Clinical results of and patient satisfaction with cervical laminoplasty for considerable cord compression with only slight myelopathy

Neo, Masashi; Fujibayashi, Shunsuke; Takemoto, Mitsuru; Nakamura, Takashi

doi:10.1007/s00586-011-2050-9

Cited by 14 publications

(10 citation statements)

References 11 publications

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“…This was favorable compared to the responses of dissatisfied patients who had a mean postoperative score of 8.53, lower than that (0.47) at baseline. This relationship has been reported in several other studies that demonstrate either a correlation between an absolute lower score on the VAS, Numerical Rating Scale, or other pain scale and higher satisfaction rates [14,29,40] or, more commonly, a decrease in the postoperative pain a higher rate of satisfaction [16,17,19,22,25,38,39,41]. However, some reports show higher scores on the VAS or a similar pain scale that correlate to a lower satisfaction rate [10,24,26,28,34,37,42] or lack of pain reduction leading to lower satisfaction [25].…”

Section: Dimensions Of Patient Satisfactionsupporting

confidence: 78%

“…Improvement in functional capacity naturally has a positive effect on satisfaction; this association is also reported in the literature; 30 of the studies we reviewed reported that measurement of the functional outcome is a controlling factor in overall patient satisfaction [6,10,13-18,20,21,23,26-29,34-37,39,40,43-51]. The most common outcome measures reported were the SF-36 Physical Component Summary, the Oswestry Disability Index (ODI), and various iterations of the Scoliosis Research Society questionnaire.…”

Section: Dimensions Of Patient Satisfactionsupporting

confidence: 67%

“…Improvement in the functional outcome scores lead to higher reported rates of satisfaction in many studies [6,13-15,17,29,35,36,40,43,45,48,49,51]; however, this effect was found to be short-lived [23] or inferior to the effect of other factors, such as pain [18,42]. The concomitant effect of decreased functional capacity or a small improvement in the postoperative functional capacity correlated to lower rates of satisfaction [26-28,34].…”

Section: Dimensions Of Patient Satisfactionmentioning

confidence: 99%

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Patient Satisfaction in Spine Surgery: A Systematic Review of the Literature

et al. 2019

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Patient satisfaction reflects the patients’ perception of the outcome of care and is being considered for use in future reimbursement schemes. No consensus exists regarding the best instrument to measure patient satisfaction in the field of spine surgery. This systematic review aimed to determine how patient satisfaction for spine surgery has been measured previously and whether a disease-specific, comprehensive instrument to measure patient satisfaction has been established; we also aimed to define the dimensions of care that determine patient satisfaction in spine surgery. A systematic search of three online databases, unpublished sources, and citations was undertaken to identify 156 empirical studies that reported on patient satisfaction in the field of spine surgery. Manuscripts were reviewed in terms of the patient satisfaction instrument used, and the instruments were categorized as per content and method axes. Taxonomy of patient satisfaction with spine surgery identified the major characteristics of providers and medical care that influenced patient satisfaction and acted as a structure to categorically define the dimensions of patient satisfaction in spine surgery. The reviewed studies predominantly used global (108/156) rather than multidimensional (46/156), instruments. Most studies (96.2%) reported satisfaction with outcome rather than with care, and only 18.5% of the studies (29/156) utilized a disease-specific instrument. The following seven dimensions of patient status, outcome, and care experience that affected patient satisfaction were identified: pain, function, patient expectations/preference, specific patient health characteristics, caregiver interpersonal manner, efficacy/clinical outcomes, and postoperative care/therapy. Currently, no disease-specific instrument that includes all dimensions of patient satisfaction in spine surgery has been developed. Such a patient satisfaction instrument should be designed, tested for reliability and validity, and widely implemented.

