| アイテムタイプ |
itemtype_ver1(1) |
| 公開日 |
2026-01-28 |
| タイトル |
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|
タイトル |
Worsening ambulation in elderly patients with cervical odontoid fractures: A nationwide multicenter study in Japan |
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言語 |
en |
| 著者 |
Segi, Naoki
Nakashima, Hiroaki
Ito, Sadayuki
Yokogawa, Noriaki
Ikegami, Shota
Watanabe, Kota
Funayama, Toru
Hasegawa, Tomohiko
Tonomura, Hitoshi
Kakutani, Kenichiro
Furuya, Takeo
Suzuki, Nobuyuki
Kiyasu, Katsuhito
Tominaga, Hiroyuki
Miyazaki, Masashi
Terashima, Yoshinori
Suzuki, Hidenori
Hashimoto, Ko
Uei, Hiroshi
Funao, Haruki
Kaito, Takashi
Kawaguchi, Kenichi
Sakai, Daisuke
Seki, Shoji
Otsuki, Bungo
Inoue, Gen
Okada, Seiji
Imagama, Shiro
Kato, Satoshi
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| アクセス権 |
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アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 権利 |
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|
権利情報 |
© 2024. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ |
|
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 |
Background: Despite the increasing prevalence of cervical odontoid fractures in older adults, the treatment strategy is controversial. The objectives of the current study are to investigate the prognosis and complications of cervical odontoid fractures in elderly patients and to identify factors associated with worsening of ambulation after 6 months. Methods: This multicenter, retrospective study included 167 patients aged 65 years or older with odontoid fractures. Patient demographic and treatment data were investigated and compared according to the treatment strategy. To determine associations with worsening ambulation after 6 months, we focused on the treatment strategies (nonsurgical treatment [collar immobilization or halo vest], conversion to surgery, or initial surgery) and patients’ background. Results: Patients who received nonsurgical treatment were significantly older, and patients who underwent surgery had more Anderson-D’Alonzo type 2 fractures. Of the patients initially treated nonsurgically, 26% later underwent surgery. Numbers of complications, including death, and degrees of ambulation after 6 months did not differ significantly among treatment strategies. Patients who had worsened ambulation after 6 months were significantly more likely to be older than 80 years, to have needed assistance with walking before injury, and to have cerebrovascular disease. Multivariable analysis showed that a score of ≥2 on the 5-item modified frailty index (mFI-5) was significantly associated with worsening ambulation. Conclusions: Preinjury mFI-5 scores of ≥2 were significantly associated with worsening ambulation 6 months after treatment of cervical odontoid fractures in older adults. |
|
言語 |
en |
| 出版者 |
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出版者 |
Elsevier |
|
言語 |
en |
| 言語 |
|
|
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 |
|
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/10.1016/j.jos.2023.05.006 |
| 収録物識別子 |
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収録物識別子タイプ |
PISSN |
|
収録物識別子 |
0949-2658 |
| 書誌情報 |
en : JOURNAL OF ORTHOPAEDIC SCIENCE
巻 29,
号 4,
p. 927-932,
発行日 2024-07
|
Worsening_ambulation_in_elderly.pdf (413 KB)
