The factors related to the poor ADL in the patients with osteoporotic vertebral fracture after instrumentation surgery

Autor: Ken Ishii, Toshitaka Yoshii, Masahiko Takahata, Akihiko Hiyama, Kazuyoshi Kobayashi, Takashi Kaito, Hidetomi Terai, Norihiro Isogai, Hiroshi Uei, Atushi Tagami, Hidekazu Suzuki, Atsushi Kimura, Yasuchika Aoki, Takashi Yurube, Sumihisa Orita, Shiro Imagama, Daisuke Sakai, Kengo Yamamoto, Shoji Seki, Koji Tamai, Kenichi Kawaguchi, Hirosuke Nishimura, Michio Hongo, Naobumi Hosogane, Katsuhito Yoshioka, Seiji Ohtori, Yasunobu Sawaji, Hirooki Endo, Gen Inoue, Katsumi Harimaya, Yasumitsu Ajiro, Kota Watanabe, Eijiro Okada, Kazuma Murata, Kei Watanabe, Katsuhito Kiyasu, Shota Ikegami, Haruki Funao, Hideki Murakami, Taichiro Takamatsu, Takeo Furuya, Yuji Matsuoka, Kazuyoshi Nakanishi, Kenichiro Kakutani, Tetsuya Abe, Takuya Kusakabe, Takato Aihara, Asato Maekawa, Atsushi Nakano, Kenji Endo
Rok vydání: 2019
Předmět:
Zdroj: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society. 29(7)
ISSN: 1432-0932
Popis: Osteoporotic vertebral fracture (OVF) with nonunion or neurological deficit may be a candidate for surgical treatment. However, some patients do not show improvement as expected. Therefore, we conducted a nationwide multicenter study to determine the predictors for postoperative poor activity of daily living (ADL) in patients with OVF. We retrospectively reviewed the case histories of 309 patients with OVF who underwent surgery. To determine the factors predicting postoperative poor ADL, uni- and multivariate statistical analyses were performed. The frequency of poor ADL at final follow-up period was 9.1%. In univariate analysis, preoperative neurological deficit (OR, 4.1; 95% CI, 1.8–10.3; P
Databáze: OpenAIRE
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