2019
DOI: 10.1016/j.spinee.2018.10.013
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Perioperative complications of anterior decompression with fusion versus laminoplasty for the treatment of cervical ossification of the posterior longitudinal ligament: propensity score matching analysis using a nation-wide inpatient database

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Cited by 29 publications
(38 citation statements)
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“…It is technically less demanding, and can be applied to a broad range of OPLL patients regardless of disease severity or degree of systemic comorbidity. This is reflected in a study by Morishita et al [30], which found that, prior to propensity matching in over 8,000 patients treated surgically for OPLL as identified by the national Japanese Diagnosis Procedure Combination database, those patients undergoing posterior LAMP were significantly older and had significantly higher rates of comorbidities, including malignancy, cardiovascular disease, diabetes, renal failure, and cardiac failure. Additionally, some authors have posited that posterior approaches are generally associated with fewer complications and preserved ROM (e.g., LAMP), while also allowing the decompression of a larger number of segments in multilevel OPLL [18].…”
Section: Discussionmentioning
confidence: 99%
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“…It is technically less demanding, and can be applied to a broad range of OPLL patients regardless of disease severity or degree of systemic comorbidity. This is reflected in a study by Morishita et al [30], which found that, prior to propensity matching in over 8,000 patients treated surgically for OPLL as identified by the national Japanese Diagnosis Procedure Combination database, those patients undergoing posterior LAMP were significantly older and had significantly higher rates of comorbidities, including malignancy, cardiovascular disease, diabetes, renal failure, and cardiac failure. Additionally, some authors have posited that posterior approaches are generally associated with fewer complications and preserved ROM (e.g., LAMP), while also allowing the decompression of a larger number of segments in multilevel OPLL [18].…”
Section: Discussionmentioning
confidence: 99%
“…According to a 2016 meta-analysis of OPLL surgeries, the incidence of DT was estimated to be as high as 31% for anterior approaches, considerably higher than that of posterior approaches (9.3%; OR, 1.90; 95% CI, 1.08–3.36; p<0.05) [37]. A recent analysis of 1,192 propensity-score matched pairs of patients found the rate of CSF leak to be significantly higher in ADF (2.4%) procedures compared to posterior LAMP (0.4%, p<0.001) [30]. However the results are not entirely uniform, with some studies failing to demonstrate higher rates of DTs and CSF leaks during anterior approaches.…”
Section: Discussionmentioning
confidence: 99%
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“…Multiple mechanisms of cell damage are activated following spinal ischemia and reperfusion which can be a function of location in the spine as well as the time elapsed since the onset of ischemia [30,3,27,36,32]. Inflammatory responses are known as a major component of secondary injury of initial ischemic insult and play an important role in modulating the pathogenesis of C5 palsy [37,8,24,20]. Effects of reperfusion, also known as reperfusion injury, are the causative factors for spinal edema [38,25,8,18].…”
Section: Discussionmentioning
confidence: 99%
“…All 82 academic and voluntary general hospitals in Japan participate in the database [ 14 ]. All patient data in this study were obtained from the multi-institutional DPC database as stated in previous literature [ 15 18 ]. This database contains the following items: age, sex, body mass index (BMI), smoking index, admission type, emergency transport, hospital type, ADL scores for admission and discharge by the Ministry of Health, surgical procedure, diagnosis with International Classification of Diseases, Tenth Revision (ICD-10) codes, comorbidities at admission and complications after admission, and in-hospital deaths.…”
Section: Methodsmentioning
confidence: 99%