臨床整形外科57巻11号

2022年11月発行

論述

腰部脊柱管狭窄症手術後の腰痛に伴う機能障害残存の予測因子

著者： 竹中裕人¹² 神谷光広³ 杉浦英志² 西浜かすり¹ 鈴木惇也¹ 伊藤敦貴¹ 花村俊太朗³

所属機関： ¹あさひ病院リハビリテーション科 ²名古屋大学大学院医学系研究科総合保健学専攻 ³あさひ病院整形外科

ページ範囲：P.1339 - P.1346

目的：腰部脊柱管狭窄症術後の腰痛に伴う機能障害残存に対する予測因子を明らかにすること．方法：固定術50例と除圧術61例の計111例(平均年齢70.8歳)を対象に，腰痛に伴う機能障害の指標としてRDQを術前と術後6カ月に評価した．機能障害の残存(RDQ≥1)を目的変数としたロジスティックス回帰分析を行った．結果：RDQは術前7.9±4.7，術後6カ月1.9±2.7であった．腰痛に伴う機能障害残存の独立した予測因子は術前JOABPEQ心理障害得点であった．まとめ：腰痛に伴う機能障害は全般的には手術により改善するが，腰痛に伴う機能障害残存の予測因子は，術前の心理的要因であった．

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