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Summary and background We routinely have used C1-C2 transarticular and cervical pedicle screw fixations to reconstruct highly destructed unstable rheumatoid arthritis (RA) cervical lesions. However, there is little data on midterm results of surgical reconstruction for rheumatoid cervical disorders, particularly, cervical pedicle screw fixation. Objectives The purpose of this study was to evaluate the mid-term surgical results of computer-assisted cervical reconstruction for such lesions. Methods Seventeen subjects (4 men, 13 women; mean age, 61 +/- 9 years) with RA cervical lesions who underwent C1-C2 transarticular screw fixation or occipitocervical fixation, with at least 5 years follow-up were studied. A frameless, stereotactic, optoelectronic, CT-based image-guidance system, was used for correct screw placement. Variables including the Japanese Orthopaedic Association (JOA) score, Ranawat class, EuroQol (EQ-5D), atlantodental interval, and Ranawat values before, and at 2 and 5 years after surgery, were evaluated. Furthermore, screw perforation rates were evaluated. Results The lesions included atlantoaxial subluxation (AAS, n = 6), AAS + vertical subluxation (VS, n = 7), and AAS + VS + subaxial subluxation (n = 4). There was significant neurological improvement at 2 years after surgery, as evidenced by the JOA scores, Ranawat class, and the EQ-5D utility weight. However, at 5 years after surgery, there was a deterioration of this improvement. The Ranawat values before, and at 2 and 5 years after surgery, were not significantly different. Major screw perforation rate was 2.1 %. No neural and vascular complications associated with screw insertion were observed. Conclusions Subjects with rheumatoid cervical lesions who underwent C1-C2 transarticular screw fixation or occipitocervical fixation using a pedicle screw had significantly improved clinical parameters at 2 years after surgery. However, there was a deterioration of this improvement at 5 years post surgery.", "subitem_description_type": "Abstract"}]}, "item_6_description_30": {"attribute_name": "資源タイプ(コンテンツの種類)", "attribute_value_mlt": [{"subitem_description": "Article", "subitem_description_type": "Other"}]}, "item_6_description_5": {"attribute_name": "引用", "attribute_value_mlt": [{"subitem_description": "JOURNAL OF ORTHOPAEDIC SCIENCE. 18(6):916-925 (2013)", "subitem_description_type": "Other"}]}, "item_6_link_3": {"attribute_name": "信州大学研究者総覧へのリンク", "attribute_value_mlt": [{"subitem_link_text": "Takahashi, Jun", "subitem_link_url": "https://soar-rd.shinshu-u.ac.jp/profile/ja.jeAhuakh.html"}, {"subitem_link_text": "Kuraishi, Shugo", "subitem_link_url": "https://soar-rd.shinshu-u.ac.jp/profile/ja.HUkCPUym.html"}, {"subitem_link_text": "Kato, Hiroyuki", "subitem_link_url": "https://soar-rd.shinshu-u.ac.jp/profile/ja.WVkCbaSp.html"}]}, "item_6_link_67": {"attribute_name": "WoS", "attribute_value_mlt": [{"subitem_link_text": "Web of Science", "subitem_link_url": "http://gateway.isiknowledge.com/gateway/Gateway.cgi?\u0026GWVersion=2\u0026SrcAuth=ShinshuUniv\u0026SrcApp=ShinshuUniv\u0026DestLinkType=FullRecord\u0026DestApp=WOS\u0026KeyUT=000328265300007"}]}, "item_6_publisher_4": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "SPRINGER JAPAN KK"}]}, "item_6_relation_47": {"attribute_name": "PubMed", "attribute_value_mlt": [{"subitem_relation_name": [{"subitem_relation_name_text": "24019095"}], "subitem_relation_type_id": {"subitem_relation_type_id_text": "https://pubmed.ncbi.nlm.nih.gov/24019095", "subitem_relation_type_select": "PMID"}}]}, "item_6_relation_48": {"attribute_name": "DOI", "attribute_value_mlt": [{"subitem_relation_name": [{"subitem_relation_name_text": "10.1007/s00776-013-0465-3"}], "subitem_relation_type_id": {"subitem_relation_type_id_text": "https://doi.org/10.1007/s00776-013-0465-3", "subitem_relation_type_select": "DOI"}}]}, "item_6_rights_62": {"attribute_name": "権利", "attribute_value_mlt": [{"subitem_rights": "Copyright© 2013 The Japanese Orthopaedic Association"}]}, "item_6_select_64": {"attribute_name": "著者版フラグ", "attribute_value_mlt": [{"subitem_select_item": "author"}]}, "item_6_source_id_35": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "0949-2658", "subitem_source_identifier_type": "PISSN"}]}, "item_6_source_id_39": {"attribute_name": "NII ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "0949-2658", "subitem_source_identifier_type": "PISSN"}]}, "item_6_source_id_40": {"attribute_name": "書誌レコードID", "attribute_value_mlt": [{"subitem_source_identifier": "AA11052566", "subitem_source_identifier_type": "NCID"}]}, "item_6_text_70": {"attribute_name": "wosonly keywords", "attribute_value_mlt": [{"subitem_text_value": "TRANSARTICULAR SCREW FIXATION; SPONDYLOTIC