JOACMEQによる頚椎椎弓形成術後の年齢別成績評価：若年群，前期高齢群，後期高齢群の比較
【緒言】日本整形外科学会頚部脊髄症評価質問表（JOACMEQ）の有効性が報告されているが，頚椎椎弓形成術後の成績を年齢別に比較した報告は少ない．【目的】JOACMEQを用いて頚椎椎弓形成術後の年齢別成績を比較検討すること．【方法】2015-2020年に頚椎症性脊髄症および後縦靱帯骨化症に対し頚椎椎弓形成術を施行した40例を若年群（64歳以下），前期高齢群（65-74歳），後期高齢群（75歳以上）に分け，術後1年時のJOACMEQ，VASを用いて比較検討した．JOACMEQΔ：術後－術前，VASΔ：術前－術後とし，Δ≧20を「治療効果あり」と定義した．【結果・考察】若年群13例，前期高齢群14例...
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| Published in | 整形外科と災害外科 Vol. 73; no. 4; pp. 742 - 745 |
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| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
西日本整形・災害外科学会
25.09.2024
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0037-1033 1349-4333 |
| DOI | 10.5035/nishiseisai.73.742 |
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| Abstract | 【緒言】日本整形外科学会頚部脊髄症評価質問表（JOACMEQ）の有効性が報告されているが，頚椎椎弓形成術後の成績を年齢別に比較した報告は少ない．【目的】JOACMEQを用いて頚椎椎弓形成術後の年齢別成績を比較検討すること．【方法】2015-2020年に頚椎症性脊髄症および後縦靱帯骨化症に対し頚椎椎弓形成術を施行した40例を若年群（64歳以下），前期高齢群（65-74歳），後期高齢群（75歳以上）に分け，術後1年時のJOACMEQ，VASを用いて比較検討した．JOACMEQΔ：術後－術前，VASΔ：術前－術後とし，Δ≧20を「治療効果あり」と定義した．【結果・考察】若年群13例，前期高齢群14例，後期高齢群13例であった．JOACMEQ頚椎機能，頚部痛VASに有意差を認め，前期高齢群が最も改善を示した．若年群で後縦靱帯骨化症の割合が高く，この結果が術後成績に影響を与えた可能性が考えられた． |
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| AbstractList | 【緒言】日本整形外科学会頚部脊髄症評価質問表(JOACMEQ)の有効性が報告されているが, 頚椎椎弓形成術後の成績を年齢別に比較した報告は少ない. 【目的】JOACMEQを用いて頚椎椎弓形成術後の年齢別成績を比較検討すること. 【方法】2015-2020年に頚椎症性脊髄症および後縦靱帯骨化症に対し頚椎椎弓形成術を施行した40例を若年群(64歳以下), 前期高齢群(65-74歳), 後期高齢群(75歳以上)に分け, 術後1年時のJOACMEQ, VASを用いて比較検討した. JOACMEQΔ:術後-術前, VASΔ:術前-術後とし, Δ≧20を「治療効果あり」と定義した. 【結果・考察】若年群13例, 前期高齢群14例, 後期高齢群13例であった. JOACMEQ頚椎機能, 頚部痛VASに有意差を認め, 前期高齢群が最も改善を示した. 若年群で後縦靱帯骨化症の割合が高く, この結果が術後成績に影響を与えた可能性が考えられた. 【緒言】日本整形外科学会頚部脊髄症評価質問表（JOACMEQ）の有効性が報告されているが，頚椎椎弓形成術後の成績を年齢別に比較した報告は少ない．【目的】JOACMEQを用いて頚椎椎弓形成術後の年齢別成績を比較検討すること．【方法】2015-2020年に頚椎症性脊髄症および後縦靱帯骨化症に対し頚椎椎弓形成術を施行した40例を若年群（64歳以下），前期高齢群（65-74歳），後期高齢群（75歳以上）に分け，術後1年時のJOACMEQ，VASを用いて比較検討した．JOACMEQΔ：術後－術前，VASΔ：術前－術後とし，Δ≧20を「治療効果あり」と定義した．【結果・考察】若年群13例，前期高齢群14例，後期高齢群13例であった．JOACMEQ頚椎機能，頚部痛VASに有意差を認め，前期高齢群が最も改善を示した．若年群で後縦靱帯骨化症の割合が高く，この結果が術後成績に影響を与えた可能性が考えられた． |
| Author | 萩原, 秀祐 佐々木, 颯太 柴田, 達也 山本, 卓明 眞田, 京一 塩川, 晃章 松本, 和宏 田中, 潤 |
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| References | 5) Motosuneya, T., et al.: Long-term results of tension-band laminoplasty for cervical stenotic myelopathy: a ten-year follow-up. J. Bone Joint Surg. Br., 93: 68-72, 2011. 2) Fukui, M., et al.: JOA Back Pain Evaluation Questionnaire (JOABPEQ)/JOA Cervical Myelopathy Evaluation Questionnaire (JOACMEQ). The report on the development of revised versions. April 16, 2107. The Subcommittee of the Clinical Outcome Committee of the Japanese Orthopaedic Association on Low Back Pain and Cervical Myelopathy Evaluation. J. Orthop. Sci., 14(3): 348-365, 2009. 6) Nagashima, H., et al.: Clinical features and surgical outcomes of cervical spondylotic myelopathy in patients aged 80 years or older: a multi-center retrospective study. Eur. Spine J., 20: 240-246, 2011. 3) Hosono, N., et al.: Conventional JOA score for cervical myelopathy has a rater's bias -In comparison with JOACMEQ. J. Orthop. Sci., 23(3): 477-482, 2018. 9) Wilson, J. R. F., et al.: The Impact of Older Age on Functional Recovery and Quality of Life Outcomes after Surgical Decompression for Degenerative Cervical Myelopathy: Results from an Ambispective, Propensity-Matched Analysis from the CSM-NA and CSM-I International, Multi-Center Studies. J. Clin. Med., 8(10): 1708, 2019. 8) Wada, E., et al.: Japanese orthopaedic association cervical myelopathy evaluation questionnaire (JOACMEQ): Part 5. Determination of responsiveness. J. Orthop. Sci., 24(1): 57-61, 2019. 11) Yoon, S. T., et al.: Predictive factors affecting outcome after cervical laminoplasty. Spine (Phila Pa 1976)., 38(22S): 232-252, 2013. 