The analysis identifies neurophysiological and biomechanical risk factors in surgery that indicate postoperative neurologic deterioration.
The ∆OPLLC5-C6 occupying area ratio appears to be a strong predictor of PMD and PSD in cervical OPLL surgery, potentially influencing outcomes primarily through neurophysiological changes. To help mitigate postoperative neurological complications, continuous neurophysiological monitoring and targeted biomechanical assessments may be beneficial components of the surgical planning process.
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Park et al. (2025) studied this question.
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