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논문 기본 정보

자료유형
학술저널
저자정보
Eijiro Okada (Department of Orthopedic Surgery Keio University School of Medicine) Shinichi Ishihara (Keio Spine Research Group) Koichiro Azuma (Institute for Integrated Sports Medicine Keio University School of Medicine) Takehiro Michikawa (Department of Environmental and Occupational Health Toho University) Satoshi Suzuki (Department of Orthopedic Surgery Keio University School of Medicine) Osahiko Tsuji (Department of Orthopedic Surgery Keio University School of Medicine) Satoshi Nori (Department of Orthopedic Surgery Keio University School of Medicine) Narihito Nagoshi (Department of Orthopedic Surgery Keio University School of Medicine) Mitsuru Yagi (Department of Orthopedic Surgery Keio University School of Medicine) Michiyo Takayama (Center for Preventive Medicine Keio University Hospital) Takashi Tsuji (Keio Spine Research Group) Nobuyuki Fujita (Keio Spine Research Group) Masaya Nakamura (Department of Orthopedic Surgery Keio University School of Medicine) Morio Matsumoto (Department of Orthopedic Surgery Keio University School of Medicine) Kota Watanabe (Department of Orthopaedic Surgery Keio University School of Medicine)
저널정보
대한척추신경외과학회 Neurospine 대한척추신경외과학회지 제18권 제1호
발행연도
2021.1
수록면
109 - 116 (8page)

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Objective: Diffuse idiopathic skeletal hyperostosis (DISH) causes spinal ankylosis, which can result in patients suffering specific spinal fractures that lead to a reduction in the activities of daily life in older patients. Currently, DISH is associated with diabetes mellitus and cardiovascular disease; however, the association between DISH and metabolic syndrome has not been established. The purpose of this study was to investigate a potential association between DISH and metabolic syndrome. Methods: We retrospectively reviewed clinical data from consecutive subjects undergoing the musculoskeletal health medical checkups, and enrolled 327 subjects (174 men and 153 women; mean, 63.4±13.7-years). Subjects who had spinal ankylosis at least 4 contiguous vertebral bodies were classified as the DISH group (n=39) while the others were part of the non-DISH group (n=288). The definition of the metabolic syndrome comes from diagnostic criteria used by the Japanese Society for Internal Medicine. Age, sex, body max index (BMI), hematological evaluation, blood pressure, presence of metabolic syndrome, the visceral fat area on abdominal computed tomography, and spinal epidural lipomatosis (SEL) on magnetic resonance imaging were evaluated. Results: Compared to the non-DISH group, in the DISH group, mean age (DISH group, 74.3 years; non-DISH group, 1.9 years; p<0.001), male prevalence were higher (DISH group, 82.1%; non-DISH group, 49.3%; p<0.001), and BMI was greater (DISH group, 24.8; non-DISH group, 23.0; p=0.006). the metabolic syndrome was more frequently observed in DISH group (28.9%) than in the non-DISH group (16.0%) (p=0.045). The visceral fat area was significantly larger in the DISH group than in the non-DISH group (DISH group, 130.7±58.2 cm2; Non-DISH group, 89.0±48.1 cm2; p<0.001). The prevalence of SEL was similar between the 2 groups (10.3% in the DISH group vs. 8.7% in the non-DISH group; p=0.464). Poisson regression analysis revealed that the metabolic syndrome was significantly associated with DISH with odds ratio of 2.0 (95% confidence interval, 1.0–3.7; p=0.004). Conclusion: Metabolic syndrome was significantly associated with DISH. Our data showed metabolic syndrome is potentially related to DISH.
#Diffuse idiopathic skeletal hyperostosis #Metabolic syndrome #Spinal epidural lipomatosis #Body max index #Blood pressure #Spinal ankylosis

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참고문헌 (34)

참고문헌 신청
Resnick D / 1975 / Diffuse idiopathic skeletal hyperostosis (DISH): Forestier's disease with extraspinal manifestations / Radiology 115:513~524 google schola Hiromitsu Toyoda / 2017 / Prevalence of Diffuse Idiopathic Skeletal Hyperostosis in Patients with Spinal Disorders / Asian Spine Journal 11(1):63~70 dbpia Schlapbach P / 1989 / Diffuse idiopathic skeletal hyperostosis (DISH) of the spine: a cause of back pain? A controlled study / Br J Rheumatol 28:299~303 google schola Aydin E / 2006 / Six cases of Forestier syndrome, a rare cause of dysphagia / Acta Otolaryngol 126:775~778 google schola Okada E / 2019 / Spinal fractures in patients with Diffuse idiopathic skeletal hyperostosis: a nationwide multi-institution survey / J Orthop Sci 24:601~606 google schola

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