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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
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
Ozaki, Toshifumi Department of Orthopaedic Surgery, Okayama University Gracuate School of Medicine, Dentistry, and Pharmaceutical Sciences Kaken ID researchmap
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.
キーワード
cervical spinal cord injury
motor function recovery
fracture patterns
Amo Type
Original Article
発行日
2012-12
出版物タイトル
Acta Medica Okayama
66巻
6号
出版者
Okayama University Medical School
開始ページ
469
終了ページ
473
ISSN
0386-300X
NCID
AA00508441
資料タイプ
学術雑誌論文
言語
English
著作権者
CopyrightⒸ 2012 by Okayama University Medical School
論文のバージョン
publisher
査読
有り
PubMed ID
Web of Science KeyUT