Table 4.
Factor | Upper | Middle | Lower |
n | 69 | 102 | 128 |
Sex | |||
Male | 42 (60.9%) | 55 (53.9%) | 69 (53.9%) |
Female | 27 (39.1%) | 47 (46.1%) | 59 (46.1%) |
Mean age (yr) | 51.5 ± 15.2 yr | 52.2 ± 15.7 yr | 53.3 ± 17.1 yr |
Preoperative JOA score | 5.4 ± 2.9 | 4.9 ± 2.6 | 17.3 ± 35.9 mo |
Mean disease duration (mo) | 20.0 ± 39.2 mo | 13.6 ± 20.6 mo | 6.6 ± 2.5 |
Postoperative JOA score | 7.4 ± 2.3 | 6.9 ± 2.1 | 8.1 ± 2.2 |
JOA recovery rate (%) | 41.8 ± 27.0 | 34.1 ± 19.7 | 39.3 ± 30.7 |
Initial/preoperative symptoms | |||
Girdle pain | 12 (17.4%)/15 (21.7%) | 7 (6.9%)/7 (6.9%) | 0 (0.0%)/0 (0.0%) |
Back pain | 21 (30.4%)/28 (40.6%) | 24 (23.5%)/26 (25.5%) | 4 (3.1%)/4 (3.1%) |
Low back pain | 4 (5.8%)/8 (11.6%) | 9 (8.8%)/12 (11.8%) | 53 (41.4%)/62 (48.4%) |
Leg numbness | 39 (56.5%)/49 (71.0%) | 55 (53.9%)/75 (73.5%) | 64 (50.0%)/85 (66.4%) |
Leg pain | 7 (10.1%)/9 (13.0%) | 12 (11.8%)/17 (16.7%) | 29 (22.7%)/39 (30.5%) |
Gait disturbance | 17 (24.6%)/44 (63.8%) | 29 (28.4%)/79 (77.5%) | 31 (24.2%)/68 (53.1%) |
Leg paresis | 3 (4.3%)/16 (23.2%) | 7 (6.9%)/53 (52.0%) | 11 (8.6%)/32 (25.0%) |
BBD | 1 (1.4%)/4 (5.8%) | 3 (2.9%)/13 (12.7%) | 5 (3.9%)/9 (7.0%) |
Neurologic findings | |||
Hyper-PTR | 56 (81.2%) | 82 (80.4%) | 57 (44.5%) |
Hyper-ATR | 51 (73.9%) | 74 (72.5%) | 53 (41.4%) |
Positive ankle clonus | 38 (55.1%) | 53 (52.0%) | 30 (23.4%) |
Disease | |||
OLF | 7 (10.1%) | 3 (2.9%) | 38 (29.7%) |
OPLL | 8 (11.6%) | 19 (18.6%) | 3 (2.3%) |
OPLL + OLF | 5 (7.2%) | 18 (17.6%) | 3 (2.3%) |
IET | 24 (34.8%) | 29 (28.4%) | 45 (35.2%) |
IMSCT | 16 (23.2%) | 16 (15.7%) | 32 (25.0%) |
VT | 7 (10.1%) | 7 (6.9%) | 3 (2.3%) |
SCH | 2 (2.9%) | 5 (4.9%) | 0 (0.0%) |
VF | 0 (0.0%) | 1 (1.0%) | 3 (2.3%) |
TDH | 0 (0.0%) | 3 (2.9%) | 2 (1.6%) |
ATR = ankle tendon reflex, BBD = bowel bladder disturbance, IET = intradural extramedullary tumor, IMSCT = intramedullary spinal cord tumor, JOA = Japanese Orthopaedic Association, OLF = ossification of the ligamentum flavum, OPLL = ossification of the posterior longitudinal ligament, PTR = patellar tendon reflex, SCH = spinal cord herniation, TDH = thoracic disk herniation, VF = vertebral fracture, VT = vertebral tumor