ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2025
Impact of frailty on short- and long-term outcomes following cervical laminoplasty for ossification of the posterior longitudinal ligament: a retrospective cohort study.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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9 authors.
Funding
Abstract
purposeTo evaluate the impact of frailty, as measured by the 5-item modified frailty index (mFI-5), on short- and long-term postoperative outcomes in patients undergoing cervical posterior laminoplasty for ossification of the posterior longitudinal ligament (OPLL). STUDY
designA retrospective cohort study.
methods198 patients who underwent cervical posterior laminoplasty were divided into three groups based on mFI-5 scores: Group A (0 point), Group B (1 point), and Group C (2 or more points). Preoperative and postoperative mJOA, NDI, and VAS scores were assessed at short-term follow-ups (1 and 6 months) and long-term follow-ups (12 and 24 months). The incidence of complications, including superficial surgical site infections (SSI) and deep vein thrombosis (DVT), was recorded. Statistical analyses included ANOVA and Spearman correlation to evaluate the association between mFI-5 scores and clinical outcomes.
resultsIn the short-term (1 and 6 months), there were no significant differences in mJOA, NDI, and VAS scores among the three groups. However, in the long-term (12 and 24 months), Group C (mFI-5 ≥ 2) exhibited significantly worse mJOA and NDI scores compared to Groups A and B. Additionally, Group C had a higher incidence of complications, such as superficial SSI and DVT.
conclusionsFrailty, as measured by mFI-5, is a significant predictor of long-term postoperative outcomes in patients undergoing cervical posterior laminoplasty for OPLL. Patients with higher mFI-5 scores experienced poorer long-term functional recovery and a higher incidence of complications. These findings emphasize the importance of assessing frailty in preoperative risk stratification and surgical planning.
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