Item type |
学術雑誌論文 / Journal Article(1) |
公開日 |
2021-05-01 |
タイトル |
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タイトル |
Deterioration of sagittal spinal alignment with age originates from the pelvis not the lumbar spine: A 4-year longitudinal cohort study |
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言語 |
en |
言語 |
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言語 |
eng |
キーワード |
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主題 |
spinal alignment |
キーワード |
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主題 |
longitudinal cohort study |
キーワード |
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主題 |
sex difference |
キーワード |
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主題 |
spinal deformity |
キーワード |
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主題 |
age-related change |
資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
journal article |
著者 |
Oe, Shin
Yamato, Yu
Hasegawa, Tomohiko
Yoshida, Go
Kobayashi, Sho
Yasuda, Tatsuya
Banno, Tomohiro
Arima, Hideyuki
Mihara, Yuki
Ushirozako, Hiroki
Yamada, Tomohiro
Ide, Koichiro
Watanabe, Yuh
Togawa, Daisuke
Niwa, Haruo
Matsuyama, Yukihiro
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書誌情報 |
European Spine Journal
巻 29,
号 9,
p. 2329-2339,
発行日 2020-09
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出版者 |
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出版者 |
Springer Nature |
権利 |
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権利情報 |
"This is a post-peer-review, pre-copyedit version of an article published in ""European Spine Journal"". The final authenticated version is available online at: https://doi.org/10.1007/s00586-020-06431-6. " |
抄録 |
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内容記述タイプ |
Abstract |
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内容記述 |
Purpose: There is controversy regarding age-related deterioration of spinal sagittal alignment in cross-sectional study. Although we reported that deterioration in spinal alignment originated at the cervical spine in males and the pelvis in females, others studies have indicated that the lumbar spine is initially implicated in both sexes. The purpose of this study was to clarify these differences in a longitudinal cohort study. Methods: Our analysis was based on 237 individuals aged 60-89 years who participated in our health screening study in 2014 and 2018. They were classified into 6 groups by birth-year and sex: 60-69 years (26 males, 49 females); 70-79 years (35 males, 88 females); and 80-89 years (19 males, 20 females). The following parameters were measured from standing radiographs: pelvic tilt (PT), sacral slope (SS), lumbar lordosis (LL), thoracic kyphosis (TK), T1 slope (TS), cervical lordosis (CL), C7 sagittal vertical axis (C7 SVA), and C2-7 SVA. Results: In males, the first significant change was an increase in the PT angle (19°, in 2014, to 21°, in 2018) in the 80-89 years age group (P<0.05), with no significant deterioration in cervical parameters. In females, spinal deterioration included a change in the SS (32° to 30°), PT (18° to 20°), and SVA (-8 mm to 6 mm) in the 60-69 years age group (P<0.05), with no change in the LL. Conclusions: Contrary to prior studies, our longitudinal data indicated that deterioration in spinal alignment originate in the pelvis for both sex but develop earlier in females than males. |
ISSN |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
0940-6719 |
EISSN |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
1432-0932 |
PubMed番号 |
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関連タイプ |
isVersionOf |
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識別子タイプ |
PMID |
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関連識別子 |
32350608 |
出版社DOI |
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関連タイプ |
isVersionOf |
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識別子タイプ |
DOI |
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関連識別子 |
10.1007/s00586-020-06431-6 |
著者版フラグ |
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出版タイプ |
AM |
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出版タイプResource |
http://purl.org/coar/version/c_ab4af688f83e57aa |