Group | DSSEP change upon extension | DSSEP change upon flexion | Statistical method | ||||
---|---|---|---|---|---|---|---|
Extension-Improved (EI) | Extension-Non-improved (EN) | P | Flexion-Improved (FI) | Flexion-Non-improved (FN) | P | ||
No.(%) | 9 (18.4%) | 40 (81.6%) | 11 (22.4%) | 38 (77.6%) | |||
Sex male (female) | 3 (6) | 25 (15) | 0.221 | 5 (6) | 23 (15) | 0.587 | Chi-square |
Age (mean ± SD) | 58.56 ± 12.77 | 55.2 ± 11.27 | 0.445 | 59.91 ± 10.88 | 54.63 ± 11.57 | 0.193 | T-test |
Preoperative Clinical Assessments | |||||||
CSM disease duration (months) | 11.44 ± 10.57 | 30.28 ± 29.30 | 0.024* | 15.82 ± 16.79 | 30.01 ± 29.49 | 0.142 | T-test |
Gait impairment Yes (No) | 4 (5) | 22 (18) | 0.295 | 8 (3) | 18 (20) | 0.254 | Chi-square |
Upper limb weakness Yes (No) | 4 (5) | 22 (18) | 0.719 | 6 (5) | 20 (18) | 1 | Chi-square |
Hoffmann sign (Yes/No) | 6 (3) | 12 (28) | 0.425 | 8 (3) | 16 (22) | 0.148 | Chi-square |
Preoperative mJOA score | 14.56 ± 1.50 | 14.9 ± 1.83 | 0.565 | 14.09 ± 1.50 | 15.05 ± 1.79 | 0.119 | T-test |
Preoperative Radiological Assessments | |||||||
Cervical Spondylolisthesis (Non/Anterolisthesis/Retrolisthesis) | 7/0/2 | 22/2/16 | 0.422 | 7/0/4 | 22/2/14 | 0.731 | Chi-square |
Cervical alignment (Lordosis/Straight/ Sigmoid/Kyphosis) | 1/4/4/0 | 16/9/3/12 | 0.005** | 3/3/3/2 | 14/10/4/10 | 0.545 | Chi-square |
Ligamentum flavum hypertrophy (Yes/No) | 3 (6) | 27 (13) | 0.128 | 7 (4) | 23 (15) | 1 | Chi-square |
Intramedullary T2WI hyperintensity (Yes/No) | 4 (5) | 30 (10) | 0.163 | 7 (4) | 27 (11) | 0.922 | Chi-square |
No. Involved segments (mean ± SD) | 1.56 ± 0.68 | 2.95 ± 1.09 | < 0.001*** | 2.27 ± 1.05 | 2.82 ± 1.17 | 0.269 | Kruskal-Wallis |
Disc degeneration grade (mean ± SD) | 3.56 ± 1.17 | 4.13 ± 0.90 | 0.182 | 3.91 ± 1.08 | 4.05 ± 0.94 | 0.752 | Kruskal-Wallis |
Mühle stenosis grade (mean ± SD) | 2.22 ± 0.79 | 2.2 ± 0.75 | 0.938 | 2.64 ± 0.64 | 2.08 ± 0.74 | 0.031* | Kruskal-Wallis |
No. patients undergoing each surgical procedure | |||||||
Anterior/Posterior/ Combined | 9/0/0 | 29/7/4 | 0.203 | 8/1/2 | 30/6/2 | 0.358 | Chi-square |
One-year Postoperative Clinical Assessment | |||||||
mJOA score | 17.67 ± 1.41 | 16.65 ± 2.15 | 0.191 | 17 ± 2.04 | 16.79 ± 2.08 | 0.773 | T-test |
ΔmJOA score | 3.11 ± 0.57 | 1.75 ± 0.8 | < 0.001*** | 2.91 ± 0.79 | 1.74 ± 0.78 | < 0.001*** | T-test |