| Item type |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2022-08-05 |
| タイトル |
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|
タイトル |
Characteristics affecting cervical sagittal alignment in patients with chronic low back pain |
|
言語 |
en |
| 言語 |
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|
言語 |
eng |
| 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 |
|
資源タイプ |
journal article |
| その他のタイトル |
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その他のタイトル |
Cervical alignment in CLBP |
| 著者 |
Arima, Hideyuki
Yamato, Yu
Sato, Kimihito
Uchida, Yoshihiro
Tsuruta, Toshiyuki
Hashiguchi, Kanehisa
Hamamoto, Hajime
Watanabe, Eiichiro
Yamanaka, Kaoru
Hasegawa, Tomohiko
Yoshida, Go
Yasuda, Tatsuya
Banno, Tomohiro
Oe, Shin
Ushirozako, Hiroki
Yamada, Tomohiro
Ide, Koichiro
Watanabe, Yuh
Matsuyama, Yukihiro
|
| 書誌情報 |
Journal of Orthopaedic Science
巻 26,
号 4,
p. 577-583,
発行日 2021-07
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| 出版者 |
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出版者 |
Elsevier |
| 権利 |
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|
権利情報 |
??2020. This manuscript version is made available under the CC-BY-NC-ND 4.0 license?http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| 権利 |
|
|
権利情報 |
"This is the accepted manuscript version. The formal published version is available at ""https://doi.org/10.1016/j.jos.2020.07.004""." |
| 抄録 |
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内容記述タイプ |
Abstract |
|
内容記述 |
Background. Sagittal spino-pelvic malalignment in patients with chronic low back pain (CLBP) have been reported in the past, which may also affect cervical spine lesions. The purpose of this study is to investigate the cervical alignment in patients with CLBP.
Method. Of the patients who visited an orthopedic specialist due to low back pain lasting more than three months, 121 cases (average 71.5 years old, 46 male and 75 female) with whole standing spinal screening radiographs were reviewed (CLBP group). Cervical parameters included cervical lordosis (CL), C2-C7 sagittal vertical axis (C2-7 SVA), and the T1 slope minus CL (T1S-CL). Cervical spine deformity was defined as C2-7 SVA>4cm, CL<0°, or T1S-CL≧20°. We compared the cervical alignment of these patients with 121 age and gender matched volunteers (control group).
Results. The prevalence of cervical spine deformity was significantly higher in the CLBP group than in the control group (20.7% vs. 10.7%, P=0.034). The mean CL was smaller in the CLBP group than in the control group (16.1° vs. 21.4°, P=0.002). The mean C2-7 SVA was 17.6mm vs. 18.7mm in the CLBP group and in the control group, respectively (P=0.817). The mean T1S-CL was larger in the CLBP group than in the control group (9.1° vs. 3.5°, P<0.001). Multivariate analysis showed that people with CLBP were more likely to have cervical deformities than people without CLBP (odds ratio 2.16, 95% confidence interval 1.006 to 4.637).
Conclusions. This study results suggest that people with CLBP present with worse cervical sagittal alignment and higher prevalence of cervical spine deformities than age and gender matched volunteers with no CLBP. This means CLBP impacts cervical spine lesions negatively. |
| 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 |
0949-2658 |
| 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 |
1436-2023 |
| 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 |
32800526 |
| 医中誌論文ID |
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関連タイプ |
isVersionOf |
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識別子タイプ |
ICHUSHI |
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関連識別子 |
2022158955 |
| 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 |
10.1016/j.jos.2020.07.004 |
| 著者版フラグ |
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出版タイプ |
AM |
|
出版タイプResource |
http://purl.org/coar/version/c_ab4af688f83e57aa |
JOS-26-577.pdf (4.8 MB)
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