Surgical Treatment for Cervical Spondylosis in Long-Term Hemodialysis

Autor:	Tadashi Tomonaga, Kenji Taguchi, Hiroyuki Shindo, Masao Eto, Kazuhiro Takahara, Ko Chiba, Kiyofumi Mitsutake
Rok vydání:	2002
Předmět:	medicine.medical_specialty Posterior fusion business.industry medicine.medical_treatment Long term hemodialysis Laminoplasty Dialysis patients medicine.disease Surgery Recovery rate medicine Cervical spondylosis Hemodialysis Surgical treatment business
Zdroj:	Orthopedics & Traumatology. 51:517-520
ISSN:	1349-4333 0037-1033
DOI:	10.5035/nishiseisai.51.517
Popis:	Dialysis-associated spondylosis is increasingly recognized in long-term dialysis patients. We reviewed 13 patients who had dialysis-associated cervical spondylosis and required surgical treatment. There were 7 males and 6 females with an average age of 55 years (range 38 to 77). The duration of hemodialysis ranged from 8 to 26 years (mean : 17.2 years) and the follow-up time ranged from 6 months to 6 years and 9 months, averaging 3 years. We performed anterior fusions on 4 cases, laminoplasty on 7 cases, posterior fusion on 1 case and occipito-cervical fusion on 1 case. In 12 cases (excluding 1 case of AAS), we assessed the clinical results by the JOA score and the recovery rate using Hirabayashi’s method. The mean recovery rate was 46%. Eight of the 13 cases had good to excellent results, 3 had fair, and 2 poor. The cases with poor results developed by post-operative infection in the operative wound, and died at 7 and 17 months after operation respectively.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::eea520ba73d8e51f9b6fdcdb58a678a4 https://doi.org/10.5035/nishiseisai.51.517 Zobrazit plný text záznamu