaedic Surgery, Yokohama Rosai Hospital, 3211 Kodukuecho, Kohoku-ku, Yokohama, Kanagawa 222-0036, JapanDepartment of Orthopaedic Surgery, Yokohama Rosai Hospital, 3211 Kodukuecho, Kohoku-ku, Yokohama, Kanagawa 222-0036, JapanDepartment of Orthopaedic Surgery, Yokohama Rosai Hospital, 3211 Kodukuecho, Kohoku-ku, Yokohama, Kanagawa 222-0036, JapanDepartment of Orthopaedic Surgery, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, JapanIncidences of cervical laminoplasty in the elderly are increasing; the influence of other age-related complications and neurological status must be considered for justifying surgery. This study identified the aforementioned influence on long-term outcomes of cervical laminoplasty in patients aged ≥75 years. Thirty-seven of 38 consecutive patients aged ≥75 years who underwent cervical laminoplasty were retrospectively evaluated. Minimum 5-year follow-up was acceptable if patients were complication-free. Follow-up was terminated when neurological evaluation was not possible, owing to death or other serious complications affecting activities of daily living (ADL). Postoperative neurological changes and newly developed severe complications were investigated. Postoperatively, one patient died of acute pneumonia, one remained nonambulatory owing to cerebral infarction, and 35 were ambulatory and were discharged. At a mean follow-up of 78 months, three patients died and nine developed serious complications severely affecting ADL. Of the 25 remaining patients, 23 remained ambulatory at mean follow-up of 105 months. Cox proportional hazard analysis revealed that postoperative motor upper and lower extremities JOA scores of ≤2 and ≤1, respectively, were risk factors for mortality or other severe complications. Postoperative neurological status can be maintained in the elderly if they remain complication-free. Poorer neurological status significantly affected their ADL and mortality.http://dx.doi.org/10.1155/2015/713952 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yasushi Oshima Kota Miyoshi Yoji Mikami Hideki Nakamoto Sakae Tanaka |
spellingShingle |
Yasushi Oshima Kota Miyoshi Yoji Mikami Hideki Nakamoto Sakae Tanaka Long-Term Outcomes of Cervical Laminoplasty in the Elderly BioMed Research International |
author_facet |
Yasushi Oshima Kota Miyoshi Yoji Mikami Hideki Nakamoto Sakae Tanaka |
author_sort |
Yasushi Oshima |
title |
Long-Term Outcomes of Cervical Laminoplasty in the Elderly |
title_short |
Long-Term Outcomes of Cervical Laminoplasty in the Elderly |
title_full |
Long-Term Outcomes of Cervical Laminoplasty in the Elderly |
title_fullStr |
Long-Term Outcomes of Cervical Laminoplasty in the Elderly |
title_full_unstemmed |
Long-Term Outcomes of Cervical Laminoplasty in the Elderly |
title_sort |
long-term outcomes of cervical laminoplasty in the elderly |
publisher |
Hindawi Limited |
series |
BioMed Research International |
issn |
2314-6133 2314-6141 |
publishDate |
2015-01-01 |
description |
Incidences of cervical laminoplasty in the elderly are increasing; the influence of other age-related complications and neurological status must be considered for justifying surgery. This study identified the aforementioned influence on long-term outcomes of cervical laminoplasty in patients aged ≥75 years. Thirty-seven of 38 consecutive patients aged ≥75 years who underwent cervical laminoplasty were retrospectively evaluated. Minimum 5-year follow-up was acceptable if patients were complication-free. Follow-up was terminated when neurological evaluation was not possible, owing to death or other serious complications affecting activities of daily living (ADL). Postoperative neurological changes and newly developed severe complications were investigated. Postoperatively, one patient died of acute pneumonia, one remained nonambulatory owing to cerebral infarction, and 35 were ambulatory and were discharged. At a mean follow-up of 78 months, three patients died and nine developed serious complications severely affecting ADL. Of the 25 remaining patients, 23 remained ambulatory at mean follow-up of 105 months. Cox proportional hazard analysis revealed that postoperative motor upper and lower extremities JOA scores of ≤2 and ≤1, respectively, were risk factors for mortality or other severe complications. Postoperative neurological status can be maintained in the elderly if they remain complication-free. Poorer neurological status significantly affected their ADL and mortality. |
url |
http://dx.doi.org/10.1155/2015/713952 |
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