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This study aims to establish the specialist consensus of the integration of posterior approach surgical treatment and postoperative intensive recovery management for CSM or OPLL patients, and verify its safety, practicability and reliability.
In order to establish the specialist consensus of the integration of posterior approach surgical treatment and postoperative intensive recovery management, and verify its safety, practicability and reliability, this study enrolled 130 patients with CSM or OPLL undergoing C3-7 open-door laminoplasty. Patients are divided in two groups randomly. The study group has 80 patients, treated with postoperative intensive recovery management, and the control group has 50 patients. The data is collected preoperatively, at 3-month follow-up and 1-year follow-up.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Study group | Patients will be treated with intensive recovery method after surgery. |
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| Control group | Patients will be treated with regular recovery method after surgery. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Intensive recovery management | Procedure | Intensive recovery management includes 3 parts: (1) Preoperative analgesia and airway evaluation. (2) The protection and reconstruction of the musculo-ligamentous complex during the surgery, the safe intubation, and the local infiltration anesthesia during surgery. (3) Collar free, multimodal analgesia, airway management, and early recovery after surgery. |
| Measure | Description | Time Frame |
|---|---|---|
| Cervical spine mechanical analysis | The ROM and multi-dimensional mechanical analysis of cervical spine before surgery, at 3-month postoperative follow-up and 1-year follow | Preoperation to 1 year after surgery. |
| Cervical spine functions | NDI score and JOACMEQ score before surgery, at 3-month postoperative follow-up and 1-year follow | Preoperation to 1 year after surgery. |
| Measure | Description | Time Frame |
|---|---|---|
| Outcome of quality of life | EQ-5D score before surgery, at 3-month postoperative follow-up and 1-year follow | Preoperation to 1 year after surgery. |
| Outcome of pain | VAS score before surgery, at 3-month postoperative follow-up and 1-year follow |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with degenerative CSM or OPLL undergoing C3-7 open-door laminoplasty
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| Name | Affiliation | Role |
|---|---|---|
| Feifei Zhou, M.D. | Peking University Third Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Feifei Zhou | Beijing | Beijing Municipality | 100191 | China |
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| ID | Term |
|---|---|
| D017887 | Ossification of Posterior Longitudinal Ligament |
| ID | Term |
|---|---|
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D009999 | Ossification, Heterotopic |
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|
| Preoperation to 1 year after surgery. |
| Neurological outcome | mJOA score before surgery, at 3-month postoperative follow-up and 1-year follow | Preoperation to 1 year after surgery. |
| D010335 |
| Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |