Elderly Recover Adequately After Cervical Laminoplasty

No significant difference in mean achieved JOA scores for elderly, young-old, and old-old

WEDNESDAY, Sept. 28 (HealthDay News) -- Elderly patients with cervical spondylotic myelopathy (CSM) can benefit from laminoplasty and have adequate recoveries in terms of achieved Japanese Orthopedic Association (JOA) scores for cervical myelopathy, according to a study published online Sept. 8 in Spine.

Masaaki Machino, M.D., from the Chubu Rosai Hospital in Nagoya, Japan, and colleagues compared the surgical outcome between non-elderly and elderly patients who underwent laminoplasty. A total of 520 patients with CSM who underwent double-door laminoplasty were followed postoperatively for an average of 33.3±15.7 months. The patients were divided by age: non-elderly (younger than 65 years), young-old (65 to 74 years), and old-old (75 years and older). JOA scores for cervical myelopathy were used to evaluate pre- and post-operative neurological status.

The investigators found that the mean pre- and post-operative JOA scores were 11.0 and 14.4 in the non-elderly group, 10.2 and 13.2 in the young-old group, and 8.7 and 11.8 points in the old-old groups, respectively. Significantly lower recovery rates of JOA scores were observed in the elderly versus the non-elderly group. However, there was no significant difference in the mean JOA scores achieved (the difference of post- and pre-operative JOA scores) between the groups with 3.4, 3.0, and 3.1 in non-elderly, young-old, and old-old groups, respectively.

"Elderly patients could recover adequately after laminoplasty in terms of achieved JOA score, and laminoplasty for CSM was beneficial in even elderly patients," the authors write.

Full Text (subscription or payment may be required)

Physician's Briefing