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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 76(3-4)

COMBINED POSTERIOR-ANTERIOR SURGERY FOR OSTEOPOROTIC DELAYED VERTEBRAL FRACTURE WITH NEUROLOGIC DEFICIT

https://doi.org/10.18999/nagjms.76.3-4.307
https://doi.org/10.18999/nagjms.76.3-4.307
57ed7a17-d6bb-4637-8003-fd571a93d43d
名前 / ファイル ライセンス アクション
09_Nakashima.pdf 09_Nakashima.pdf (4.4 MB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2014-09-05
タイトル
タイトル COMBINED POSTERIOR-ANTERIOR SURGERY FOR OSTEOPOROTIC DELAYED VERTEBRAL FRACTURE WITH NEUROLOGIC DEFICIT
著者 NAKASHIMA, HIROAKI

× NAKASHIMA, HIROAKI

WEKO 53560

NAKASHIMA, HIROAKI

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YUKAWA, YASUTSUGU

× YUKAWA, YASUTSUGU

WEKO 53561

YUKAWA, YASUTSUGU

Search repository
ITO, KEIGO

× ITO, KEIGO

WEKO 53562

ITO, KEIGO

Search repository
MACHINO, MASAAKI

× MACHINO, MASAAKI

WEKO 53563

MACHINO, MASAAKI

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ISHIGURO, NAOKI

× ISHIGURO, NAOKI

WEKO 53564

ISHIGURO, NAOKI

Search repository
KATO, FUMIHIKO

× KATO, FUMIHIKO

WEKO 53565

KATO, FUMIHIKO

Search repository
キーワード
主題Scheme Other
主題 osteoporotic vertebral fracture
キーワード
主題Scheme Other
主題 combined posterior-anterior spine surgery
キーワード
主題Scheme Other
主題 thoracolumbar spine
キーワード
主題Scheme Other
主題 spinal instrumentation
抄録
内容記述 With the aging of society, osteoporotic thoracolumbar compression fracture is a concern. This fracture occurs occasionally; however, some cases progress to neural compromise due to delayed vertebral body collapse requiring surgery. Surgical treatment and postoperative care are difficult because of patients’ serious comorbidities and poor bone quality, and hence, optimum treatment is not clear, even though some surgical approaches have been reported. There were 35 consecutive patients (5 males and 30 females) with osteoporotic delayed vertebral fractures and associated neurological deficit. Mean age at surgery was 70.7 years (range 60–84 years). Average postoperative follow-up was 3.8 years (range 0.6–11.3 years). All patients experienced a single vertebra collapse, except for 1 with a 2-level collapse of lumbar vertebrae. One thoracic (Th7), 19 thoracolumbar (Th12-L1), and 16 lumbar (L2-5) fractures were treated with combined posterior-anterior surgery. The American Spinal Injury Association (ASIA) impairment scale, activities of daily living (ADL) status, and local sagittal angle were evaluated both before and after surgery. Forty-six percent of all patients showed an improvement of more than 1 grade postoperatively on the ASIA impairment scale, and 74% demonstrated an improvement in ADL status. No deterioration was observed in neurological or ADL status after surgery. With regard to sagittal alignment, preoperative kyphosis of 18.4 degrees was corrected to 2.4 degrees of kyphosis postoperatively. However, 11.5 degrees loss of correction was observed at final follow-up observation. Combined posterior-anterior surgery could provide reliable improvement in both neurological and ADL status, although maintenance of postoperative alignment was difficult to achieve in some cases.
内容記述タイプ Abstract
出版者
出版者 Nagoya University School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.76.3-4.307
ID登録タイプ JaLC
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
書誌情報 Nagoya Journal of Medical Science

巻 76, 号 3-4, p. 307-314, 発行日 2014-08
著者版フラグ
値 publisher
URI
識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/7634/7634.html
識別子タイプ URI
URI
識別子 http://hdl.handle.net/2237/20549
識別子タイプ HDL
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