Table 3. The effect of laminectomy and instrumentation on the stiffness of spinal segments in FE, LB, and AR.
Untreated versus laminectomy | Laminectomy versus instrumentation | |||||||
---|---|---|---|---|---|---|---|---|
Stiffness | Segments | Untreated (degrees) | After laminectomy(degrees) | After instrumentation (degrees) | % | p value | % | p value |
FE | ||||||||
Laminectomy | 5 × L2–L3 and 6 × L4–L5 | 0.81 (± 0.44) (E = 9) | 0.70 (± 0.35) (E = 9) | X | −14.4 | 0.129 (E = 9) | X | X |
Adjacent | 6 × L1–L2 and 6 × L3–L4 | 1.56 (± 1.20) (E = 12) | 1.33 (± 1.10) (E = 12) | 1.24 (± 0.68) (E = 11) | −14.7 | 0.080 (E = 12) | −9.7 | 0.320 (E = 11) |
Control | 6 × L2–L3 and 6 × L4–L5 | 1.14 (± 0.58) (E = 12) | 1.10 (± 0.56) (E = 12) | 1.14 (± 0.56) (E = 11) | −4.3 | 0.417 (E = 12) | −0.5 | 0.358 (E = 11) |
LB | ||||||||
Laminectomy | 5 × L2–L3 and 6 × L4–L5 | 1.49 (± 1.91) (E = 9) | 1.29 (± 1.24) (E = 9) | X | −13.4 | 0.604 (E = 9) | X | X |
Adjacent | 6 × L1–L2 and 6 × L3–L4 | 1.73 (± 1.32) (E = 12) | 1.50 (± 0.91) (E = 12) | 1.87 (± 1.52) (E = 11) | −13.6 | 0.231 (E = 12) | +22.5 | 0.369 (E = 11) |
Control | 6 × L2–L3 and 6 × L4–L5 | 1.90 (± 1.57) (E = 12) | 1.67 (± 1.43) (E = 12) | 1.63 (± 1.00) (E = 11) | −12.2 | 0.006 (E = 12) | +20.5 | 0.730 (E = 11) |
AR | ||||||||
Laminectomy | 5 × L2–L3 and 6 × L4–L5 | 2.63 (± 1.58) (E = 11) | 2.16 (± 1.33) (E = 11) | X | −18.0 | 0.005 (E = 11) | X | X |
Adjacent | 6 × L1–L2 and 6 × L3–L4 | 2.43 (± 1.34) (E = 9) | 2.16 (± 1.21) (E = 9) | 2.35 (± 1.44) (E = 8) | −10.8 | 0.533 (E = 9) | +19.3 | 0.386 (E = 8) |
Control | 6 × L2–L3 and 6 × L4–L5 | 2.42 (± 1.13) (E = 11) | 2.25 (± 1.16) (E = 11) | 2.40 (± 1.08) (E = 11) | −6.8 | 0.177 (E = 11) | +6.4 | 0.302 (E = 11) |
Abbreviations: ANOVA, analysis of variance; AR, axial rotation; E, number of excluded measurements (see Note below and text); FE, flexion and extension; LB, lateral bending; X, not analyzed.
Note: Effects of laminectomy and instrumentation on treated, adjacent, and control segments were analyzed with ANOVA. If a measurement was excluded, the ANOVA also excludes its corresponding value, noted with an E.