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ダウンロード数 : ?
ID 111084
著者
長町, 顕弘 Tokushima University
Mima, Noriaki Mitoyo General Hospital
Adachi, Keisuke Mitoyo General Hospital
Inoue, Kazumasa Mitoyo General Hospital
Jha, Subash C. Tokushima University
Nitta, Akihiro Tokushima University
Morimoto, Masatoshi Tokushima University
高砂, 智哉 Tokushima University
林, 二三男 Tokushima University
千川, 隆志 Tokushima Municipal Hospital
キーワード
destructive spondyloarthropathy
hemodialysis
radiological analysis
clinical symptom
資料タイプ
学術雑誌論文
抄録
Analyses of radiographic changes and clinical symptom of destructive spondyloarthropathy (DSA) on consecutive 42 patients managed with long-term hemodialysis were performed to elucidate radiographic changes of DSA and the factors that influence to the destructive changes. Patients underwent plain radiographs of the cervical spine with 9 years interval. Grading of radiological feature from lateral view was classified into grade 0 to grade 3. Clinical symptom was evaluated using modified Japanese Orthopaedic Association scoring system for cervical myelopathy (mJOA score). Destructive changes were observed in 3 patients at the first examination, and those were observed in 15 patients 9 years after the first examination. There is no statistically significant difference between the duration of hemodialysis and the grade. The mean age at the onset of hemodialysis, however, was significantly higher in patients of grade 2 and 3 than those of grade 1. Older patients with long-term hemodialysis had destructive changes. Destructive changes commonly observed in lower cervical spine. The average numbers of the involved disc level were 1.6 in grade 2 and 1.0 in grade 3. Clinical symptoms were varied in each grade and there was no statistically significant difference in total mJOA score among these grades.
掲載誌名
The Journal of Medical Investigation
ISSN
13496867
13431420
cat書誌ID
AA11166929
AA12022913
出版者
Faculty of Medicine Tokushima University
64
1-2
開始ページ
68
終了ページ
73
並び順
68
発行日
2017-02
EDB ID
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
医学系
病院