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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Main Authors: Yasushi Oshima, Kota Miyoshi, Yoji Mikami, Hideki Nakamoto, Sakae Tanaka
Format: Article
Language:English
Published: Hindawi Limited 2015-01-01
Series:BioMed Research International
Online Access:http://dx.doi.org/10.1155/2015/713952
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spelling 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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