Only lumbar operation | Additional cervical operation | p | |
---|---|---|---|
Case, no | 174 | 28 | |
Sex, female/male, o | 83/91 | 13/15 | |
Decompression/posterior fusion, no | 67/107 | 23/5 | |
One-stage/two-stage additional operation | – | 11/17 | |
Period between cervical and lumbar surgery, average, years | – | 1.0 ± 1.3 (0–5) | |
Age, average (range) | 72.2 ± 8.5 (32–89) | 70.8 ± 10.6 (43–92) | NS |
YAM, average (range) | 92.4 ± 17.8 (48–137) | 93.8 ± 17.4 (69–127) | NS |
Operative time, average (range), min | 221.4 ± 108.5 (44–749) | 201.6 ± 107.4 (70–572) | NS |
Blood loss, average (range), mL | 381.5 ± 493.1 (6–4150) | 315.5 ± 366.5 (70–1450) | NS |
Pre lumbar operative L-JOA score, average (range), points | 14.3 ± 4.5 (− 2–24) | 13.2 ± 5.4 (− 2–22) | NS |
Pre cervical operative L-JOA score, average (range), points | – | 14.8 ± 7.3 (3–26) | |
Postoperative L-JOA score, average (range), points | 23.5 ± 4.3 (9–29)* | 19.9 ± 5.0 (11–29) | 0.0005 |
Recovery rate of L-JOA score, average (range), % | 62.8 ± 25.8 (− 8.3–100)* | 39.8 ± 35.5 (− 57.1–100) | 0.0003 |
Preoperative C-JOA score, average (range), points | – | 10.3 ± 2.8 (5–15) | |
Postoperative C-JOA score, average (range), points | – | 12.1 ± 3.0 (6.5–17) | |
Recovery rate of C-JOA score, average (range), % | – | 28.5 ± 31.3 (0–100) | |
Symptomatic cervical stenosis, no | 30 (17.2%) | 28 (100%) | |
Revisions, no | 24 (13.8%) | 0 (0%) | |
C-OPLL, no | 17 (9.8%) | 6 (21.4%) | NS |
HT, no | 97 (55.7%) | 15 (53.6%) | NS |
HL, no | 26 (14.9%) | 8 (28.6%) | NS |
DM, no | 40 (23.0%) | 8 (29.3%) | NS |
Smoking, no | 57 (32.8%) | 6 (21.4%) | NS |
IHD, no | 31 (17.8%) | 4 (14.3%) | NS |
HD, no | 12 (6.9%) | 4 (14.3%) | NS |
Collagen disease, no | 15 (8.6%) | 1 (3.6%) | NS |
Obesity, BMI > 25, no | 71 (40.8%) | 12 (42.9%) | NS |
Artificial joint, TKA or THA, no | 10 (5.7%) | 1 (3.6%) | NS |
Osteoporosis, YAM < 70%, no | 23 (13.2%) | 0 (0%) |