頚椎人工椎間板置換術により頚椎前弯の獲得は可能か
はじめに：頚椎人工椎間板置換術（C-TDR）症例の頚椎アライメントの変化を検討する．対象と方法：C-TDRを施行した10例を対象にJOAスコア，EQ5D，EQ-VAS，椎間可動域（ROM），局所前弯角，C2-C7 angleを術前と術後6ヶ月で比較した．結果：各臨床評価項目，ROM，局所前弯角は有意に改善・増大したが，C2-C7 angleは有意な変化がなかった．結語：C-TDRにより局所前弯角は増大したがC2-C7 angleは有意な変化がなかった．...
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| Published in | Journal of Spine Research Vol. 12; no. 4; pp. 657 - 662 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人 日本脊椎脊髄病学会
20.04.2021
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1884-7137 2435-1563 |
| DOI | 10.34371/jspineres.2021-0402 |
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| Abstract | はじめに：頚椎人工椎間板置換術（C-TDR）症例の頚椎アライメントの変化を検討する．対象と方法：C-TDRを施行した10例を対象にJOAスコア，EQ5D，EQ-VAS，椎間可動域（ROM），局所前弯角，C2-C7 angleを術前と術後6ヶ月で比較した．結果：各臨床評価項目，ROM，局所前弯角は有意に改善・増大したが，C2-C7 angleは有意な変化がなかった．結語：C-TDRにより局所前弯角は増大したがC2-C7 angleは有意な変化がなかった． |
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| AbstractList | はじめに：頚椎人工椎間板置換術（C-TDR）症例の頚椎アライメントの変化を検討する．対象と方法：C-TDRを施行した10例を対象にJOAスコア，EQ5D，EQ-VAS，椎間可動域（ROM），局所前弯角，C2-C7 angleを術前と術後6ヶ月で比較した．結果：各臨床評価項目，ROM，局所前弯角は有意に改善・増大したが，C2-C7 angleは有意な変化がなかった．結語：C-TDRにより局所前弯角は増大したがC2-C7 angleは有意な変化がなかった． |
| Author | 大内田, 隼 田中, 智史 伊藤, 研悠 金村, 徳相 中島, 宏彰 今釜, 史郎 佐竹, 宏太郎 |
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| References | 1) Radcliff K, Coric D, Albert T: Five-year clinical results of cervical total disc replacement compared with anterior discectomy and fusion for treatment of 2-level symptomatic degenerative disc disease: a prospective, randomized, controlled, multicenter investigational device exemption clinical trial. J Neurosurg Spine. 2016; 25: 213-224 7) Chang HK, Chang CC, Tu TH, et al: Can segmental mobility be increased by cervical arthroplasty? Neurosurg Focus. 2017; 42: E3 9) Guérin P, Obeid I, Gille O, et al: Sagittal alignment after single cervical disc arthroplasty. J Spinal Disord Tech. 2012; 25: 10-16 8) Chen F, Yang J, Ni B, et al: Clinical and radiological follow-up of single-level Prestige LP cervical disc replacement. Arch Orthop Trauma Surg. 2013; 133: 473-480 11) Pickett GE, Mitsis DK, Sekhon LH, et al: Effects of a cervical disc prosthesis on segmental and cervical spine alignment. Neurosurg Focus. 2004; 17: E5 10) Park SB, Jahng TA, Chung CK: Remodeling of adjacent spinal alignments following cervical arthroplasty and anterior discectomy and fusion. Eur Spine J. 2012; 21: 322-327 12) Chen Y, He Z, Yang H, et al: Clinical and radiological results of total disc replacement in the cervical spine with preoperative reducible kyphosis. Int Orthop. 2013; 37: 463-468 6) Katsuura Y, York PJ, Goto R, et al: Sagittal reconstruction and clinical outcome using traditional ACDF, versus stand-alone ACDF versus TDR: a systematic review and quantitative analysis. Spine (Phila Pa 1976). 2019; 44: E1151-E1158 2) Gornet MF, Burkus JK, Shaffrey ME, et al: Cervical disc arthroplasty with Prestige LP disc versus anterior cervical discectomy and fusion: seven-year outcomes. Int J Spine Surg. 2016; 10: 24 4) Kawakami M, Tamaki T, Yoshida M, et al: Axial symptoms and cervical alignments after cervical anterior spinal fusion for patients with cervical myelopathy. J Spinal Disord. 1999; 12: 50-56 5) Katuura A, Hukuda S, Saruhashi Y, et al: Kyphotic malalignment after anterior cervical fusion is one of the factors promoting the degenerative process in adjacent intervertebral levels. Eur Spine J. 2001; 10: 320-324 3) 金村徳相, 佐竹宏太郎, 伊藤研悠, 他: 【ついに始まった頚椎人工椎間板置換術】頚椎人工椎間板の適応と短期成績 Mobi-C. 脊椎脊髄. 2019; 32: 919-928 |
