臨床整形外科52巻6号

2017年06月発行

論述

頚椎椎弓形成術後の頚椎アライメントにおけるサルコペニアの影響

著者： 小清水宏行¹ 酒井義人¹ 原田敦¹ 伊藤定之² 伊藤研悠² 飛田哲朗²

所属機関： ¹国立長寿医療研究センター整形外科 ²名古屋大学整形外科

ページ範囲：P.519 - P.524

背景：サルコペニアと姿勢異常の関連を疑い，頚椎椎弓形成術後の頚椎アライメントにおけるサルコペニアの影響を検討した．

対象と方法：椎弓形成術を行った171例を対象とした．Sanada基準を用いてサルコペニアの診断とした．評価は術前と術後1年で行い，頚椎アライメント評価はC2-7SVA(sagittal vertical axis)を用い，機能評価としてはSF-36および日本整形外科学会頚髄症治療成績判定基準(JOAスコア)を用いた．

結果：術後1年においてサルコペニア群で有意にC2-7 SVAが大きく，SF-36とJOAスコアは低い結果であり，C2-7SVAとJOAスコアは負の相関を認めた．

まとめ：サルコペニアは頚椎術後アライメントおよび成績に影響を及ぼす可能性があるため，悪化を来さない後療法を検討する必要がある．

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