Skip to main content

Table 1 Demographics

From: Surgical outcomes of the thoracic ossification of ligamentum flavum: a retrospective analysis of 61 cases

 

n = 61

Age, average, average (range), years

61.9 ± 16.1 (20–90)

Sex, female/male, No.

21/40

Duration of disease, average (range), months

17.6 ± 24.2 (1-144)

Follow-up period, average (range), months

32.1 ± 16.0 (12–60)

Preoperative comorbidities, No.

HT

18 (29.5%)

DM

8 (13.1%)

IHD

9 (14.8%)

Concurrent spinal canal stenosis, No.

Cervical [Non-C-OPLL/C-OPLL]

23 (37.7%) [11 (18.0%)/12 (19.7%)]

Thoracic [T-OPLL]

8 (13.1%)

LCS [Spondylosis/Spondylolisthesis/L-OPLL]

46(75.4%) [26 (42.6%)/18 (29.5%)/2 (3.3%)]

Height, average (range), cm

160.2 ± 10.1 (134–179)

Body weight, average (range), Kg

70.1 ± 19.2 (44.2-103.4)

BMI, average (range), Kg/m2

27.2 ± 6.0 (17.6–52.4)

Dual Energy X-ray Absorptiometry

Lumbar YAM, average (range), %

103.2 ± 17.2 (75–147)

Femoral YAM, average (range), %

83.7 ± 19.4 (66–137)

MMT, average (range),

Preoperative

3.3 ± 1.4 (0–5)

Operation

Surgical procedure

LAM/PDF, No

44 (72.1%)/17 (27.9%)

Decompressed OLF levels, average (range), No.

1.5 ± 0.9 (1–4)

Simultaneous lumbar decompression, No

10 (16.4%)

Operative time, average (range), min

156.7 ± 97.6 (48–460)

Blood loss, average (range), mL

284.9 ± 606.8 (1-4090)

Outcomes

T-JOA score, average (range), points

Preoperative

5.9 ± 1.9 (2–10)

Postoperative

8.0 ± 1.6 (4.5–11)♰

Recovery rate of T-JOA score, average (range), %

39.2 ± 29.2 (-10-100)

VAS, average (range), mm

Preoperative

72.2 ± 25.1 (0-100)

Postoperative

52.7 ± 28.8 (0-100)♰

Complication, No

Dural tear

3 (4.9%)

Hematoma

2 (3.3%)

Vertebral fracture

1 (1.6%)

SSI

1 (1.6%)

Enlargement of T-OPLL

1 (1.6%)

Radiological findings

Preoperative global spinal alignment

LL, average (range), degrees

37.9 ± 15.2 (2–67)

PI, average (range), degrees

46.5 ± 7.6 (22–63)

SS, average (range), degrees

30.2 ± 10.1 (8–58)

TLK, average (range), degrees

11.6 ± 12.1 (-8-54)

TK, average (range), degrees

23.9 ± 11.7 (2–59)

SVA, average (range), mm

46.6 ± 51.3 (-54-183)

Local kyphosis, average (range), degrees

Preoperative

9.2 ± 8.4 (0–45)

Postoperative

11.2 ± 9.4 (0–50)

CT

DISH, No.

19 (31.1%)

OLF, Unilateral/Bilateral/Bridged, No.

12 (19.7%)/39 (63.9%)/10 (16.4%)

Thickness of OLF, average (range), mm

3.6 ± 2.0 (1–10)

OLF segments, average (range), No.

3.1 ± 2.5 (1–12)

MRI

OLF, Round/Beak, No.

37 (60.7%)/24 (39.3%)

Modic change, No.

29 (47.5%)

HIA, No.

51 (83.6%)

  1. Abbreviation: BMI body mass index, MMT manual muscle test, T-JOA the Japanese Orthopaedic Association for thoracic myelopathy, VAS visual analog scale, CT computed tomography, MRI magnetic resonance imaging, HT hypertension, DM diabetes mellitus, HL hyperlipidemia, IHD ischemic heart disease, OPLL ossification of the longitudinal ligament, LCS lumbar spinal canal stenosis, YAM young adult mean, LAM laminectomy, PDF posterior decompression with fusion, OLF ossification of the ligamentum flavum, SSI surgical site infection, LL lumbar lordosis, PI pelvic incidence, SS sacral slope, TLK thoracolumbar kyphosis, TK thoracic kyphosis, SVA sagittal vertical axis, DISH diffuse idiopathic skeletal hyperostosis, HIA high-intensity areas
  2. p < 0.05 when compared to the preoperative status