Evidence map›Paper›PMID 37408486›Full record

ArticleAsian spine journal2023

Physical Signs and Clinical Features of Cervical Myelopathy in Elderly Patients, Especially 80 Years or Older: Comparison of 100 Consecutive Operative Cases across Three Age Groups.

Takahiko Hamasaki, Toshio Nakamae, Naosuke Kamei, Yasushi Fujiwara, John M Rhee, Nobuhiro Tanaka, Yoshinori Fujimoto, Nobuo Adachi, Shoji Shimose

Open access · diamondAbstract read
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In one paragraph

Article in Asian spine journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed, 0 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors at 6 institutions in 2 countries.

Takahiko HamasakiDepartment of Orthopaedic Surgery, Chugoku Rosai Hospital, Hiroshima, Japan.
Toshio NakamaeDepartment of Orthopaedic Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Naosuke KameiDepartment of Orthopaedic Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Yasushi FujiwaraDepartment of Orthopaedic Surgery, Hiroshima City Asa Citizens Hospital, Hiroshima, Japan.
John M RheeDepartment of Orthopaedic Surgery and Neurosurgery, Emory University School of Medicine, Atlanta, GA, USA.
Nobuhiro TanakaDepartment of Orthopaedic Surgery, JR Hiroshima Hospital, Hiroshima, Japan.
Yoshinori FujimotoDepartment of Orthopaedic Surgery, JA Hiroshima General Hospital, Hiroshima, Japan.
Nobuo AdachiDepartment of Orthopaedic Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Shoji ShimoseDepartment of Orthopaedic Surgery, National Hospital Organization, Kure Medical Center and Chugoku Cancer Center, Hiroshima, Japan.
Hiroshima University · JPHiroshima General Hospital · JPChugoku Rosai Hospital · JPEmory University · USHiroshima City Asa Citizens Hospital · JPNational Hospital Organization · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective cohort study. PURPOSE: The present study aimed to examine the characteristics of physical signs in elderly patients with cervical myelopathy (CM) and to compare the findings in three different age groups. OVERVIEW OF LITERATURE: As the global population ages, the incidence of CM in elderly patients is increasing.

methodsWe evaluated 100 consecutive surgical patients with CM and divided them into the following groups: 80s (34 patients; mean age, 83.9 years), 70s (33 patients; mean age, 73.9 years), and 69 or younger (33 patients; mean age, 60.9 years). The clinical symptoms and physical signs were evaluated and recorded.

resultsAlthough the recovery rate decreased with increasing age, all groups demonstrated a significant improvement in clinical symptoms relative to preoperative values. The Hoffman sign and hyperreflexia of the triceps tendon were, respectively, present in 82% and 88% of patients in the 80s group, 74% and 64% of those in the 70s group, and 69% and 82% of those in the 69 or younger group, with no significant difference among the groups. In contrast, the rates of hyperreflexia of the patellar and Achilles tendons were, respectively, 59% and 32% in the 80s group, 85% and 48% in the 70s group, and 91% and 70% in the 69 or younger group, with significant differences.

conclusionsThe positivity rate of the lower extremity hyperreflexia decreased significantly with increasing age in patients with CM. The absence of hyperreflexia, particularly lower extremity, is not uncommon in elderly patients with suspected CM.

Indexed as

Cervical myelopathyElderly patientHyperreflexiaNeurological findingsPhysical signRecovery rate

Identifiers

PMID37408486
PMCPMC10622825
OpenAlexW4383302528

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