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Diabetes and smoking as prognostic factors after cervical laminoplasty

Authors
 H.-J. Kim  ;  S.-H. Moon  ;  H.-S. Kim  ;  E.-S. Moon  ;  H.-J. Chun  ;  M. Jung  ;  H.-M. Lee 
Citation
 JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, Vol.90B(11) : 1468-1472, 2008 
Journal Title
 JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME 
ISSN
 0301-620X 
Issue Date
2008
MeSH
Aged ; Cervical Vertebrae/surgery ; Diabetes Complications* ; Female ; Humans ; Laminectomy/methods* ; Male ; Middle Aged ; Ossification of Posterior Longitudinal Ligament/complications* ; Ossification of Posterior Longitudinal Ligament/surgery ; Postoperative Complications/etiology* ; Prognosis ; Recovery of Function ; Regression Analysis ; Risk Factors ; Smoking/adverse effects* ; Spondylitis/complications* ; Spondylitis/surgery
Keywords
Humans ; Ossification of Posterior Longitudinal Ligament/surgery ; Smoking/adverse effects*
Abstract
We reviewed 87 patients who had undergone expansive cervical laminoplasty between 1999 and 2005. These were divided into two groups: those who had diabetes mellitus and those who did not. There were 31 patients in the diabetes group and 56 in the control group. Although a significant improvement in the Japanese Orthopaedic Association score was seen in both groups, the post-operative recovery rate in the control group was better than that of the diabetic group. The patients' age and symptom duration adversely affected the rate of recovery in the diabetic group only. Smoking did not affect the outcome in either group. A logistic regression analysis found diabetes and signal changes in the spinal cord on MRI to be significant risk factors for a poor outcome (odds ratio 2.86, 3.02, respectively). Furthermore, the interaction of diabetes with smoking and/or age increased this risk. We conclude that diabetes mellitus, or the interaction of this with old age, can adversely affect outcome after cervical laminoplasty. However, smoking alone cannot be regarded as a risk factor.
Full Text
http://www.bjj.boneandjoint.org.uk/content/90-B/11/1468.long
DOI
10.1302/0301-620X.90B11.20632
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hak Sun(김학선) ORCID logo https://orcid.org/0000-0002-8330-4688
Kim, Ho Joong(김호중)
Moon, Seong Hwan(문성환)
Moon, Eun Su(문은수)
Lee, Hwan Mo(이환모) ORCID logo https://orcid.org/0000-0002-5405-3832
Jung, Min(정민) ORCID logo https://orcid.org/0000-0002-7527-4802
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/107743
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