Table 2.
Summary of results on the statistic evaluation of the correlation between clinical factors and surgical outcome
| Author and Year | Surgical approach | Age | Sex | Pre-operative symptom duration | Pre-operative neurological score | Post- or pre-operative radiographic assessment | OPLL type | Other factors | Statistic test |
|---|---|---|---|---|---|---|---|---|---|
| Koyanagi et al. [20] | A, P | No | NA | Yes | No/JOA | Compression rate—no, Transverse area—yes | NA | NA | Multiple regression analysis |
| Okada et al. [30] | A, P | NA | NA | Yes | NA | IMHSI, Transverse area—yes | NA | NA | Multiple regression analysis |
| Goto et al. [10] | A | NA | NA | NA | NA | Cervical alignment—yes | NA | Progression of ossification, progression of kyphotic deformity, incomplete decompression, long-range fusion —yes, | Mann-Whitney U test |
| Inoue et al. [12] | P | NA | NA | NA | NA | NA | NA | Progression of ossification, progression of kyphotic deformity, incomplete decompression, scar formation—yes | Mann-Whitney U test |
| Nakamura and Fujimura, 1998 [9, 26] | A, P | Yes | NA | Yes | No/JOA | IMHSI, ROM—yes, spinal canal expansion, changes of the curve indices—no | NA | Trauma history, progression of ossification—yes | Mann-Whitney U test, Multiple regression analysis |
| Kato et al. [16] | P | Yes | NA | No | Yes/JOA | Occupying rate, SAC—no | No | Trauma, OLF—yes, Surgical level, progression of kyphotic deformity, progression of ossification—no | Multivariate stepwise regression analysis |
| Onari et al. [32] | A | NA | NA | NA | NA | NA | NA | Progression of kyphotic deformity, progression of ossification—yes | NA |
| Seichi et al. [33] | P | NA | NA | NA | NA | Change in ROM—yes | NA | Progression of ossification—no, OLF, trauma—yes |
NA |
| Matsuoka et al. [24] | A | No | NA | Yes | Yes/JOA | SAC, Occupying rate, ossification thickness—no, transverse area—yes | No | Involved interspaces—no, progression of ossification—yes | Spearman’s rank correlation, Kruskal-Wallis rank test. |
| Iwasaki et al. [13] | P | Yes | No | NA | Yes/JOA | Occupying ration, SAC, change of the cervical alignment—no | No | Progression of kyphotic deformity, post-operative spontaneous fusion, progression of ossification—no | Multivariate stepwise analysis |
| Ogawa et al. [27, 28] | P | Yes | NA | Yes | Yes | Cervical range of motion—yes, Change of cervical alignment, expansion of spinal canal—no | Yes | NA | Mann-Whitney U test, |
| Uchida et al. [36] | A, P | No | No | No | Yes/JOA | IMHSI—no, Compression rate, occupying ratio, expansion of spinal canal (≥40%), increase area of spinal cord (≥40%)—yes | Yes | Involved interspaces, progression of ossification, Progression of kyphotic deformity—no, SCEP—yes | Multivariate analysis multiple regression analysis |
| Choi et al. [6] | A | No | No | No | No/Nurick | SEA, occupying ratio (CT), Pavlov ratio, double-layer sign—no | No | DM—yes | Univariate analysis, Multiple logistic regression analysis |
| Chiba et al. [3] | P | NA | NA | NA | NA | Cervical alignment—yes, decrease of ROM—no | NA | Progression of ossification—no | Unpaired t test |
| Iwasaki et al. [15] | A | NA | NA | NA | NA | Occupying ratio (≥60%), change in cervical alignment—no | No | OLF, progression of ossification—yes | Mann-Whitney U test. |
| Iwasaki et al. [14] | P | Yes | NA | NA | Yes/JOA | Cervical alignment, occupying ratio (<60%), SAC—no, change in cervical alignment—yes | Yes | NA | Multiple logistic regression |
| Masaki et al. [21] | P | Yes | NA | Yes | No/JOA | Occupation ratio (CT)—no, Change in ROM, change in C2–C7 angle—yes | NA | NA | Mann-Whitney U test |
no no statistically significant correlation (either positive or negative) exists between factor and outcome, yes statistically significant correlation (either positive or negative) exists between factor and outcome, Transverse area transverse area of spinal cord (MRI), Compression rate ratio of flatten of spinal cord caused by compression (MRI), IMHSI intramedullary high signal intensity in T2-weighted, SAC space available for spinal cord in lateral view (X-ray) at the maximum compression level, Occupying rate thickness of ossification/AP at the maximum compression level, Occupying rate (CT) area of ossification/transverse area of spinal canal at the maximum compression level, Low T1 low intensity signal in T1-weighted (MRI), SEA snake-eye appearance, ROM range of motion, SCEP spinal cord evoked potentials, DM diabetes, OLF ossification of ligament flavum