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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

Characteristics of Residual Symptoms After Laminoplasty in Diabetic Patients With Cervical Spondylotic Myelopathy: A Prospective Cohort Study

http://hdl.handle.net/2237/26837
http://hdl.handle.net/2237/26837
806c0318-802e-4e43-8f19-e7dcbf5de4bf
名前 / ファイル ライセンス アクション
CSM-DMsymptom_figure3.pdf CSM-DMsymptom_figure3.pdf ファイル公開:2018/06/15 (10.8 kB)
CSM-DMsymptom_figure2.pdf CSM-DMsymptom_figure2.pdf ファイル公開:2018/06/15 (50.9 kB)
CSM-DMsymptom_figure1.pdf CSM-DMsymptom_figure1.pdf ファイル公開:2018/06/15 (15.7 kB)
machino4.pdf machino4.pdf ファイル公開:2018/06/15 (344.1 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2017-07-25
タイトル
タイトル Characteristics of Residual Symptoms After Laminoplasty in Diabetic Patients With Cervical Spondylotic Myelopathy: A Prospective Cohort Study
言語 en
著者 Machino, Masaaki

× Machino, Masaaki

WEKO 72843

en Machino, Masaaki

Search repository
Imagama, Shiro

× Imagama, Shiro

WEKO 72844

en Imagama, Shiro

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Ando, Kei

× Ando, Kei

WEKO 72845

en Ando, Kei

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Kobayashi, Kazuyoshi

× Kobayashi, Kazuyoshi

WEKO 72846

en Kobayashi, Kazuyoshi

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Hida, Tetsuro

× Hida, Tetsuro

WEKO 72847

en Hida, Tetsuro

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Ito, Kenyu

× Ito, Kenyu

WEKO 72848

en Ito, Kenyu

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Tsushima, Mikito

× Tsushima, Mikito

WEKO 72849

en Tsushima, Mikito

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Matsumoto, Akiyuki

× Matsumoto, Akiyuki

WEKO 72850

en Matsumoto, Akiyuki

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Tanaka, Satoshi

× Tanaka, Satoshi

WEKO 72851

en Tanaka, Satoshi

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Morozumi, Masayoshi

× Morozumi, Masayoshi

WEKO 72852

en Morozumi, Masayoshi

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Ito, Keigo

× Ito, Keigo

WEKO 72853

en Ito, Keigo

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Kato, Fumihiko

× Kato, Fumihiko

WEKO 72854

en Kato, Fumihiko

Search repository
Nishida, Yoshihiro

× Nishida, Yoshihiro

WEKO 72855

en Nishida, Yoshihiro

Search repository
Ishiguro, Naoki

× Ishiguro, Naoki

WEKO 72856

en Ishiguro, Naoki

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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.42, n.12, 2017, p.E708-E715).
抄録
内容記述 Objective. The purpose of this study was to compare cervical laminoplasty outcomes between diabetic and nondiabetic patients with cervical spondylotic myelopathy (CSM), and to characterize residual symptoms of diabetic patients. Summary of Background Data. Diabetes is one of the most frequent comorbidities in CSM patients. However, no report has elucidated residual symptoms following surgery in diabetic patients with CSM. Methods. . A total of 505 consecutive patients with CSM (331 males, 189 females; mean age, 66.6 years; age range, 41–91 years; >1-year follow up after laminoplasty) were enrolled and divided into diabetic group (n = 105) and nondiabetic group (n = 400). The Japanese Orthopedic Association (JOA) scores and recovery rate (RR) of each function were compared between the groups. To quantitatively assess performance, the 10-s grip and release (G&R) test and the 10-s step test were evaluated. Results. There was no significant difference in the mean RRs of upper extremity motor function between diabetic and nondiabetic patients (59.2% vs. 60.5%, respectively; P = 0.789). The RR of lower extremity motor function was lower in the diabetic group than in the nondiabetic group (36.1% vs. 43.4%, respectively; P = 0.047); the RR of upper extremity sensory function also was lower (36.8% vs. 49.6%, respectively; P = 0.006). However, the mean RRs of sensory functions of lower extremities were 59.7% (diabetic) and 59.2% (nondiabetic) (P = 0.953). There was no significant difference in the mean RRs of trunk sensory function between the groups (69.3% vs. 74.1%, respectively; P = 0.303). The mean RRs of urinary bladder function were 42.1% (diabetic) and 53.7% (nondiabetic) (P = 0.035). The preoperative mean number of the 10-s step test was lower in the diabetic group than in the nondiabetic group, and the postoperative mean number also was significantly lower in the diabetic group. Conclusion. Gait disturbance, hand numbness, and bladder dysfunction after surgery persisted more than other symptoms in the diabetic than in the nondiabetic 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.0000000000001947
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 42, 号 12, p. E708-E715, 発行日 2017-06-15
著者版フラグ
値 author
URI
識別子 http://doi.org/10.1097/BRS.0000000000001947
識別子タイプ DOI
URI
識別子 http://hdl.handle.net/2237/26837
識別子タイプ HDL
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