ID | 49043 |
JaLCDOI | |
フルテキストURL | |
著者 |
Shiozaki, Yasuyuki
Department of Orthopaedic Surgery, Okayama University Gracuate School of Medicine, Dentistry, and Pharmaceutical Sciences
Ito, Yasuo
Department of Orthopaedic Surgery, Kobe Red Cross Hospital
Sugimoto, Yoshihisa
Department of Orthopaedic Surgery, Kobe Red Cross Hospital
Kaken ID
Tomioka, Masao
Department of Orthopaedic Surgery, Hyogo Emergency Medical Center
Shimokawa, Tetsuya
Department of Orthopaedic Surgery, Kobe Red Cross Hospital
Mazaki, Tetsuro
Department of Orthopaedic Surgery, Kobe Red Cross Hospital
Koshimune, Koichiro
Department of Orthopaedic Surgery, Kobe Red Cross Hospital
Tanaka, Masato
Department of Orthopaedic Surgery, Okayama University Gracuate School of Medicine, Dentistry, and Pharmaceutical Sciences
ORCID
Kaken ID
publons
researchmap
Ozaki, Toshifumi
Department of Orthopaedic Surgery, Okayama University Gracuate School of Medicine, Dentistry, and Pharmaceutical Sciences
Kaken ID
publons
researchmap
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抄録 | In this study, we studied the relationship between fracture patterns and motor function recovery in 70 consecutive patients with cervical spinal cord injury. Fractures were categorized into 6 fracture types and subdivided into stages according to the Allen-Ferguson classification system:compressive flexion (CF), distractive flexion (DF), compressive extension (CE), distractive extension (DE), vertical compression (VC) and lateral flexion (LF). Paralysis was evaluated using the American Spinal Injury Association (ASIA) impairment scale at the time of injury and 3 months afterwards. The residual rate of complete motor palsy (ASIA grade A or B) at the final examination was higher in those patients with DE fractures than those with CF, DF or CE. The final outcomes were as follows. Of the 14 patients who were classified with CF fractures, residual palsy was frequently seen in patients who had stage 5 injury. Of the 27 patients with DF fractures, residual palsy occurred in about half of the patients who had stage 4 or 5 injury. Of the 18 patients with CE fractures, residual palsy occurred in half of the patients with stage 3 injury or higher. Finally, of the 7 patients with DE fractures, the rate of residual palsy was high even for the stage 1 and 2 cases;indeed, all DE patients who had complete motor palsy at the first examination had residual palsy at the final examination. Accordingly, we conclude that motor recovery may be related to fracture pattern.
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キーワード | cervical spinal cord injury
motor function recovery
fracture patterns
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Amo Type | Original Article
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出版物タイトル |
Acta Medica Okayama
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発行日 | 2012-12
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巻 | 66巻
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号 | 6号
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出版者 | Okayama University Medical School
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開始ページ | 469
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終了ページ | 473
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ISSN | 0386-300X
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NCID | AA00508441
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資料タイプ |
学術雑誌論文
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言語 |
英語
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著作権者 | CopyrightⒸ 2012 by Okayama University Medical School
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論文のバージョン | publisher
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査読 |
有り
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PubMed ID | |
Web of Science KeyUT |