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学科主题: 临床医学
题名:
Profiles of and correlation between objective and subjective outcome assessments following open-door laminoplasty for cervical spondylotic myelopathy
作者: Zhou Feifei; Zhang Yilong; Sun Yu; Zhang Fengshan; Pan Shengfa; Diao Yinze; Chen Xin; Zhao Yanbin
关键词: cervical verberae ; spinal cord diseases ; patient outcome assessment
刊名: CHINESE MEDICAL JOURNAL
发表日期: 2014-07-20
DOI: 10.3760/cma.j.issn.0366-6999.20132020
卷: 127, 期:14, 页:2659-2663
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Medicine, General & Internal
研究领域[WOS]: General & Internal Medicine
关键词[WOS]: POSTERIOR LONGITUDINAL LIGAMENT ; OF-LIFE ASSESSMENT ; NEUROGENIC BLADDER ; SPINAL-CORD ; MANAGEMENT ; RECOVERY ; SYMPTOMS ; SURGERY ; DISEASE
英文摘要:

Background Open-door laminoplasty is widely used in the treatment of cervical spondylotic myelopathy (CSM). This study aimed to investigate the profiles of and correlation between objective and subjective short-term outcome assessments after open-door laminoplasty for CSM.

Methods We retrospectively analyzed surgical outcomes in 129 consecutive CSM patients who underwent open-door laminoplasty in Peking University Third Hospital from February 2008 to November 2011. Both objective and subjective assessments were evaluated before surgery, 3 months after surgery, and 1 year after surgery. We then analyzed the profiles of and correlation between objective and subjective short-term outcomes.

Results The Modified Japanese Orthopaedic Association (mJOA) score was significantly improved at 3 months (P<0.01) and 1 year (P<0.01) after surgery. Bivariate Logistic regression showed that sensory improvement contributed more to the recovery rate than motor function improvement at 3 months after surgery, while motor function contributed more to the recovery rate at 1 year after surgery. On the subjective assessment (the short form (SF)-36), there was no significant improvement at 3 months after surgery (P>0.05), while physical function (PF), role physical (RP), and social function (SF) were notably improved at 1 year after surgery (P<0.01). Improved mJOA score correlated with improvements in PF, RP, bodily pain, general health (GH), vitality (VT), and SF (P<0.05) at 3 months after surgery; PF, GH, VT, and SF were associated with improved mJOA scores at 1 year after surgery.

Conclusions Patients benefit from surgery by postoperative restitution of neurological function with early recovery of sensory function, followed by a gradual transition to motor function improvement. At the early stage of recovery, improvement in the mJ0A score essentially correlated with improvements in the physical domains of the SF-36, while at the later stage, mJ0A score improvement was associated with improvements in both mental and physical domains of the SF-36.

语种: 英语
WOS记录号: WOS:000339860900021
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/56937
Appears in Collections:北京大学第三临床医学院_骨科_期刊论文

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作者单位: Peking Univ, Hosp 3, Dept Orthoped, Beijing 100191, Peoples R China

Recommended Citation:
Zhou Feifei,Zhang Yilong,Sun Yu,et al. Profiles of and correlation between objective and subjective outcome assessments following open-door laminoplasty for cervical spondylotic myelopathy[J]. CHINESE MEDICAL JOURNAL,2014,127(14):2659-2663.
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