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Table 3 Comparison between the cases without LCS and those with LCS

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

 

Non-LCS n = 15

LCS n = 46

Age, average, average (range), years

48.1 ± 17.3 (22–78)

66.4 ± 13.1 (27–90)*

Sex, female/male, No.

5/10

16/30

Concurrent spinal canal stenosis, No.

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

8 (53.3%) [2/6]

15 (32.6%) [9/6]

Height, average (range), cm

164.0 ± 10.2 (148–179)

159.0 ± 9.9 (134–176)

Body weight, average (range), Kg

83.0 ± 27.3 (56.3-100.7)

65.9 ± 13.6 (44.2-103.4)*

Dual Energy X-ray Absorptiometry

Lumbar YAM, average (range), %

104.0 ± 15.6 (93–115)

103.1 ± 17.9 (75–147)

Femoral YAM, average (range), %

90.5 ± 27.6 (71–110)

82.8 ± 19.2 (62–137)

MMT, average (range),

Preoperative

4.0 ± 0.9 (2–5)

3.1 ± 1.5 (0–5)*

Operation

Surgical procedure

LAM/PDF, No

13/2

31/15

Decompressed OLF levels, average (range), No.

1.5 ± 1.1 (1–4)

1.5 ± 0.8 (1–4)

Outcomes

T-JOA score, average (range), points

Preoperative

6.3 ± 1.8 (2-8.5)

5.7 ± 2.0 (2–10)

Postoperative

8.7 ± 1.4 (5.5–11)♰

7.8 ± 1.6 (4.5–11)♰*

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

47.9 ± 29.2 (0-100)

36.4 ± 29.0 (-10-100)

VAS, average (range), mm

Preoperative

60.5 ± 27.6 (0-100)

75.7 ± 23.7 (30–100)

Postoperative

45.5 ± 29.5 (0–90)

55.2 ± 28.6 (10–100)♰

Radiological findings

Preoperative global spinal alignment

LL, average (range), degrees

42.8 ± 15.7 (11–65)

36.3 ± 14.8 (2–67)

PI, average (range), degrees

46.3 ± 5.6 (11–52)

46.6 ± 8.2 (22–63)

SS, average (range), degrees

30.9 ± 9.4 (8–58)

30.0 ± 10.4 (8–58)

TLK, average (range), degrees

12.5 ± 7.6 (-2-31)

11.3 ± 13.3 (-8-54)

TK, average (range), degrees

28.4 ± 11.8 (13–59)

22.4 ± 11.4 (2–50)

SVA, average (range), mm

18.5 ± 42.1 (-54-99)

55.6 ± 51.1 (-25-183)*

CT

DISH, No.

3 (20%)

16 (34.8%)

OLF, Unilateral/Bilateral/Bridged, No.

1/8/6

11/31/4*

Thickness of OLF, average (range), mm

4.8 ± 2.4 (2.4–10)

3.2 ± 1.7 (1-8.9)*

MRI

OLF, Round/Beak, No.

8/7

29/17

Modic change, No.

3 (20%)

26 (56.5%)*

HIA, No.

11 (73.3%)

40 (87.0%)

  1. Abbreviation: MMT manual muscle test, T-JOA the Japanese Orthopaedic Association for thoracic myelopathy, VAS visual analog scale, CT computed tomography, MRI magnetic resonance imaging, 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, 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 non-LCS group
  3. p < 0.05 when compared to the preoperative status