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Influence of Diabetes Mellitus on Surgical Outcomes in Patients with Cervical Myelopathy: A Prospective, Multicenter Study
https://repository.lib.tottori-u.ac.jp/records/7100
https://repository.lib.tottori-u.ac.jp/records/710066e44bf9-ff4c-459e-8a25-fa7ec3f4467d
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
asj13(3)_468.pdf (319.6 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||
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| 公開日 | 2021-02-26 | |||||
| タイトル | ||||||
| タイトル | Influence of Diabetes Mellitus on Surgical Outcomes in Patients with Cervical Myelopathy: A Prospective, Multicenter Study | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| キーワード | ||||||
| 主題 | Neck | |||||
| キーワード | ||||||
| 主題 | Spinal cord compression | |||||
| キーワード | ||||||
| 主題 | Diabetes mellitus | |||||
| キーワード | ||||||
| 主題 | Treatment outcome | |||||
| キーワード | ||||||
| 主題 | Electromyography | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題 | Neck | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題 | Spinal cord compression | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題 | Diabetes mellitus | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題 | Treatment outcome | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題 | Electromyography | |||||
| 資源タイプ | ||||||
| 資源タイプ | journal article | |||||
| 著者 |
谷島, 伸二
× 谷島, 伸二× 三原, 徳満× 武田, 知加子× 森尾, 泰夫× 深田, 悟× Nanjo, Yoshiro× 濱本, 佑樹× 土海, 敏幸× 永島, 英樹× Tanida, Atsushi× Murata, Masaaki× Takahashi, Toshiaki× Yamane, Koji× Morishita, Tsugutake× Ishii, Hiroyuki× Fukata, Satoru× Nanjo, Yoshiro× Hamamoto, Yuki× Dokai, Toshiyuki |
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| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Department of Orthopedic Surgery, Faculty of Medicine, Tottori University | |||||
| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Department of Orthopedic Surgery, Faculty of Medicine, Tottori University | |||||
| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Department of Orthopedic Surgery, Faculty of Medicine, Tottori University | |||||
| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Department of Orthopedic Surgery, Faculty of Medicine, Tottori University | |||||
| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Department of Orthopaedic Surgery, Tottori Central Prefectural Hospital | |||||
| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Department of Orthopedic Surgery, Tottori Red Cross Hospital | |||||
| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Department of Orthopedic Surgery, Tottori Red Cross Hospital | |||||
| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Department of Orthopedic Surgery, Tottori Municipal Hospital | |||||
| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Department of Orthopedic Surgery, Misasa Onsen Hospital | |||||
| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Department of Orthopedic Surgery, Misasa Onsen Hospital | |||||
| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Department of Orthopedic Surgery, Misasa Onsen Hospital | |||||
| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Department of Orthopedic Surgery, Sanin Rosai Hospital | |||||
| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Department of Orthopaedic Surgery, Matsue City Hospital | |||||
| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Department of Orthopedic Surgery, Masuda Red Cross Hospital | |||||
| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Department of Orthopedic Surgery, Faculty of Medicine, Tottori University | |||||
| 抄録 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | [Study Design] Multicenter, prospective study. [Purpose] To investigate the effects of diabetes mellitus (DM) on surgical outcomes in patients with cervical myelopathy. [Overview of Literature] To date, few studies have investigated the influence of postoperative blood glucose or glycated hemoglobin (HbA1c) levels on surgical outcomes. [Methods] The participants were patients who underwent surgery for the treatment of cervical spondylotic myelopathy and ossification of the posterior longitudinal ligament. The 61 cases were evaluated preoperatively and 1 year postoperatively using the Japanese Orthopaedic Association (JOA) scores and the JOA Cervical Myelopathy Evaluation Questionnaire (JOACMEQ). The study variables included fasting blood glucose and HbA1c levels measured preoperatively and at 1 week, 4 weeks, and 1 year postoperatively; the F-wave conduction velocity, latency, rate of occurrence, and M-wave latency in the ulnar and tibial nerves were measured preoperatively and at 1 year postoperatively. The patients were divided into a group without diabetes (N group, 42 patients) and a group with diabetes (DM group, 19 patients). We then assessed the associations between the surgical outcomes and each of the study variables. [Results] JOA scores significantly improved in both groups; however, no significant between-group differences were found. There was no significant improvement in the JOACMEQ scores, which assessed cervical function, upper and lower limb function, and bladder function in both groups. We then subdivided the DM group into those with a good control of HbA1c after 1 year (DMG group, 12 patients) and those with HbA1c deterioration after 1 year (DMB group, seven patients), prior to comparing the surgical outcomes. The JOACMEQ scores for upper and lower limb function significantly improved in the DMG group (p<0.01). Compared with the DMB group, there were no significant increases in upper or lower limb function scores in the DMG group. [Conclusions] Poor glycemic control might prevent postoperative functional recovery of the spinal cord. | |||||
| 書誌情報 |
ASIAN SPINE JOURNAL en : ASIAN SPINE JOURNAL 巻 13, 号 3, p. 468-477, 発行日 2019-06 |
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| 出版者 | ||||||
| 出版者 | Korean Society of Spine Surgery | |||||
| ISSN | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 19761902 | |||||
| 書誌レコードID | ||||||
| 収録物識別子タイプ | NCID | |||||
| 収録物識別子 | AA12329596 | |||||
| DOI | ||||||
| 関連タイプ | isIdenticalTo | |||||
| 識別子タイプ | DOI | |||||
| 関連識別子 | 10.31616/asj.2018.0082 | |||||
| 権利 | ||||||
| 権利情報 | (C) 2019 by Korean Society of Spine Surgery. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial u | |||||
| 情報源 | ||||||
| 関連名称 | Tanishima Shinji, Mihara Tokumitsu, Tanida Atsushi, et al. Influence of Diabetes Mellitus on Surgical Outcomes in Patients with Cervical Myelopathy: A Prospective, Multicenter Study. ASIAN SPINE JOURNAL. 2019. 13(3). 468-477. doi:10.31616/asj.2018.0082 | |||||
| 関連サイト | ||||||
| 識別子タイプ | URI | |||||
| 関連識別子 | https://www.asianspinejournal.org/journal/view.php?number=1016 | |||||
| 関連名称 | https://www.asianspinejournal.org/journal/view.php?number=1016 | |||||
| 著者版フラグ | ||||||
| 出版タイプ | VoR | |||||
| EISSN | ||||||
| 値 | 19767846 | |||||
