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- 저자 : Hamid Khayat Kashany (검색결과 3 건)
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Shirzad Azhari,Parisa Azimi,Sohrab Shazadi,Hamid Khayat Kashany,Hossein Nayeb Aghaei,Hassan Reza Mohammadi 대한척추외과학회 2016 Asian Spine Journal Vol.10 No.3
Study Design: Cross-sectional. Purpose: Clinical outcome study comparing the Copenhagen Neck Functional Disability Scale (CNFDS) and modified Japanese orthopedic association (mJOA) assessment scales in patients with cervical spondylotic myelopathy (CSM). Overview of Literature: Comparison of instruments that measure patient-reported outcomes is needed. Methods: A cross-sectional analysis was conducted. Ninety five patients with CSM were entered into the study and completed the CNFDS and the mJOA preoperatively and postoperatively. Correlation between the CNFDS and the mJOA was evaluated preoperatively and at the end of follow-up. Responsiveness to change of CNFDS and mJOA was also assessed. Clinical outcomes were also measured with the recovery rate of mJOA score at end of follow-up. Results: The mean age of patients was 58.2 (standard deviation, SD=8.7) years. Mean follow-up was 2.1 years (range, 1 to 4 years). The mJOA correlated strongly with the CNFDS score preoperatively and postoperatively (r =–0.81 and –0.82, respectively; p <0.001). The CNFDS and the mJOA were able to detect changes after the surgery (p <0.001). The mean mJOA recovery rate was 51.8% (SD=13.1%). Conclusions: Surgery for the treatment of patients with CSM is an efficacious procedure. CNFDS and mJOA scores have a strong correlation in measuring disability among CSM patients.
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Shirzad Azhari,Parisa Azimi,Sohrab Shahzadi,Hassan Reza Mohammadi,Hamid Reza Khayat Kashani 대한척추외과학회 2016 Asian Spine Journal Vol.10 No.1
Study Design: Cross-sectional. Purpose: To develop a strategy to determine a sound method for decision-making based on postoperative clinical outcome satisfaction. Overview of Literature: The ideal management of thoracolumbar and lumbar burst fractures (TLBF) without neurological compromise remains controversial. Methods: This was a prospective study. Patients with thoracolumbar injury severity and classification score (TLICS) <4 were treated nonoperatively, with bed rest and bracing until the pain decreased sufficiently to allow mobilization. Surgery was undertaken in patients with intractable pain despite an appropriate nonoperative treatment (surgery group). The Oswestry disability index (ODI) measure was observed at baseline and at the last follow-up. Clinically success was defined at least a 30% improvement from the baseline ODI scores in both the conservative and surgery groups. All case records were assessed for gender, age, residual canal and angulations at the site of the fracture in order to determine which patients benefited from surgery or conservative treatment and which did not. Results: In all 113 patients with T11–L5, TLBFs were treated. The patients’ mean age was 49.2 years. Patients successfully completed either nonoperative (n=99) or surgical (n=14) treatment based on ODI. Clinical examinations revealed that all of the patients had intact neurology. The mean follow-up period was 29.5 months. There was a significant difference between the two groups based on age and residual canal. The mean ODI score significantly improved for both groups (p <0.01). According to the findings, a decision matrix was proposed. Conclusions: The findings confirm that TLICS <4, age, and residual canal can be used to guide the treatment of TLBF in conservative decision-making.
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Parisa Azimi,Hossein Nayeb Aghaei,Shirzad Azhari,Sohrab Shazadi,Hamid Khayat Kashany,Hassan Reza Mohammadi,Ali Montazeri 대한척추외과학회 2016 Asian Spine Journal Vol.10 No.4
Study Design: Cross-sectional study. Purpose: This study aimed to cross-culturally translate and validate the low back outcome score (LBOS) in Iran. Overview of Literature: Lumbar disc hernia (LDH) is the most common diagnoses of low back pain and imposes a heavy burden on both individual and society. Instruments measuring patient reported outcomes should satisfy cetain psychometric properties. Methods: The translation and cross-cultural adaptation of the original questionnaire was performed using Beaton’s guideline. A total of 163 patients with LDH were asked to respond to the questionnaire at three points in time: preoperative and twice within 1-week interval after surgery assessments. The Oswestry disabilty index (ODI) was also completed. The internal consistency, test-retest, convergent validity, and responsiveness to change were assessed. Responsiveness to change also was assessed comparing patients’ pre- and postoperative scores. Results: The mean age of the cohort was 49.8 years (standard deviation=10.1). The Cronbach’s alpha coefficients for the LBOS at preoperative and postoperative assessments ranged from 0.77 to 0.79, indicating good internal consistency. Test-retest reliability as performed by intraclass correlation coefficient was found to be 0.82 (0.62–0.91). The instrument discriminated well between subgroups of patients who differed in the Finneson-Cooper score. The ODI correlated strongly with the LBOS score, lending support to its good convergent validity (r =–0.83; p <0.001). Further analysis also indicated that the questionnaire was responsive to change (p <0.001). Conclusions: The Iranian version of LBOS performed well and the findings suggest that it is a valid measure of back pain treatment evaluation among LDH patients.
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