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Pathoanatomic investigation of cervical spondylotic myelopathy
https://fmu.repo.nii.ac.jp/records/2001692
https://fmu.repo.nii.ac.jp/records/200169289aca895-3df3-4d98-91de-a241da3c1218
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
FksmJMedSci_50_p47.pdf (1.2 MB)
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| Item type | デフォルトアイテムタイプ（フル）fmu(1) | |||||||||||
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| 公開日 | 2011-05-25 | |||||||||||
| タイトル | ||||||||||||
| タイトル | Pathoanatomic investigation of cervical spondylotic myelopathy | |||||||||||
| 言語 | en | |||||||||||
| 作成者 |
Iwabuchi, Masumi
× Iwabuchi, Masumi
× Kikuchi, Shinichi
× Sato, Katsuhiko
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| 権利情報 | ||||||||||||
| 権利情報 | © 2004 The Fukushima Society of Medical Science | |||||||||||
| 内容記述 | ||||||||||||
| 内容記述タイプ | Abstract | |||||||||||
| 内容記述 | Multiple dural sac and spinal cord indentations are often observed on MRI in cervical spondylotic myelopathy. However, it is rare that all of the indented levels contribute to clinical symptoms. Pathological changes in cervical compression myelopathy have previously been reported. Still the critical degree of spinal cord compression needed to induce pathologic changes is unknown. To clearfy this matter the relationships between the spinal cord as well as the dural sac indentations, and pathological changes of the cervical spinal cord were investigated in cadavers. Sixty-eight cadavers were used for this study. The dural sac and the spinal cord were observed especially regarding presence of indentations. The spinal cord was removed from the specimens in order to perform histopathological examination. The indentations of the dural sac and the spinal cord were observed at C4/ 5, C5/6, C6/7 and C3/4 intervertebral levels in order of incidence. However, all of the dural sac indentations were not correlated with spinal cord indentations. Pathological changes in the spinal cord were observed in two specimens with less than 30% of the AP compression ratio. One specimen with 20.9% in the AP compression ratio had remarkable histopathological changes. In the other specimen with 29.6% in the AP compression ratio, diffuse demyelination was distributed in the lateral white matter. The results indicate that the critical degree of the AP compression ratio is 30% to induce histopathological changes in the spinal cord. If a spinal cord indentation in the patient with cervical spondylotic myelopathy on imaging, i.e. MRI, show less than 30% in the AP compression ratio, the clinical symptoms, i.e. numbness, tickling and paresthetic pain, may not be improved after the surgery because of some histopathological changes in the spinal cord. | |||||||||||
| 出版者 | ||||||||||||
| 出版者 | The Fukushima Society of Medical Science | |||||||||||
| 言語 | ||||||||||||
| 言語 | eng | |||||||||||
| 書誌情報 |
en : Fukushima Journal of Medical Science 巻 50, 号 2, p. 47-54, 発行日 2004-12 |
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| 関連情報 | ||||||||||||
| 関連タイプ | isIdenticalTo | |||||||||||
| 識別子タイプ | DOI | |||||||||||
| 関連識別子 | https://doi.org/10.5387/fms.50.47 | |||||||||||
| 関連情報 | ||||||||||||
| 識別子タイプ | PMID | |||||||||||
| 関連識別子 | 15779570 | |||||||||||
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| 識別子タイプ | ICHUSHI | |||||||||||
| 関連識別子 | 2006125744 | |||||||||||
| 資源タイプ | ||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||
| 資源タイプ | journal article | |||||||||||
| 出版タイプ | ||||||||||||
| 出版タイプ | VoR | |||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||
| 収録物識別子 | ||||||||||||
| 収録物識別子タイプ | PISSN | |||||||||||
| 収録物識別子 | 0016-2590 | |||||||||||
| 収録物識別子 | ||||||||||||
| 収録物識別子タイプ | EISSN | |||||||||||
| 収録物識別子 | 2185-4610 | |||||||||||
| 収録物識別子 | ||||||||||||
| 収録物識別子タイプ | NCID | |||||||||||
| 収録物識別子 | AA0065246X | |||||||||||
| 主題 | ||||||||||||
| 主題Scheme | Other | |||||||||||
| 主題 | cervical spine | |||||||||||
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| 主題Scheme | Other | |||||||||||
| 主題 | cervical spondylotic myelopathy | |||||||||||
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| 主題Scheme | Other | |||||||||||
| 主題 | pathoanatomy | |||||||||||
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| 主題Scheme | MeSH | |||||||||||
| 主題 | Adult | |||||||||||
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| 主題Scheme | MeSH | |||||||||||
| 主題 | Aged | |||||||||||
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| 主題Scheme | MeSH | |||||||||||
| 主題 | Aged, 80 and over | |||||||||||
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| 主題Scheme | MeSH | |||||||||||
| 主題 | Cervical Vertebrae | |||||||||||
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| 主題Scheme | MeSH | |||||||||||
| 主題 | Female | |||||||||||
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| 主題Scheme | MeSH | |||||||||||
| 主題 | Humans | |||||||||||
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| 主題Scheme | MeSH | |||||||||||
| 主題 | Intervertebral Disk | |||||||||||
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| 主題Scheme | MeSH | |||||||||||
| 主題 | Male | |||||||||||
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| 主題Scheme | MeSH | |||||||||||
| 主題 | Middle Aged | |||||||||||
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| 主題Scheme | MeSH | |||||||||||
| 主題 | Spinal Cord | |||||||||||
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| 主題Scheme | MeSH | |||||||||||
| 主題 | Spinal Cord Compression | |||||||||||
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| 主題Scheme | MeSH | |||||||||||
| 主題 | Spinal Osteophytosis | |||||||||||
