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Impact of obesity on cervical ossification of the posterior longitudinal ligament: a nationwide prospective study.
Mori, Kanji; Yoshii, Toshitaka; Egawa, Satoru; Sakai, Kenichiro; Kusano, Kazuo; Tsutsui, Shunji; Hirai, Takashi; Matsukura, Yu; Wada, Kanichiro; Katsumi, Keiichi; Koda, Masao; Kimura, Atsushi; Furuya, Takeo; Maki, Satoshi; Nagoshi, Narihito; Nishida, Norihiro; Nagamoto, Yukitaka; Oshima, Yasushi; Ando, Kei; Nakashima, Hiroaki; Takahata, Masahiko; Nakajima, Hideaki; Murata, Kazuma; Miyagi, Masayuki; Kaito, Takashi; Yamada, Kei; Banno, Tomohiro; Kato, Satoshi; Ohba, Tetsuro; Inami, Satoshi; Fujibayashi, Shunsuke; Katoh, Hiroyuki; Kanno, Haruo; Taneichi, Hiroshi; Imagama, Shiro; Kawaguchi, Yoshiharu; Takeshita, Katsushi; Matsumoto, Morio; Yamazaki, Masashi; Okawa, Atsushi.
Afiliación
  • Mori K; Department of Orthopaedic Surgery, Shiga University of Medical Science, Seta Tsukinowa-Cho, Otsu, Shiga, 520-2192, Japan. kanchi@belle.shiga-med.ac.jp.
  • Yoshii T; Japanese Multicenter Research Organization for Ossification of the Spinal Ligament, Tokyo, Japan. kanchi@belle.shiga-med.ac.jp.
  • Egawa S; Department of Orthopedic Surgery, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo Ward, Tokyo, 113-8519, Japan.
  • Sakai K; Japanese Multicenter Research Organization for Ossification of the Spinal Ligament, Tokyo, Japan.
  • Kusano K; Department of Orthopedic Surgery, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo Ward, Tokyo, 113-8519, Japan.
  • Tsutsui S; Japanese Multicenter Research Organization for Ossification of the Spinal Ligament, Tokyo, Japan.
  • Hirai T; Department of Orthopedic Surgery, Saiseikai Kawaguchi General Hospital, 5-11-5 Nishikawaguchi, Kawaguchishi, Saitama, 332-8558, Japan.
  • Matsukura Y; Japanese Multicenter Research Organization for Ossification of the Spinal Ligament, Tokyo, Japan.
  • Wada K; Department of Orthopedic Surgery, Kudanzaka Hospital, 1-6-12 Kudanminami, Chiyodaku, 102-0074, Japan.
  • Katsumi K; Japanese Multicenter Research Organization for Ossification of the Spinal Ligament, Tokyo, Japan.
  • Koda M; Department of Orthopaedic Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-8510, Japan.
  • Kimura A; Japanese Multicenter Research Organization for Ossification of the Spinal Ligament, Tokyo, Japan.
  • Furuya T; Department of Orthopedic Surgery, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo Ward, Tokyo, 113-8519, Japan.
  • Maki S; Japanese Multicenter Research Organization for Ossification of the Spinal Ligament, Tokyo, Japan.
  • Nagoshi N; Department of Orthopedic Surgery, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo Ward, Tokyo, 113-8519, Japan.
  • Nishida N; Japanese Multicenter Research Organization for Ossification of the Spinal Ligament, Tokyo, Japan.
  • Nagamoto Y; Department of Orthopedic Surgery, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori, 036-8562, Japan.
  • Oshima Y; Japanese Multicenter Research Organization for Ossification of the Spinal Ligament, Tokyo, Japan.
  • Ando K; Department of Orthopedic Surgery, Niigata University Medical and Dental General Hospital, 1-754 Asahimachidori, Chuo Ward, Niigata, Niigata, 951-8520, Japan.
  • Nakashima H; Japanese Multicenter Research Organization for Ossification of the Spinal Ligament, Tokyo, Japan.
