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  1. C100 医学部/医学系研究科
  2. C100a 雑誌掲載論文
  3. 学術雑誌

Surgical Treatment Assessment of Cervical Laminoplasty Using Quantitative Performance Evaluation in Elderly Patients: A Prospective Comparative Study in 505 Patients With Cervical Spondylotic Myelopathy

http://hdl.handle.net/2237/25745
http://hdl.handle.net/2237/25745
cb9a49f5-99f5-4fc3-a10b-4903db2f2dc8
名前 / ファイル ライセンス アクション
CSM_505_age_figure4_final.pdf CSM_505_age_figure4_final.pdf ファイル公開:2017/05/01 (74.8 kB)
CSM_505_age_figure3_final.pdf CSM_505_age_figure3_final.pdf ファイル公開:2017/05/01 (74.9 kB)
CSM_505_age_figure2_final.pdf CSM_505_age_figure2_final.pdf ファイル公開:2017/05/01 (32.7 kB)
CSM_505_age_figure1_final.pdf CSM_505_age_figure1_final.pdf ファイル公開:2017/05/01 (34.4 kB)
machino37.pdf machino37.pdf ファイル公開:2017/05/01 (151.3 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2017-03-23
タイトル
タイトル Surgical Treatment Assessment of Cervical Laminoplasty Using Quantitative Performance Evaluation in Elderly Patients: A Prospective Comparative Study in 505 Patients With Cervical Spondylotic Myelopathy
言語 en
著者 Machino, Masaaki

× Machino, Masaaki

WEKO 69977

en Machino, Masaaki

Search repository
Yukawa, Yasutsugu

× Yukawa, Yasutsugu

WEKO 69978

en Yukawa, Yasutsugu

Search repository
Imagama, Shiro

× Imagama, Shiro

WEKO 69979

en Imagama, Shiro

Search repository
Ito, Keigo

× Ito, Keigo

WEKO 69980

en Ito, Keigo

Search repository
Katayama, Yoshito

× Katayama, Yoshito

WEKO 69981

en Katayama, Yoshito

Search repository
Matsumoto, Tomohiro

× Matsumoto, Tomohiro

WEKO 69982

en Matsumoto, Tomohiro

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Inoue, Taro

× Inoue, Taro

WEKO 69983

en Inoue, Taro

Search repository
Ouchida, Jun

× Ouchida, Jun

WEKO 69984

en Ouchida, Jun

Search repository
Tomita, Keisuke

× Tomita, Keisuke

WEKO 69985

en Tomita, Keisuke

Search repository
Ishiguro, Naoki

× Ishiguro, Naoki

WEKO 69986

en Ishiguro, Naoki

Search repository
Kato, Fumihiko

× Kato, Fumihiko

WEKO 69987

en Kato, Fumihiko

Search repository
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利
言語 en
権利情報 This is a non-final version of an article published in final form in (SPINE. v.41, n.9, 2016, p.757-763).
抄録
内容記述 STUDY DESIGN: A prospective cohort study. OBJECTIVE: The purpose of this study was to compare surgical outcomes between non-elderly and elderly patients with cervical spondylotic myelopathy (CSM) who underwent laminoplasty. SUMMARY OF BACKGROUND DATA: Since age at the time of surgery influences the surgical outcome, we designed a large-scale cohort study to examine the surgical outcome for CSM from a single operative procedure used exclusively in elderly patients. METHODS: A total of 505 consecutive patients with CSM (311 men; 194 women) were prospectively enrolled. The mean age was 66.6 years (range, 41-91), and the average postoperative follow-up period was 26.5 ± 12.5 months. Patients were divided into three groups according to age: non-elderly (<65 yr, n = 201), young-old (65-74 yr, n = 186), and old-old (≥75 yr, n = 118). Pre- and postoperative neurological status was evaluated using the Japanese Orthopaedic Association scoring system for cervical myelopathy (JOA score) and quantifiable tests-the 10-s grip and release test (10-s G&R test) and the 10-s step test. RESULTS: Mean achieved JOA scores in non-elderly, young-old, and old-old groups were 3.1, 3.2, and 3.0, respectively, with no significant difference among three groups (P = 0.5735). Mean preoperative 10-s G&R test results were 17.3, 14.4, and 13.0, respectively, indicating a significant decrease with increasing age, whereas postoperative results significantly improved in all groups (21.0, 17.9, and 16.3, respectively). Similarly, the 10-s step test significantly decreased with age, with preoperative scores of 14.3, 11.5, and 8.6, respectively, whereas postoperative scores improved to 17.3, 14.9, and 12.5, respectively. The three groups showed no significant difference in the rate of postoperative complications. CONCLUSION: Elderly patients adequately recovered from laminoplasty in terms of achieved JOA score, the 10-s G&R test, and the 10-s step test. Therefore, laminoplasty for CSM is beneficial in elderly patients.
言語 en
内容記述タイプ Abstract
出版者
言語 en
出版者 Wolters Kluwer Health
言語
言語 eng
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
タイプ journal article
出版タイプ
出版タイプ AM
出版タイプResource http://purl.org/coar/version/c_ab4af688f83e57aa
DOI
関連タイプ isVersionOf
識別子タイプ DOI
関連識別子 https://doi.org/10.1097/BRS.0000000000001313
ISSN
収録物識別子タイプ PISSN
収録物識別子 0362-2436
書誌情報 en : SPINE

巻 41, 号 9, p. 757-763, 発行日 2016-05-01
著者版フラグ
値 author
URI
識別子 http://doi.org/10.1097/BRS.0000000000001313
識別子タイプ DOI
URI
識別子 http://hdl.handle.net/2237/25745
識別子タイプ HDL
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