MYELOPATHY; FOLLOW-UP; ARTHRITIS; INSERTION; DISORDERS; FUSION; LAMINOPLASTY; PROGRESSION; MANAGEMENT"}]}, "item_6_textarea_68": {"attribute_name": "wosonly abstract", "attribute_value_mlt": [{"subitem_textarea_value": "Study design A retrospective single-center study. Summary and background We routinely have used C1-C2 transarticular and cervical pedicle screw fixations to reconstruct highly destructed unstable rheumatoid arthritis (RA) cervical lesions. However, there is little data on midterm results of surgical reconstruction for rheumatoid cervical disorders, particularly, cervical pedicle screw fixation. Objectives The purpose of this study was to evaluate the mid-term surgical results of computer-assisted cervical reconstruction for such lesions. Methods Seventeen subjects (4 men, 13 women; mean age, 61 +/- 9 years) with RA cervical lesions who underwent C1-C2 transarticular screw fixation or occipitocervical fixation, with at least 5 years follow-up were studied. A frameless, stereotactic, optoelectronic, CT-based image-guidance system, was used for correct screw placement. Variables including the Japanese Orthopaedic Association (JOA) score, Ranawat class, EuroQol (EQ-5D), atlantodental interval, and Ranawat values before, and at 2 and 5 years after surgery, were evaluated. Furthermore, screw perforation rates were evaluated. Results The lesions included atlantoaxial subluxation (AAS, n = 6), AAS + vertical subluxation (VS, n = 7), and AAS + VS + subaxial subluxation (n = 4). There was significant neurological improvement at 2 years after surgery, as evidenced by the JOA scores, Ranawat class, and the EQ-5D utility weight. However, at 5 years after surgery, there was a deterioration of this improvement. The Ranawat values before, and at 2 and 5 years after surgery, were not significantly different. Major screw perforation rate was 2.1 %. No neural and vascular complications associated with screw insertion were observed. Conclusions Subjects with rheumatoid cervical lesions who underwent C1-C2 transarticular screw fixation or occipitocervical fixation using a pedicle screw had significantly improved clinical parameters at 2 years after surgery. However, there was a deterioration of this improvement at 5 years post surgery."}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "Uehara, Masashi", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "21905", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Takahashi, Jun", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "21906", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Ogihara, Nobuhide", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "21907", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Hirabayashi, Hiroki", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "21908", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Mukaiyama, Keijiro", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "21909", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Kuraishi, Shugo", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "21910", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Shimizu, Masayuki", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "21911", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Futatsugi, Toshimasa", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "21912", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Hashidate, Hiroyuki", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "21913", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Kato, Hiroyuki", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "21914", "nameIdentifierScheme": "WEKO"}]}]}, "item_files": {"attribute_name": "ファイル情報", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2015-09-25"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "Mid-term_Results_Computer-assisted_Cervical_Reconstruction.pdf", "filesize": [{"value": "677.2 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_note", "mimetype": "application/pdf", "size": 677200.0, "url": {"label": "Mid-term_Results_Computer-assisted_Cervical_Reconstruction.pdf", "url": "https://soar-ir.repo.nii.ac.jp/record/8006/files/Mid-term_Results_Computer-assisted_Cervical_Reconstruction.pdf"}, "version_id": "876d87d9-791a-48e9-8470-1236ee325967"}]}, "item_language": {"attribute_name": "言語", "attribute_value_mlt": [{"subitem_language": "eng"}]}, "item_resource_type": {"attribute_name": "資源タイプ", "attribute_value_mlt": [{"resourcetype": "journal article", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "Mid-term results of computer-assisted cervical reconstruction for rheumatoid cervical spines", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "Mid-term results of computer-assisted cervical reconstruction for rheumatoid cervical spines", "subitem_title_language": "en"}]}, "item_type_id": "6", "owner": "1", "path": ["883"], "permalink_uri": "http://hdl.handle.net/10091/17835", "pubdate": {"attribute_name": "PubDate", "attribute_value": "2014-09-05"}, "publish_date": "2014-09-05", "publish_status": "0", "recid": "8006", "relation": {}, "relation_version_is_last": true, "title": ["Mid-term results of computer-assisted cervical reconstruction for rheumatoid cervical spines"], "weko_shared_id": -1}