  • Takahata M; Department of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan.
  • Nakajima H; Japanese Multicenter Research Organization for Ossification of the Spinal Ligament, Tokyo, Japan.
  • Murata K; Department of Orthopedics, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan.
  • Miyagi M; Japanese Multicenter Research Organization for Ossification of the Spinal Ligament, Tokyo, Japan.
  • Kaito T; Department of Orthopedic Surgery, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chuo Ward, Chiba, Chiba, 260-0856, Japan.
  • Yamada K; Japanese Multicenter Research Organization for Ossification of the Spinal Ligament, Tokyo, Japan.
  • Banno T; Department of Orthopedic Surgery, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chuo Ward, Chiba, Chiba, 260-0856, Japan.
  • Kato S; Japanese Multicenter Research Organization for Ossification of the Spinal Ligament, Tokyo, Japan.
  • Ohba T; Department of Orthopaedic Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku Ward, Tokyo, 160-8582, Japan.
  • Inami S; Japanese Multicenter Research Organization for Ossification of the Spinal Ligament, Tokyo, Japan.
  • Fujibayashi S; Department of Orthopedic Surgery, Yamaguchi University Graduate School, of Medicine, 1-1-1 Minami-Kogushi, Ube, Yamaguchi, 755-8505, Japan.
  • Katoh H; Japanese Multicenter Research Organization for Ossification of the Spinal Ligament, Tokyo, Japan.
  • Kanno H; Department of Orthopedic Surgery, Osaka Rosai Hospital, 1179-3 Nagasonecho, Sakaishi, Osaka, 591-8025, Japan.
  • Taneichi H; Japanese Multicenter Research Organization for Ossification of the Spinal Ligament, Tokyo, Japan.
  • Imagama S; Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.
  • Kawaguchi Y; Japanese Multicenter Research Organization for Ossification of the Spinal Ligament, Tokyo, Japan.
  • Takeshita K; Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumaicho, Showa Ward, Nagoya, Aichi, 466-8550, Japan.
  • Matsumoto M; Japanese Multicenter Research Organization for Ossification of the Spinal Ligament, Tokyo, Japan.
  • Yamazaki M; Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumaicho, Showa Ward, Nagoya, Aichi, 466-8550, Japan.
  • Okawa A; Japanese Multicenter Research Organization for Ossification of the Spinal Ligament, Tokyo, Japan.
Sci Rep ; 12(1): 8884, 2022 05 25.
Article en En | MEDLINE | ID: mdl-35614091
ABSTRACT
Positive association between ossification of the posterior longitudinal ligament of the spine (OPLL) and obesity is widely recognized; however, few studies focused on the effects of obesity on treatment of cervical OPLL. The effects of obesity on surgical treatment of cervical OPLL were investigated by a Japanese nationwide, prospective study. Overall, 478 patients with cervical myelopathy due to OPLL were prospectively enrolled. To clarify the effects of obesity on the surgical treatment for cervical OPLL, patients were stratified into two groups, non-obese (< BMI 30.0 kg/m2) and obese (≥ BMI 30.0 kg/m2) groups. The mean age of the obese group was significantly younger than that of non-obese group. There were no significant differences between the two groups in other demographic information, medical history, and clinical and radiographical findings. Alternatively, the obese group had a significantly higher rate of surgical site infection (SSI) than that of non-obese group. Approach-specific analyses revealed that the SSI was significantly higher in the obese group than in the non-obese group. A logistic regression analysis revealed that age, BMI, and duration of symptoms were significant factors affecting the postoperative minimum clinically important difference success. The result of this study provides useful information for future cervical OPLL treatment.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Osificación del Ligamento Longitudinal Posterior / Ligamentos Longitudinales Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Sci Rep Año: 2022 Tipo del documento: Article País de afiliación: Japón

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Osificación del Ligamento Longitudinal Posterior / Ligamentos Longitudinales Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Sci Rep Año: 2022 Tipo del documento: Article País de afiliación: Japón