| Item type |
学術雑誌論文 / Journal Article(1) |
| タイトル |
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|
タイトル |
Comparison of Long Fusion Terminating at Lower Lumbar versus the Sacrum and Ilium in Corrective Surgery for Adult Spinal Deformity: A Propensity Score Analysis |
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言語 |
en |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Adult spinal deformity |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
health-related quality of life |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
lowest instrumented vertebra |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
lumbosacral fusion |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
propensity score analysis |
| 資源タイプ |
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|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| アクセス権 |
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|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 著者 |
Konuma, Hiroki
Katayanagi, Junya
Iida, Takahiro
Hayamizu, Atsuki
Matsumoto, Kazuyuki
Morishita, Shingo
Yanase, Tsukasa
Jinno, Tetsuya
|
| 書誌情報 |
en : Dokkyo Medical Journal
巻 3,
号 1,
p. 24-33,
発行日 2024-03-25
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| 記事種別 |
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Original |
| 内容記述 |
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内容記述タイプ |
Abstract |
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内容記述 |
Introduction: Lumbosacral fusion is a recommended and effective treatment for patients with adult spinal deformity. The optimal spinal fusion termination location has been widely discussed because it substantially affects postoperative quality of life. However, there is no consensus on whether termination should be at the lumbar spine or at the sacrum and ilium. The study aim was to compare differences in clinical outcomes between a pelvic fixation group and non-pelvic fixation group.
Methods: This was a single-center observational study. Participants were 127 patients (mean age 67.4 years) who had undergone surgery for adult spinal deformity. The L group comprised 33 patients with the lowest instrumented vertebra at L4; the SI group comprised 94 patients with the lowest instrumented vertebra at the sacrum and pelvis. Propensity score analysis was used to exclude confounding factors and match patient backgrounds. Analyzed covariates were age, body mass index, preoperative Cobb angle, and SRS-Schwab adult spinal deformity classification parameters of pelvic tilt, sagittal vertical axis, pelvic incidence minus lumbar lordosis, and fixed upper end height.
Results: Prior to propensity score adjustment, group L showed better Scoliosis Research Society-22 (SRS-22) scores and less severe deformity than group SI on all radiographic measurements except Cobb angle. Propensity score adjustment analysis selected two groups of 22 patients each that had similar preoperative patient backgrounds and fixed upper end elevations. The two groups showed similar postoperative radiographic measurements and postoperative satisfaction. Both groups showed significant improvement on all SRS-22 domains. After propensity score matching, postoperative Function domain scores were significantly higher in the L group than in the SI group.
Conclusions: The findings generally support previous research indicating that SI and L patients have similar health-related quality of life. However, the results of the between-group comparisons indicate that the L group showed superior function to the SI group. |
|
言語 |
en |
| 出版者 |
|
|
出版者 |
Dokkyo Medical Society |
| ISSN |
|
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収録物識別子タイプ |
EISSN |
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収録物識別子 |
2436-522X |
| 書誌レコードID |
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収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA12941861 |
| DOI |
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|
関連タイプ |
isIdenticalTo |
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|
識別子タイプ |
DOI |
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|
関連識別子 |
https://doi.org/10.51040/dkmj.2023-034 |
| 出版タイプ |
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|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
DKMJ-3-1-4.pdf (408 KB)
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