caa a22 4500 44583479X CHVBK 20180317145327.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1007/s00586-010-1672-7 doi (NATIONALLICENCE)springer-10.1007/s00586-010-1672-7 Clinical features and surgical outcomes of cervical spondylotic myelopathy in patients aged 80years or older: a multi-center retrospective study [Elektronische Daten] [Hideki Nagashima, Toshiyuki Dokai, Hirokazu Hashiguchi, Hiroyuki Ishii, Yasuhiro Kameyama, Yuji Katae, Yasuo Morio, Tsugutake Morishita, Masaaki Murata, Yoshiro Nanjo, Toshiaki Takahashi, Atsushi Tanida, Shinji Tanishima, Koji Yamane, Ryota Teshima] With the aging of the population in developed countries, spine surgeons have recently been more likely to encounter elderly patients in need of treatment. This study investigated whether decompression surgery for cervical spondylotic myelopathy (CSM) in elderly patients aged 80years or older would likely be a reasonable treatment. We retrospectively reviewed 605 consecutive patients with cervical myelopathy who underwent decompression surgery between 2004 and 2008. Patients with other conditions that could affect functional status or compression factors other than spondylosis were excluded from this study. Of the remaining 189 patients, 161 with CSM whose condition could be evaluated 6months after surgery were analyzed. The patients were divided into two age groups: 80years or older (Group A, 37 patients) and younger than 80years of age (Group B, 124 patients). We evaluated the differences in symptom duration, clinical data, involved levels, surgical outcome, comorbidities, and postoperative complications between the two groups. The symptom duration was significantly shorter in Group A. The average JOA scores preoperatively and 6months postoperatively were significantly lower in Group A; however, there was no significant difference in the recovery ratio. There were no significant differences in the percentages of patients with comorbidities or those with postoperative complications. Elderly patients aged 80years or older regained approximately 40% of their function postoperatively, and the incidence of postoperative complication was similar to that in younger patients. Since this age group shows a rapid deterioration after onset, prompt decompression surgery is required. Springer-Verlag, 2010 Cervical spine nationallicence Myelopathy nationallicence Elderly nationallicence Surgery nationallicence Complication nationallicence Nagashima Hideki Department of Orthopedic Surgery, Faculty of Medicine, Tottori University, 36-1 Nishi-machi, 683-8504, Yonago, Tottori, Japan aut Dokai Toshiyuki Department of Orthopedic Surgery, Faculty of Medicine, Tottori University, 36-1 Nishi-machi, 683-8504, Yonago, Tottori, Japan aut Hashiguchi Hirokazu Department of Orthopedic Surgery, Japan Labour Health and Welfare Organization, Sanin Rosai Hospital, 1-8-1 Kaikeshinden, 683-8605, Yonago, Tottori, Japan aut Ishii Hiroyuki Department of Orthopaedic Surgery, Misasaonsen Hospital, 690 Yamada, Misasa-cho, 682-0197, Tottori, Japan aut Kameyama Yasuhiro Department of Orthopedic Surgery, Masuda Red Cross Hospital, 103-1 Otoyoshi-cho, 698-8501, Masuda, Shimane, Japan aut Katae Yuji Department of Orthopedic Surgery, Japan Labour Health and Welfare Organization, Sanin Rosai Hospital, 1-8-1 Kaikeshinden, 683-8605, Yonago, Tottori, Japan aut Morio Yasuo Department of Orthopaedic Surgery, Misasaonsen Hospital, 690 Yamada, Misasa-cho, 682-0197, Tottori, Japan aut Morishita Tsugutake Department of Orthopedic Surgery, Tottori Municipal Hospital, 1-1 Matoba, Tottori, 680-8501, Tottori, Japan aut Murata Masaaki Department of Orthopedic Surgery, Masuda Red Hospital, 730 