Impact of the preoperative nutritional status on postoperative kyphosis in geriatric patients undergoing cervical laminoplasty

Takasawa, Eiji; Iizuka, Yoichi; Ishiwata, Sho; Kakuta, Yohei; Inomata, Kazuhiro; Tomomatsu, Yusuke; Ito, Shunsuke; Honda, Akira; Mieda, Tokue; Chikuda, Hirotaka

doi:10.1007/s00586-022-07481-8

Cited by 5 publications

(2 citation statements)

References 23 publications

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“…In the context of spine surgery, malnutrition has been associated with complications such as delirium, surgical site infections, and wound dehiscence ( 27 , 28 ). Among elderly patients with cervical spondylotic myelopathy, preoperative malnutrition has been closely linked to the increased occurrence of cervical kyphosis following laminoplasty ( 29 ). Additionally, individuals with latent tuberculosis are prone to tuberculosis reactivation and progression to active tuberculosis when malnutrition sets in and cellular immune function declines ( 30 ).…”

Section: Discussionmentioning

confidence: 99%

Prognostic values of geriatric nutrition risk index on elderly patients after spinal tuberculosis surgery

Huang

Xia

et al. 2023

Front. Nutr.

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BackgroundSpinal tuberculosis (STB) is a significant public health concern, especially in elderly patients, due to its chronic and debilitating nature. Nutritional status is a critical factor affecting the prognosis of STB patients. The geriatric nutritional risk index (GNRI) has been established as a reliable predictor of adverse outcomes in various diseases, but its correlation with surgical outcomes in elderly STB patients has not been studied.ObjectiveThe study aimed to assess the prognostic value of the GNRI in elderly patients with STB who underwent surgery.MethodsWe conducted a retrospective analysis of medical records of elderly patients (65 years or older) diagnosed with active STB who underwent surgical treatment. Data collection included patient demographics, comorbidities, clinical history, laboratory testing, and surgical factors. GNRI was calculated using serum albumin levels and body weight. Postoperative complications were observed and recorded. The patients were followed up for at least 1 year, and their clinical cure status was assessed based on predefined criteria.ResultsA total of 91 patients were included in the study. We found that a GNRI value of <98.63 g/dL was a cutoff value for predicting unfavorable clinical prognosis in elderly STB patients undergoing surgery. Patients with a low GNRI had higher Charlson Comorbidity Index scores, were more likely to receive red blood cell transfusions, and had a higher prevalence of overall complications, particularly pneumonia. The unfavorable clinical prognosis group had lower GNRI scores compared to the favorable prognosis group. Multivariate analysis showed that lower GNRI independently predicted unfavorable clinical outcomes in elderly STB patients.ConclusionThe study concluded that the GNRI is a valuable biomarker for predicting prognosis in elderly STB patients undergoing surgical intervention. Patients with lower GNRI scores had worse outcomes and a higher incidence of complications.

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Section: Discussionmentioning

confidence: 99%

Prognostic values of geriatric nutrition risk index on elderly patients after spinal tuberculosis surgery

Huang

Xia

et al. 2023

Front. Nutr.

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“…ROM and high flex ROM - Low ext. ROM Fujishiro T [ 49 ] 2021 CSM: 111 - Double-door LAMP Gap ROM exceeding 30° Preoperative gap ROM exceeding 30° - - Lin BJ [ 50 ] 2015 CSM: 26 - Open-door LAMP C2–7 angle ≤ 10° C2–7 angle ≤ 10° - Morphology was that of a neutral or posterior convexity-type spinal cord accompanied by kyphotic deformity Chen HY [ 51 ] 2020 CSM: 85 Kyphosis: C2–7 angle < 0° Spinous process splitting LAMP - C2–7 SVA ≥ 30 mm T1 slope ≤ 2° T1 slope minus C2–7 angle ≥ 20° - C2–7 SVA < 2.89 cm T1 slope minus C2–7 angle ≥ 20° Takasawa E [ 52 ] 2023 CSM: 90 (age ≥ 65) - Open-door LAMP - Malnutrition status (Geriatric nutritional risk index < 9...…”

Section: Selection Of Surgical Techniques For Dcm and Cervical Spine ...mentioning

confidence: 99%

Current Concepts of Cervical Spine Alignment, Sagittal Deformity, and Cervical Spine Surgery

Suzuki,

Funaba,

Fujimoto

et al. 2024

JCM

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There are not many reports on cervical spine alignment, and only a few analyze ideal surgical approaches and optimal amounts of correction needed for the various types of deformity. We comprehensively reviewed the present literature on cervical spinal deformities (with or without myelopathy) and their surgical management to provide a framework for surgical planning. A general assessment of the parameters actually in use and correlations between cervical and thoracolumbar spine alignment are provided. We also analyzed posterior, anterior, and combined cervical surgical approaches and indications for the associated techniques of laminoplasty, laminectomy and fusion, and anterior cervical discectomy and fusion. Finally, on the basis of the NDI, SF-36, VAS, and mJOA questionnaires, we fully evaluated the outcomes and measures of postoperative health-related quality of life. We found the need for additional prospective studies to further enhance our understanding of the importance of cervical alignment when assessing and treating cervical deformities with or without myelopathy. Future studies need to focus on correlations between cervical alignment parameters, disability scores, and myelopathy outcomes. Through this comprehensive literature review, we offer guidance on practical and important points of surgical technique, cervical alignment, and goals surgeons can meet to improve symptoms in all patients.

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Usefulness of the preoperative thoracic inlet angle in comparison to the T1 slope for predicting cervical kyphosis after laminoplasty

Takakura,

Takasawa,

Mieda

et al. 2024

Eur Spine J

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Impact of the preoperative nutritional status on postoperative kyphosis in geriatric patients undergoing cervical laminoplasty

Cited by 5 publications

References 23 publications

Prognostic values of geriatric nutrition risk index on elderly patients after spinal tuberculosis surgery

Prognostic values of geriatric nutrition risk index on elderly patients after spinal tuberculosis surgery

Current Concepts of Cervical Spine Alignment, Sagittal Deformity, and Cervical Spine Surgery

Usefulness of the preoperative thoracic inlet angle in comparison to the T1 slope for predicting cervical kyphosis after laminoplasty

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