Diabetes and smoking as prognostic factors after cervical laminoplasty

H. J. Kim, S. H. Moon, H. S. Kim, E. S. Moon, Heoung Jae Chun, M. Jung, H. M. Lee

Research output: Contribution to journalArticle

40 Citations (Scopus)

Abstract

We reviewed 87 patients who had undergone expansive cervical laminoplasty between 1999 and 2005. These were divided into two groups: those who had diabetes mellitus and those who did not. There were 31 patients in the diabetes group and 56 in the control group. Although a significant improvement in the Japanese Orthopaedic Association score was seen in both groups, the post-operative recovery rate in the control group was better than that of the diabetic group. The patients' age and symptom duration adversely affected the rate of recovery in the diabetic group only. Smoking did not affect the outcome in either group. A logistic regression analysis found diabetes and signal changes in the spinal cord on MRI to be significant risk factors for a poor outcome (odds ratio 2.86, 3.02, respectively). Furthermore, the interaction of diabetes with smoking and/or age increased this risk. We conclude that diabetes mellitus, or the interaction of this with old age, can adversely affect outcome after cervical laminoplasty. However, smoking alone cannot be regarded as a risk factor.

Original languageEnglish
Pages (from-to)1468-1472
Number of pages5
JournalJournal of Bone and Joint Surgery - Series B
Volume90
Issue number11
DOIs
Publication statusPublished - 2008 Nov 1
Externally publishedYes

Fingerprint

Smoking
Diabetes Mellitus
Control Groups
Spinal Cord
Logistic Models
Odds Ratio
Regression Analysis
Laminoplasty

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Kim, H. J., Moon, S. H., Kim, H. S., Moon, E. S., Chun, H. J., Jung, M., & Lee, H. M. (2008). Diabetes and smoking as prognostic factors after cervical laminoplasty. Journal of Bone and Joint Surgery - Series B, 90(11), 1468-1472. https://doi.org/10.1302/0301-620X.90B11.20632

Diabetes and smoking as prognostic factors after cervical laminoplasty. / Kim, H. J.; Moon, S. H.; Kim, H. S.; Moon, E. S.; Chun, Heoung Jae; Jung, M.; Lee, H. M.

In: Journal of Bone and Joint Surgery - Series B, Vol. 90, No. 11, 01.11.2008, p. 1468-1472.

Research output: Contribution to journalArticle

Kim, HJ, Moon, SH, Kim, HS, Moon, ES, Chun, HJ, Jung, M & Lee, HM 2008, 'Diabetes and smoking as prognostic factors after cervical laminoplasty', Journal of Bone and Joint Surgery - Series B, vol. 90, no. 11, pp. 1468-1472. https://doi.org/10.1302/0301-620X.90B11.20632
Kim, H. J. ; Moon, S. H. ; Kim, H. S. ; Moon, E. S. ; Chun, Heoung Jae ; Jung, M. ; Lee, H. M. / Diabetes and smoking as prognostic factors after cervical laminoplasty. In: Journal of Bone and Joint Surgery - Series B. 2008 ; Vol. 90, No. 11. pp. 1468-1472.
@article{f6103b15c05f4a9d922bf18a18d6a86a,
title = "Diabetes and smoking as prognostic factors after cervical laminoplasty",
abstract = "We reviewed 87 patients who had undergone expansive cervical laminoplasty between 1999 and 2005. These were divided into two groups: those who had diabetes mellitus and those who did not. There were 31 patients in the diabetes group and 56 in the control group. Although a significant improvement in the Japanese Orthopaedic Association score was seen in both groups, the post-operative recovery rate in the control group was better than that of the diabetic group. The patients' age and symptom duration adversely affected the rate of recovery in the diabetic group only. Smoking did not affect the outcome in either group. A logistic regression analysis found diabetes and signal changes in the spinal cord on MRI to be significant risk factors for a poor outcome (odds ratio 2.86, 3.02, respectively). Furthermore, the interaction of diabetes with smoking and/or age increased this risk. We conclude that diabetes mellitus, or the interaction of this with old age, can adversely affect outcome after cervical laminoplasty. However, smoking alone cannot be regarded as a risk factor.",
author = "Kim, {H. J.} and Moon, {S. H.} and Kim, {H. S.} and Moon, {E. S.} and Chun, {Heoung Jae} and M. Jung and Lee, {H. M.}",
year = "2008",
month = "11",
day = "1",
doi = "10.1302/0301-620X.90B11.20632",
language = "English",
volume = "90",
pages = "1468--1472",
journal = "Bone and Joint Journal",
issn = "2049-4394",
publisher = "British Editorial Society of Bone and Joint Surgery",
number = "11",

}

TY - JOUR

T1 - Diabetes and smoking as prognostic factors after cervical laminoplasty

AU - Kim, H. J.

AU - Moon, S. H.

AU - Kim, H. S.

AU - Moon, E. S.

AU - Chun, Heoung Jae

AU - Jung, M.

AU - Lee, H. M.

PY - 2008/11/1

Y1 - 2008/11/1

N2 - We reviewed 87 patients who had undergone expansive cervical laminoplasty between 1999 and 2005. These were divided into two groups: those who had diabetes mellitus and those who did not. There were 31 patients in the diabetes group and 56 in the control group. Although a significant improvement in the Japanese Orthopaedic Association score was seen in both groups, the post-operative recovery rate in the control group was better than that of the diabetic group. The patients' age and symptom duration adversely affected the rate of recovery in the diabetic group only. Smoking did not affect the outcome in either group. A logistic regression analysis found diabetes and signal changes in the spinal cord on MRI to be significant risk factors for a poor outcome (odds ratio 2.86, 3.02, respectively). Furthermore, the interaction of diabetes with smoking and/or age increased this risk. We conclude that diabetes mellitus, or the interaction of this with old age, can adversely affect outcome after cervical laminoplasty. However, smoking alone cannot be regarded as a risk factor.

AB - We reviewed 87 patients who had undergone expansive cervical laminoplasty between 1999 and 2005. These were divided into two groups: those who had diabetes mellitus and those who did not. There were 31 patients in the diabetes group and 56 in the control group. Although a significant improvement in the Japanese Orthopaedic Association score was seen in both groups, the post-operative recovery rate in the control group was better than that of the diabetic group. The patients' age and symptom duration adversely affected the rate of recovery in the diabetic group only. Smoking did not affect the outcome in either group. A logistic regression analysis found diabetes and signal changes in the spinal cord on MRI to be significant risk factors for a poor outcome (odds ratio 2.86, 3.02, respectively). Furthermore, the interaction of diabetes with smoking and/or age increased this risk. We conclude that diabetes mellitus, or the interaction of this with old age, can adversely affect outcome after cervical laminoplasty. However, smoking alone cannot be regarded as a risk factor.

UR - http://www.scopus.com/inward/record.url?scp=55549098143&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=55549098143&partnerID=8YFLogxK

U2 - 10.1302/0301-620X.90B11.20632

DO - 10.1302/0301-620X.90B11.20632

M3 - Article

VL - 90

SP - 1468

EP - 1472

JO - Bone and Joint Journal

JF - Bone and Joint Journal

SN - 2049-4394

IS - 11

ER -