| References_xml | – reference: 3) 金村徳相, 佐竹宏太郎, 伊藤研悠, 他: 【ついに始まった頚椎人工椎間板置換術】頚椎人工椎間板の適応と短期成績 Mobi-C. 脊椎脊髄. 2019; 32: 919-928 – reference: 5) Katuura A, Hukuda S, Saruhashi Y, et al: Kyphotic malalignment after anterior cervical fusion is one of the factors promoting the degenerative process in adjacent intervertebral levels. Eur Spine J. 2001; 10: 320-324 – reference: 12) Chen Y, He Z, Yang H, et al: Clinical and radiological results of total disc replacement in the cervical spine with preoperative reducible kyphosis. Int Orthop. 2013; 37: 463-468 – reference: 4) Kawakami M, Tamaki T, Yoshida M, et al: Axial symptoms and cervical alignments after cervical anterior spinal fusion for patients with cervical myelopathy. J Spinal Disord. 1999; 12: 50-56 – reference: 2) Gornet MF, Burkus JK, Shaffrey ME, et al: Cervical disc arthroplasty with Prestige LP disc versus anterior cervical discectomy and fusion: seven-year outcomes. Int J Spine Surg. 2016; 10: 24 – reference: 1) Radcliff K, Coric D, Albert T: Five-year clinical results of cervical total disc replacement compared with anterior discectomy and fusion for treatment of 2-level symptomatic degenerative disc disease: a prospective, randomized, controlled, multicenter investigational device exemption clinical trial. J Neurosurg Spine. 2016; 25: 213-224 – reference: 9) Guérin P, Obeid I, Gille O, et al: Sagittal alignment after single cervical disc arthroplasty. J Spinal Disord Tech. 2012; 25: 10-16 – reference: 7) Chang HK, Chang CC, Tu TH, et al: Can segmental mobility be increased by cervical arthroplasty? Neurosurg Focus. 2017; 42: E3 – reference: 11) Pickett GE, Mitsis DK, Sekhon LH, et al: Effects of a cervical disc prosthesis on segmental and cervical spine alignment. Neurosurg Focus. 2004; 17: E5 – reference: 6) Katsuura Y, York PJ, Goto R, et al: Sagittal reconstruction and clinical outcome using traditional ACDF, versus stand-alone ACDF versus TDR: a systematic review and quantitative analysis. Spine (Phila Pa 1976). 2019; 44: E1151-E1158 – reference: 8) Chen F, Yang J, Ni B, et al: Clinical and radiological follow-up of single-level Prestige LP cervical disc replacement. Arch Orthop Trauma Surg. 2013; 133: 473-480 – reference: 10) Park SB, Jahng TA, Chung CK: Remodeling of adjacent spinal alignments following cervical arthroplasty and anterior discectomy and fusion. Eur Spine J. 2012; 21: 322-327 |
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| Snippet | はじめに：頚椎人工椎間板置換術（C-TDR）症例の頚椎アライメントの変化を検討する．対象と方法：C-TDRを施行した10例を対象にJOAスコア，EQ5D，EQ-VAS，椎間可動域（ROM），局所前弯角，C2-C7... |
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| SubjectTerms | 頚椎人工椎間板置換術 頚椎前弯 頚椎前方椎間板切除固定術 |
| Title | 頚椎人工椎間板置換術により頚椎前弯の獲得は可能か |
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