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Section: Dimensions Of Patient Satisfactionsupporting

confidence: 78%

Section: Dimensions Of Patient Satisfactionsupporting

confidence: 67%

Section: Dimensions Of Patient Satisfactionmentioning

confidence: 99%

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Patient Satisfaction in Spine Surgery: A Systematic Review of the Literature

et al. 2019

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“…Cervical laminoplasty is a well-established treatment for myelopathies with relatively good results in terms of improving neurological findings [1] and symptoms and a high degree of satisfaction even in cases of relatively mild preoperative myelopathy [2] . To the best of our knowledge, most previous studies have included multiple diseases such as ossification of the posterior longitudinal ligament (OPLL) and cervical disk herniation (CDH), and there are a few studies investigating postoperative satisfaction and patient-reported outcomes (PROs) in patients with cervical spondylotic myelopathy (CSM) alone [3,4] .…”

Section: Introductionmentioning

confidence: 99%

Preoperative and Postoperative Factors Affecting Patient Satisfaction with Double-Door Laminoplasty for Cervical Spondylotic Myelopathy

Yoshiyama

Fujibayashi

Otsuki

et al. 2023

Spine Surg Relat Res

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Background: Few articles have investigated patient satisfaction with laminoplasty in patients with cervical spondylotic myelopathy (CSM) alone, excluding other diseases, such as ossification of the posterior longitudinal ligament. In this study, we aimed to investigate patient satisfaction after double-door laminoplasty for CSM and determine the preoperative and postoperative factors that affect patient satisfaction. Methods: We retrospectively reviewed cases of laminoplasty for CSM. We measured sagittal imaging parameters (cervical lordosis [CL], C2-C7 cervical sagittal vertical axis [cSVA], and T1 slope [T1S]), Japanese Orthopaedic Association (JOA) score, and patient-reported outcomes (PROs) such as the neck disability index (NDI) and visual analog scale (VAS) preoperatively, 3 months postoperatively, and 1 year postoperatively. In addition, a multiple regression analysis was performed to investigate factors affecting patient satisfaction.Results: Ninety patients were included in the analysis. After surgery, CL decreased significantly (p < 0.01), whereas cSVA increased significantly (p < 0.01). No significant differences were

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“…1,2 However, postoperative axial neck pain has been reported as a complication after cervical laminoplasty. 3-9 Because postoperative axial pain will affect a patient’s satisfaction and health-related quality of life, 10-12 surgeons should consider the preoperative risk factors and anticipate this surgery-related complication.…”

Section: Introductionmentioning

confidence: 99%

Mental State Can Influence the Degree of Postoperative Axial Neck Pain Following Cervical Laminoplasty

Oshima

Matsubayashi

Taniguchi

et al. 2018

Global Spine Journal

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Study design: A retrospective cohort study. Objective: To investigate factors influencing the incidence of moderate to severe postoperative axial neck pain following cervical laminoplasty. Methods: We reviewed 125 patients with cervical myelopathy who underwent double-door laminoplasty. The primary outcomes were the Numerical Rating Scale score (NRS score, 0-10) for neck pain, the Short Form 36 (SF-36) Health Survey score (Physical and Mental Component Summary scores [PCS and MCS, respectively]), and satisfaction. Imaging parameters on plain radiographs and magnetic resonance imaging were also evaluated. Patients with moderate to severe postoperative neck pain (NRS ≥ 5) were compared with those with no or mild neck pain (NRS ≤ 4). Results: One hundred and three patients (82%) with complete data were eligible for inclusion. There were 67 men and 36 women, with a mean age of 65 years (32-89 years). Twenty-five patients (23%) had moderate to severe postoperative axial pain (NRS ≥ 5) and were compared with the other 78 patients (NRS ≤ 4), which revealed several predictive factors, including female sex, the presence of preoperative neck pain, low postoperative PCS, low preoperative and postoperative MCS, and satisfaction with the treatment. Multivariable logistic regression analysis revealed that the postoperative MCS ( P = .002) was a risk factor for postoperative neck pain, although the preoperative MCS did not reach statistical significance ( P = .06). Conclusions: Patients with a low mental state, possibly before surgery, are at a high risk for postoperative axial neck pain. None of the imaging parameters were statistically different.

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Clinical results of and patient satisfaction with cervical laminoplasty for considerable cord compression with only slight myelopathy

Cited by 14 publications

References 11 publications

Patient Satisfaction in Spine Surgery: A Systematic Review of the Literature

Patient Satisfaction in Spine Surgery: A Systematic Review of the Literature

Preoperative and Postoperative Factors Affecting Patient Satisfaction with Double-Door Laminoplasty for Cervical Spondylotic Myelopathy

Mental State Can Influence the Degree of Postoperative Axial Neck Pain Following Cervical Laminoplasty

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