Format

Send to

Choose Destination
See comment in PubMed Commons below
Global Spine J. 2014 Jun;4(2):77-82. doi: 10.1055/s-0034-1366973. Epub 2014 Jan 27.

Preoperative predictors of patient satisfaction with outcome after cervical laminoplasty.

Author information

  • 1Department of Orthopaedics, Jichi Medical University, Shimotsuke, Tochigi, Japan.

Abstract

Study design Prospective cohort study. Objective The purpose of the present study was to identify the predictors of patient satisfaction with outcome after cervical laminoplasty for compressive cervical myelopathy. Methods A cohort of 143 patients with compressive myelopathy who underwent cervical double-door laminoplasty between 2008 and 2011 was studied prospectively. The principal outcome was patient satisfaction with outcome at 1 year after surgery. Patient satisfaction was graded on an ordinal scale from 1 to 7. Subjective health-related quality of life (QOL) and objective disease-specific outcome was measured by Short Form-36 (SF-36) and the Japanese Orthopaedic Association (JOA) score, respectively, before surgery and at 1-year follow-up. We evaluated the association between patient satisfaction at 1-year follow-up and various baseline parameters, including patient demographics, duration of symptoms, comorbidities, imaging findings, JOA score, and SF-36 scores. Results A total of 116 patients completed subjective and objective follow-up for a minimum of 1 year. Of 116 patients, 95 patients (81.9%) were satisfied with the outcome ("satisfied a little" or more). The unsatisfied group ("neutral" or less) showed significantly lower baseline SF-36 scores in bodily pain (BP), general health perceptions (GH), and vitality (VT) domains compared with the satisfied group. At the 1-year follow-up, SF-36 scores showed significant differences between the groups in all eight domains, whereas the JOA score showed no significant difference. Conclusions Lower baseline QOL measured by SF-36 scores, specifically in BP, GH, and VT domains, are associated with lower satisfaction with outcome after cervical laminoplasty.

KEYWORDS:

cervical spine; laminoplasty; myelopathy; outcome; patient satisfaction

PMID:
25072001
PMCID:
PMC4078151
DOI:
10.1055/s-0034-1366973
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Georg Thieme Verlag Stuttgart, New York Icon for PubMed Central
    Loading ...
    Support Center