| アイテムタイプ |
itemtype_ver1(1) |
| 公開日 |
2024-12-11 |
| タイトル |
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タイトル |
Does global spinal alignment affect the use of walking aids after multi-segment spinal fixation for patients with ASD? A multicenter retrospective study |
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言語 |
en |
| 著者 |
Ouchida, Jun
Nakashima, Hiroaki
Ito, Sadayuki
Segi, Naoki
Yamauchi, Ippei
Oishi, Ryotaro
Miyairi, Yuichi
Morita, Yoshinori
Ode, Yukihito
Nagatani, Yasuhiro
Okada, Yuya
Tsushima, Mikito
Machino, Masaaki
Ota, Kyotaro
Tachi, Hiroto
Kagami, Yujiro
Shinjo, Ryuichi
Ohara, Tetsuya
Tsuji, Taichi
Kanemura, Tokumi
Imagama, Shiro
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| アクセス権 |
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アクセス権 |
open access |
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アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 権利 |
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|
権利情報 |
This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature’s AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: http://dx.doi.org/10.1007/s00586-024-08380-w. |
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言語 |
en |
| 内容記述 |
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内容記述タイプ |
Abstract |
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内容記述 |
Purpose: This study aimed to clarify the relation between global spinal alignment and the necessity of walking aid use in patients with adult spinal deformity (ASD) and to investigate the impact of spinal fixation on mobility status after surgery. Methods: In total, 456 older patients with ASD who had multi-segment spinal fixation surgery and were registered in a multi-center database were investigated. Patients under 60 years of age and those unable to walk preoperatively were excluded. Patients were classified by their mobility status into the independent, cane, and walker groups. Comparison analysis was conducted using radiographic spinopelvic parameters and the previously reported global spine balance (GSB) classification. In addition, preoperative and 2 years postoperative mobility statuses were investigated. Results: Of 261 patients analyzed, 66 used walking aids (canes, 46; walkers, 20). Analysis of preoperative radiographical parameters showed increased pelvic incidence and pelvic incidence-lumbar lordosis mismatch in the walker group and increased sagittal vertebral axis in the cane and walker groups versus the independent group. Analysis of GSB classification showed a higher percentage of walker use in those with severe imbalance (grade 3) in the sagittal classification but not in the coronal classification. While postoperative radiographical improvements were noted, there was no significant difference in the use of walking aids before and 2 years after surgery (P = 0.085). Conclusion: A significant correlation was found between “sagittal” spinal imbalance and increased reliance on walking aids, particularly walkers. However, the limitation of improvement in postoperative mobility status suggested that multiple factors influence the mobility ability of elderly patients with ASD. |
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言語 |
en |
| 出版者 |
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出版者 |
Springer |
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言語 |
en |
| 言語 |
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|
言語 |
eng |
| 資源タイプ |
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資源タイプresource |
http://purl.org/coar/resource_type/c_6501 |
|
タイプ |
journal article |
| 出版タイプ |
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出版タイプ |
AM |
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出版タイプResource |
http://purl.org/coar/version/c_ab4af688f83e57aa |
| 関連情報 |
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関連タイプ |
isVersionOf |
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|
識別子タイプ |
DOI |
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|
関連識別子 |
https://doi.org/10.1007/s00586-024-08380-w |
| 収録物識別子 |
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収録物識別子タイプ |
PISSN |
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収録物識別子 |
0940-6719 |
| 書誌情報 |
en : European Spine Journal
巻 33,
号 10,
p. 3833-3841,
発行日 2024-10
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| ファイル公開日 |
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日付 |
2025-10-01 |
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日付タイプ |
Available |
article3.pdf (737 KB)
