Cervical Spondylotic Myelopathy, Ossification of Posterior Longitudinal Ligament in Cervical Region
Conditions
Keywords
enhanced recovery after surgery, Posterior cervical surgery, posterior cervical laminoplasty, Clinical pathway
Brief summary
This study intends to establish a multidisciplinary collaborative ERAS clinical pathway of cervical posterior surgery,and to verify its effectiveness, safety and value in health economics.
Detailed description
Enhanced recovery after surgery (ERAS) is a new model of deep cooperation between surgery，rehabilitation medicine, anesthesiology, nursing and other disciplines in recent years, which enables patients to start rehabilitation training as soon as possible after surgery and improves the comprehensive effect of surgery. Posterior cervical surgery is traumatic, and it is significant to enhance postoperative rehabilitation to improve the overall efficacy of patients. Currently, there are no clear guidelines supporting the clinical effectiveness of ERAS in reducing complications, reducing costs, and enhancing recovery after posterior cervical surgery. Therefore, this study aims to establish a multidisciplinary ERAS model for posterior cervical surgery in Peking University Third Hospital and verify its clinical effectiveness. This is a multi-center, multidisciplinary prospective cohort study,in which the orthopedics department was combined with the anesthesiology department, rehabilitation department, nutrition department, operating room and nursing team to establish the ERAS clinical pathways for posterior cervical spine surgery. Clinical pathways include surgical procedure optimization, rehabilitation procedure optimization, anesthesia and nursing procedure optimization. As it is optimized and promoted,the ERAS clinical pathways will improve the curative effect and prognosis of posterior cervical surgery, so that more patients with cervical spondylosis will benefit.
Interventions
None listed
Sponsors
Beijing Tiantan Hospital
Beijing Chao Yang Hospital
Peking University International Hospital
Peking University Third Hospital
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Inclusion criteria
1. Age 18-70, gender unlimited; 2. Diagnostic diagnosis of cervical spondylosis and consistent with the indications of posterior spinal canal extended laminoplasty; 3. Basis of serious diseases of centerlessness, brain, lung, kidney or other important organs, preoperative ASA score I-II; 4. Agree to participate in the study and sign the informed consent.
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| range of motion on X - ray | preoperation | range of motion the neck in extension and flexion on X - ray |
| Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire（JOACMEQ） | preoperation | A questionare to evaluate the severity of cervical spondylosis myelopathy |
| multi-cervical-unit system（MCU） | preoperation | To locate the cervical responsible section |
Countries
China
Contacts
Primary ContactYu Sun, Dr.
Outcome results
None listed