Mid-term results of computer-assisted cervical reconstruction for rheumatoid cervical spines
http://hdl.handle.net/10091/17835
http://hdl.handle.net/10091/178355a8f9418-0aff-4323-905e-32aa13b2b3f1
名前 / ファイル | ライセンス | アクション |
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Mid-term_Results_Computer-assisted_Cervical_Reconstruction.pdf (677.2 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2014-09-05 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Mid-term results of computer-assisted cervical reconstruction for rheumatoid cervical spines | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | journal article | |||||
著者 |
Uehara, Masashi
× Uehara, Masashi× Takahashi, Jun× Ogihara, Nobuhide× Hirabayashi, Hiroki× Mukaiyama, Keijiro× Kuraishi, Shugo× Shimizu, Masayuki× Futatsugi, Toshimasa× Hashidate, Hiroyuki× Kato, Hiroyuki |
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信州大学研究者総覧へのリンク | ||||||
氏名 | Takahashi, Jun | |||||
URL | https://soar-rd.shinshu-u.ac.jp/profile/ja.jeAhuakh.html | |||||
信州大学研究者総覧へのリンク | ||||||
氏名 | Kuraishi, Shugo | |||||
URL | https://soar-rd.shinshu-u.ac.jp/profile/ja.HUkCPUym.html | |||||
信州大学研究者総覧へのリンク | ||||||
氏名 | Kato, Hiroyuki | |||||
URL | https://soar-rd.shinshu-u.ac.jp/profile/ja.WVkCbaSp.html | |||||
出版者 | ||||||
出版者 | SPRINGER JAPAN KK | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | JOURNAL OF ORTHOPAEDIC SCIENCE. 18(6):916-925 (2013) | |||||
書誌情報 |
JOURNAL OF ORTHOPAEDIC SCIENCE 巻 18, 号 6, p. 916-925, 発行日 2013-11 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Study design A retrospective single-center study. Summary and background We routinely have used C1-C2 transarticular and cervical pedicle screw fixations to reconstruct highly destructed unstable rheumatoid arthritis (RA) cervical lesions. However, there is little data on midterm results of surgical reconstruction for rheumatoid cervical disorders, particularly, cervical pedicle screw fixation. Objectives The purpose of this study was to evaluate the mid-term surgical results of computer-assisted cervical reconstruction for such lesions. Methods Seventeen subjects (4 men, 13 women; mean age, 61 +/- 9 years) with RA cervical lesions who underwent C1-C2 transarticular screw fixation or occipitocervical fixation, with at least 5 years follow-up were studied. A frameless, stereotactic, optoelectronic, CT-based image-guidance system, was used for correct screw placement. Variables including the Japanese Orthopaedic Association (JOA) score, Ranawat class, EuroQol (EQ-5D), atlantodental interval, and Ranawat values before, and at 2 and 5 years after surgery, were evaluated. Furthermore, screw perforation rates were evaluated. Results The lesions included atlantoaxial subluxation (AAS, n = 6), AAS + vertical subluxation (VS, n = 7), and AAS + VS + subaxial subluxation (n = 4). There was significant neurological improvement at 2 years after surgery, as evidenced by the JOA scores, Ranawat class, and the EQ-5D utility weight. However, at 5 years after surgery, there was a deterioration of this improvement. The Ranawat values before, and at 2 and 5 years after surgery, were not significantly different. Major screw perforation rate was 2.1 %. No neural and vascular complications associated with screw insertion were observed. Conclusions Subjects with rheumatoid cervical lesions who underwent C1-C2 transarticular screw fixation or occipitocervical fixation using a pedicle screw had significantly improved clinical parameters at 2 years after surgery. However, there was a deterioration of this improvement at 5 years post surgery. | |||||
資源タイプ(コンテンツの種類) | ||||||
内容記述タイプ | Other | |||||
内容記述 | Article | |||||
ISSN | ||||||
収録物識別子タイプ | PISSN | |||||
収録物識別子 | 0949-2658 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA11052566 | |||||
PubMed | ||||||
識別子タイプ | PMID | |||||
関連識別子 | https://pubmed.ncbi.nlm.nih.gov/24019095 | |||||
関連名称 | 24019095 | |||||
DOI | ||||||
識別子タイプ | DOI | |||||
関連識別子 | https://doi.org/10.1007/s00776-013-0465-3 | |||||
関連名称 | 10.1007/s00776-013-0465-3 | |||||
権利 | ||||||
権利情報 | Copyright© 2013 The Japanese Orthopaedic Association | |||||
出版タイプ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
WoS | ||||||
表示名 | Web of Science | |||||
URL | http://gateway.isiknowledge.com/gateway/Gateway.cgi?&GWVersion=2&SrcAuth=ShinshuUniv&SrcApp=ShinshuUniv&DestLinkType=FullRecord&DestApp=WOS&KeyUT=000328265300007 |