Analysis of the surgical strategy and postoperative clinical effect of thoracic ossification of ligament flavum with dural ossification
PurposeOur research was designed to analyse the postoperative clinical results of patients suffering from single-segment thoracic ossification of the ligamentum flavum (TOLF) combined with dural ossification (DO) who underwent posterior laminar decompression and internal fixation.MethodsThis retrosp...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-10-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.1036253/full |
| _version_ | 1797995864542674944 |
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| author | Tao Liu Sidong Yang Shuo Tian Zhen Liu Wenyuan Ding Zheng Wang Dalong Yang |
| author_facet | Tao Liu Sidong Yang Shuo Tian Zhen Liu Wenyuan Ding Zheng Wang Dalong Yang |
| author_sort | Tao Liu |
| collection | DOAJ |
| description | PurposeOur research was designed to analyse the postoperative clinical results of patients suffering from single-segment thoracic ossification of the ligamentum flavum (TOLF) combined with dural ossification (DO) who underwent posterior laminar decompression and internal fixation.MethodsThis retrospective research included thirty-two patients who underwent surgery for ossifying the ligamentum flavum in the thoracic spine between January 2016 and January 2020. Patients were fallen into one group included patients with evidence of DO during surgery, and the other group included patients without evidence of DO. We assessed and compared general clinical characteristics and health-related outcomes before surgery and during follow-up.ResultsThe DO group had a longer operation duration, more blood loss, and longer hospital stay (operation time: 94.75 ± 6.78 min vs. 80.00 ± 10.13 min, p < 0.001; blood loss: 331.67 ± 50.06 ml vs. 253.00 ± 48.24 ml, p < 0.001; length of hospital stay: 13.83 ± 2.76 days vs. 10.05 ± 2.33 days, p < 0.001).ComplicationsThere were 12 cases of cerebrospinal fluid leakage and 1 case of superficial wound infection in the DO group. However, the neurological recovery and health-associated quality of life (HRQOL) scores showed no statistically significant changes between the DO and non-DO groups (p > 0.05).ConclusionsPosterior laminectomy and internal fixation combined with intraoperative resection of the ossified ligamentum flavum and dura is an efficient and relatively safe method for treating TOLF with DO, which can provide satisfactory results. Moreover, DO had no significant effect on postoperative neurological recovery and health-related quality of life scores. |
| first_indexed | 2024-04-11T10:07:11Z |
| format | Article |
| id | doaj.art-52d8d1a9aba64cf88423e7b9f8b007c9 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-11T10:07:11Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-52d8d1a9aba64cf88423e7b9f8b007c92022-12-22T04:30:11ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-10-01910.3389/fsurg.2022.10362531036253Analysis of the surgical strategy and postoperative clinical effect of thoracic ossification of ligament flavum with dural ossificationTao LiuSidong YangShuo TianZhen LiuWenyuan DingZheng WangDalong YangPurposeOur research was designed to analyse the postoperative clinical results of patients suffering from single-segment thoracic ossification of the ligamentum flavum (TOLF) combined with dural ossification (DO) who underwent posterior laminar decompression and internal fixation.MethodsThis retrospective research included thirty-two patients who underwent surgery for ossifying the ligamentum flavum in the thoracic spine between January 2016 and January 2020. Patients were fallen into one group included patients with evidence of DO during surgery, and the other group included patients without evidence of DO. We assessed and compared general clinical characteristics and health-related outcomes before surgery and during follow-up.ResultsThe DO group had a longer operation duration, more blood loss, and longer hospital stay (operation time: 94.75 ± 6.78 min vs. 80.00 ± 10.13 min, p < 0.001; blood loss: 331.67 ± 50.06 ml vs. 253.00 ± 48.24 ml, p < 0.001; length of hospital stay: 13.83 ± 2.76 days vs. 10.05 ± 2.33 days, p < 0.001).ComplicationsThere were 12 cases of cerebrospinal fluid leakage and 1 case of superficial wound infection in the DO group. However, the neurological recovery and health-associated quality of life (HRQOL) scores showed no statistically significant changes between the DO and non-DO groups (p > 0.05).ConclusionsPosterior laminectomy and internal fixation combined with intraoperative resection of the ossified ligamentum flavum and dura is an efficient and relatively safe method for treating TOLF with DO, which can provide satisfactory results. Moreover, DO had no significant effect on postoperative neurological recovery and health-related quality of life scores.https://www.frontiersin.org/articles/10.3389/fsurg.2022.1036253/fullsingle-Segmentligamentum flavum ossificationdural ossificationposterior laminar decompression and internal fixationpostoperative clinical efficacy |
| spellingShingle | Tao Liu Sidong Yang Shuo Tian Zhen Liu Wenyuan Ding Zheng Wang Dalong Yang Analysis of the surgical strategy and postoperative clinical effect of thoracic ossification of ligament flavum with dural ossification Frontiers in Surgery single-Segment ligamentum flavum ossification dural ossification posterior laminar decompression and internal fixation postoperative clinical efficacy |
| title | Analysis of the surgical strategy and postoperative clinical effect of thoracic ossification of ligament flavum with dural ossification |
| title_full | Analysis of the surgical strategy and postoperative clinical effect of thoracic ossification of ligament flavum with dural ossification |
| title_fullStr | Analysis of the surgical strategy and postoperative clinical effect of thoracic ossification of ligament flavum with dural ossification |
| title_full_unstemmed | Analysis of the surgical strategy and postoperative clinical effect of thoracic ossification of ligament flavum with dural ossification |
| title_short | Analysis of the surgical strategy and postoperative clinical effect of thoracic ossification of ligament flavum with dural ossification |
| title_sort | analysis of the surgical strategy and postoperative clinical effect of thoracic ossification of ligament flavum with dural ossification |
| topic | single-Segment ligamentum flavum ossification dural ossification posterior laminar decompression and internal fixation postoperative clinical efficacy |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.1036253/full |
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