7) Oshima, K., et al.: Comparison of the Japanese Orthpaedic Association Score and the Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire Scores: Time-Dependent Changes in Patients with Cervical Spondylotic Myelopathy and Posterior Longitudinal Ligament. Asian Spine J., 9(1): 47-53, 2015. 1) Davide, M., et al.: Differences in postoperative quality of life in young, early elderly, and late elderly patients undergoing surgical treatment for degenerative cervical myelopathy. J. Neurosurg. Spine., 37(3): 339-349, 2022. 4) Machino, M., et al.: The Feature of Clinical and Radiographic Outcomes in Elderly Patients with Cervical Spondylotic Myelopathy: A Prospective Cohort Study on 1025 Patients. Spine (Phila Pa 1976)., 43(12): 817-823, 2018. 10) Yamazaki, T., et al.: Cervical Spondylotic Myelopathy: Surgical Results and Factors Affecting Outcome with Special Reference to Age Differences. Neurosurgery, 52(1): 122-126, 2003. |
| References_xml | – reference: 7) Oshima, K., et al.: Comparison of the Japanese Orthpaedic Association Score and the Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire Scores: Time-Dependent Changes in Patients with Cervical Spondylotic Myelopathy and Posterior Longitudinal Ligament. Asian Spine J., 9(1): 47-53, 2015. – reference: 5) Motosuneya, T., et al.: Long-term results of tension-band laminoplasty for cervical stenotic myelopathy: a ten-year follow-up. J. Bone Joint Surg. Br., 93: 68-72, 2011. – reference: 11) Yoon, S. T., et al.: Predictive factors affecting outcome after cervical laminoplasty. Spine (Phila Pa 1976)., 38(22S): 232-252, 2013. – reference: 4) Machino, M., et al.: The Feature of Clinical and Radiographic Outcomes in Elderly Patients with Cervical Spondylotic Myelopathy: A Prospective Cohort Study on 1025 Patients. Spine (Phila Pa 1976)., 43(12): 817-823, 2018. – reference: 3) Hosono, N., et al.: Conventional JOA score for cervical myelopathy has a rater's bias -In comparison with JOACMEQ. J. Orthop. Sci., 23(3): 477-482, 2018. – reference: 2) Fukui, M., et al.: JOA Back Pain Evaluation Questionnaire (JOABPEQ)/JOA Cervical Myelopathy Evaluation Questionnaire (JOACMEQ). The report on the development of revised versions. April 16, 2107. The Subcommittee of the Clinical Outcome Committee of the Japanese Orthopaedic Association on Low Back Pain and Cervical Myelopathy Evaluation. J. Orthop. Sci., 14(3): 348-365, 2009. – reference: 6) Nagashima, H., et al.: Clinical features and surgical outcomes of cervical spondylotic myelopathy in patients aged 80 years or older: a multi-center retrospective study. Eur. Spine J., 20: 240-246, 2011. – reference: 10) Yamazaki, T., et al.: Cervical Spondylotic Myelopathy: Surgical Results and Factors Affecting Outcome with Special Reference to Age Differences. Neurosurgery, 52(1): 122-126, 2003. – reference: 1) Davide, M., et al.: Differences in postoperative quality of life in young, early elderly, and late elderly patients undergoing surgical treatment for degenerative cervical myelopathy. J. Neurosurg. Spine., 37(3): 339-349, 2022. – reference: 8) Wada, E., et al.: Japanese orthopaedic association cervical myelopathy evaluation questionnaire (JOACMEQ): Part 5. Determination of responsiveness. J. Orthop. Sci., 24(1): 57-61, 2019. – reference: 9) Wilson, J. R. F., et al.: The Impact of Older Age on Functional Recovery and Quality of Life Outcomes after Surgical Decompression for Degenerative Cervical Myelopathy: Results from an Ambispective, Propensity-Matched Analysis from the CSM-NA and CSM-I International, Multi-Center Studies. J. Clin. Med., 8(10): 1708, 2019. |
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| SubjectTerms | 年齢別成績の術後比較 日本整形外科学会頚部脊髄症評価質問表 頚椎椎弓形成術 |
| Title | JOACMEQによる頚椎椎弓形成術後の年齢別成績評価：若年群，前期高齢群，後期高齢群の比較 |
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