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Titre du document / Document title
Influence of minor trauma on surgical results in patients with cervical OPLL
Auteur(s) / Author(s)
FUJIMURA Y. (1) ; NAKAMURA M. (1) ; TOYAMA Y. (1) ;
Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)
(1) Department of Orthopaedic Surgery, School of Medicine, Keio University, Tokyo, JAPON
Résumé / Abstract
This study was designed to evaluate the relationship between minor trauma and surgical results of cervical ossification of the posterior longitudinal ligament (OPLL), focusing on static compressive and dynamic factors contributing to cord compression plus the type of attendant OPLL. Of the 91 patients treated surgically, 26 had sustained minor trauma (injury group), and the other 65 had no trauma (noninjury group). The pre-/postoperative JOA scores and recovery ratio for the injury group were significantly lower than those for the noninjury group. In the segmental, localized, and mixed types, which had good ranges of motion of the cervical spine, the recovery ratios of the injury group were significantly lower than those of the noninjury group. In the continuous type, which had a poor range of motion and severe spinal cord compression, there was no significant difference in the recovery ratio between the injury and noninjury groups. Thus, dynamic factors may play an important role in neurologic deterioration after minor trauma in patients with segmental, mixed, and localized cervical OPLL.
Revue / Journal Title
Journal of spinal disorders ISSN 0895-0385 CODEN JSDIEW
Source / Source
1998, vol. 11, no1, pp. 16-20 (5 ref.)
Langue / Language
Anglais
Editeur / Publisher
Lippincott Williams and Wilkins, Hagerstown, MD, ETATS-UNIS (1988-2001) (Revue)
Mots-clés anglais / English Keywords
Trauma ; Cervical spine ; Ossification ; Posterior longitudinal ligament ; Surgery ; Treatment ; Evolution ; Human ; Diseases of the osteoarticular system ; Spine disease ;
Mots-clés français / French Keywords
Traumatisme ; Rachis cervical ; Ossification ; Ligament longitudinal postérieur ; Chirurgie ; Traitement ; Evolution ; Homme ; Système ostéoarticulaire pathologie ; Rachis pathologie ;
Mots-clés espagnols / Spanish Keywords
Traumatismo ; Raquis cervical ; Osificación ; Ligamento longitudinal posterior ; Cirugía ; Tratamiento ; Evolución ; Hombre ; Sistema osteoarticular patología ; Raquis patología ;
Localisation / Location
INIST-CNRS, Cote INIST : 21588, 35400007832448.0030 |
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发表于 2009-2-5 05:27:09
