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Table 3 Comparison between cases without cervical surgery and those with cervical surgery

From: Surgical outcomes for lumbar spinal canal stenosis with coexisting cervical stenosis (tandem spinal stenosis): a retrospective analysis of 565 cases

 

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%)

 
  1. Abbreviations: YAM young adult mean, L-JOA Japanese Orthopedic Association for lumbar spinal canal stenosis, C-JOA Japanese Orthopedic Association for cervical myelopathy, C-OPLL ossification of the posterior longitudinal ligament of the cervical spine, HT hypertension, HL hyperlipidemia, DM diabetes mellitus, IHD ischemic heart disease, HD hemodialysis, BMI body mass index, TKA total knee arthroplasty, THA total hip arthroplasty, NS not significant
  2. *p < .05