Predictors of Outcome of Surgery for Cervical Compressive Myelopathy : Retrospective Analysis and Prospective Study
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概要
- 論文の詳細を見る
The outcomes of surgical treatment in 80 patients with cervical compressive myelopathy were retrospectively reviewed to examined the correlations between surgical outcomes and the following seven predictive factors: age at surgery, duration of symptoms, severity of myelopathy, number of compressed segments, intramedullary high intensity segments on T_2-weighted magnetic resonance (MR) imaging, surgical method, and the type of disease. The recovery rates were evaluated at 3 months after the surgery. Significant correlations were observed between recovery rate and duration of symptoms, severity of myelopathy, and high intensity segments on T_2-weighted MR imaging. No statistical correlation was observed with the other factors. Multivariate analysis revealed significant correlations between recovery rate and duration of symptoms and number of high intensity segments on T_2-weighted MR imaging. The multiple regression equation was expressed as follows: recovery rate=82.981+0.101×(age)-0.675×(duration)-1.452×(number of compressed segments)-1.451×(preoperative Neurosurgical Cervical Spine Scale)-13.826×(number of high intensity segments). Based on this predicted formula, we compared the predicted and actual recovery rates for 17 patients treated recently. The two values were similar except in two patients with long duration of symptoms. We conclude that the surgical outcome can be predicted to a certain extent and this information could be provided to patients considering surgery for cervical compressive myelopathy.
- 日本脳神経外科学会の論文
- 2006-05-15
著者
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NAKASE Hiroyuki
Department of Neurosurgery, Osaka Neurological Institute
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MORIMOTO Tetsuya
Department of Neurosurgery, Osaka Police Hospital
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SAKAKI Toshisuke
Department of Neurosurgery, Nara Medical University
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NIKAIDO Yuji
Department of Neurosurgery, Osaka-Minami National Hospital
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川口 正一郎
奈良県立奈良病院救命救急センター
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KAWAGUCHI Shoichiro
Department of Neurosurgery, Nara Medical University
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PARK Young-Su
Department of Neurosurgery, Nara Medical University
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Park Young
Department Of Neurosurgery Nara Medical University
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Park Young-su
Department Of Neurosurgery Nara Medical University
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Nakase Hiroyuki
Department Of Neurosurgery Nara Medical University
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Nakase Hiroyuki
Department Of Neurosurgery Nara Medical University:department Of Neurosurgery Osaka Neurological Ins
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SAKAI Toshisuke
Department of Neurosurgery, Nara Medical University
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Morimoto Tetsuya
Department Of Neurosurgery Osaka Police Hospital
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Morimoto Tetsuya
Department Of Neurosurgery Nara Medical University
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Kawaguchi Shoichiro
Department Of Neurosurgery Nara Medical University
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Sakaki Toshisuke
Department Of Neurological Surgery Kitano Hospital
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Nikaido Yuji
Department Of Neurosurgery Osaka Minami Medical Center
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Nanase Hiroyuki
Department Of Neurosurgery Nara Medical University
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Nakase Hiroyuki
Department Of Life System Institute Of Technology And Science Graduate School The University Of Toku
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Sakaki Toshisuke
Department Of Anesthesiology Nara Medical University
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NAKASE Hiroyuki
Department of Neurosurgery, Nara Medical University
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