Ezu, Tottori, 680-0901, Tottori, Japan aut Nanjo Yoshiro Department of Orthopedic Surgery, Faculty of Medicine, Tottori University, 36-1 Nishi-machi, 683-8504, Yonago, Tottori, Japan aut Takahashi Toshiaki Department of Orthopedic Surgery, Tottori Red Cross Hospital, 117 Shotoku-cho, Tottori, 680-8517, Tottori, Japan aut Tanida Atsushi Department of Orthopedic Surgery, Faculty of Medicine, Tottori University, 36-1 Nishi-machi, 683-8504, Yonago, Tottori, Japan aut Tanishima Shinji Department of Orthopedic Surgery, Matsue City Hospital, 32-1 Noshiro-cho, 690-8509, Matsue, Shimane, Japan aut Yamane Koji Department of Orthopedic Surgery, Tottori Red Cross Hospital, 117 Shotoku-cho, Tottori, 680-8517, Tottori, Japan aut Teshima Ryota Department of Orthopedic Surgery, Faculty of Medicine, Tottori University, 36-1 Nishi-machi, 683-8504, Yonago, Tottori, Japan aut European Spine Journal Springer-Verlag 20/2(2011-02-01), 240-246 0940-6719 20:2<240 2011 20 586 https://doi.org/10.1007/s00586-010-1672-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-010-1672-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nagashima Hideki Department of Orthopedic Surgery, Faculty of Medicine, Tottori University, 36-1 Nishi-machi, 683-8504, Yonago, Tottori, Japan aut NATIONALLICENCE 700 1- Dokai Toshiyuki Department of Orthopedic Surgery, Faculty of Medicine, Tottori University, 36-1 Nishi-machi, 683-8504, Yonago, Tottori, Japan aut NATIONALLICENCE 700 1- Hashiguchi Hirokazu Department of Orthopedic Surgery, Japan Labour Health and Welfare Organization, Sanin Rosai Hospital, 1-8-1 Kaikeshinden, 683-8605, Yonago, Tottori, Japan aut NATIONALLICENCE 700 1- Ishii Hiroyuki Department of Orthopaedic Surgery, Misasaonsen Hospital, 690 Yamada, Misasa-cho, 682-0197, Tottori, Japan aut NATIONALLICENCE 700 1- Kameyama Yasuhiro Department of Orthopedic Surgery, Masuda Red Cross Hospital, 103-1 Otoyoshi-cho, 698-8501, Masuda, Shimane, Japan aut NATIONALLICENCE 700 1- Katae Yuji Department of Orthopedic Surgery, Japan Labour Health and Welfare Organization, Sanin Rosai Hospital, 1-8-1 Kaikeshinden, 683-8605, Yonago, Tottori, Japan aut NATIONALLICENCE 700 1- Morio Yasuo Department of Orthopaedic Surgery, Misasaonsen Hospital, 690 Yamada, Misasa-cho, 682-0197, Tottori, Japan aut NATIONALLICENCE 700 1- Morishita Tsugutake Department of Orthopedic Surgery, Tottori Municipal Hospital, 1-1 Matoba, Tottori, 680-8501, Tottori, Japan aut NATIONALLICENCE 700 1- Murata Masaaki Department of Orthopedic Surgery, Masuda Red Hospital, 730 Ezu, Tottori, 680-0901, Tottori, Japan aut NATIONALLICENCE 700 1- Nanjo Yoshiro Department of Orthopedic Surgery, Faculty of Medicine, Tottori University, 36-1 Nishi-machi, 683-8504, Yonago, Tottori, Japan aut NATIONALLICENCE 700 1- Takahashi Toshiaki Department of Orthopedic Surgery, Tottori Red Cross Hospital, 117 Shotoku-cho, Tottori, 680-8517, Tottori, Japan aut NATIONALLICENCE 700 1- Tanida Atsushi Department of Orthopedic Surgery, Faculty of Medicine, Tottori University, 36-1 Nishi-machi, 683-8504, Yonago, Tottori, Japan aut NATIONALLICENCE 700 1- Tanishima Shinji Department of Orthopedic Surgery, Matsue City Hospital, 32-1 Noshiro-cho, 690-8509, Matsue, Shimane, Japan aut NATIONALLICENCE 700 1- Yamane Koji Department of Orthopedic Surgery, Tottori Red Cross Hospital, 117 Shotoku-cho, Tottori, 680-8517, Tottori, Japan aut NATIONALLICENCE 700 1- Teshima Ryota Department of Orthopedic Surgery, Faculty of Medicine, Tottori University, 36-1 Nishi-machi, 683-8504, Yonago, Tottori, Japan aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/2(2011-02-01), 240-246 0940-6719 20:2<240 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer