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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)

THE SURGICAL TREATMENT METHOD FOR AN ADULT POSTTRAUMATIC THORACOLUMBAR KYPHOSIS PATIENT WITH OSTEOGENESIS IMPERFECTA

https://doi.org/10.18999/nagjms.76.3-4.341
https://doi.org/10.18999/nagjms.76.3-4.341
bd469f0c-4f62-4da6-af80-6576a5e6b938
名前 / ファイル ライセンス アクション
20_Wakao.pdf 20_Wakao.pdf (15.6 MB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2014-09-08
タイトル
タイトル THE SURGICAL TREATMENT METHOD FOR AN ADULT POSTTRAUMATIC THORACOLUMBAR KYPHOSIS PATIENT WITH OSTEOGENESIS IMPERFECTA
著者 WAKAO, NORIMITSU

× WAKAO, NORIMITSU

WEKO 53590

WAKAO, NORIMITSU

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TAKEUCHI, MIKINOBU

× TAKEUCHI, MIKINOBU

WEKO 53591

TAKEUCHI, MIKINOBU

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KAMIYA, MITSUHIRO

× KAMIYA, MITSUHIRO

WEKO 53592

KAMIYA, MITSUHIRO

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HIRASAWA, ATSUHIKO

× HIRASAWA, ATSUHIKO

WEKO 53593

HIRASAWA, ATSUHIKO

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KAWANAMI, KATSUHISA

× KAWANAMI, KATSUHISA

WEKO 53594

KAWANAMI, KATSUHISA

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SATO, KEIJI

× SATO, KEIJI

WEKO 53595

SATO, KEIJI

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TAKAYASU, MASAKAZU

× TAKAYASU, MASAKAZU

WEKO 53596

TAKAYASU, MASAKAZU

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キーワード
主題Scheme Other
主題 Osteogenesis imperfecta
キーワード
主題Scheme Other
主題 posttraumatic kyphosis
キーワード
主題Scheme Other
主題 thoracolumbar
キーワード
主題Scheme Other
主題 surgical treatment
抄録
内容記述 Osteogenesis imperfecta (OI) is an inheritable bone disorder characterized by osseous fragility and ligamentous laxity. It is sometimes difficult to obtain bone union in patients with OI. The purpose of this report is to present a rare case of posttraumatic kyphosis due to a L1 burst fracture in a patient with OI, and to discuss how to treat it to achieve an adequate correction and circumferential fusion. The patient was a 29-year-old man with OI (Sillence type-IA) who had sustained an L1 fracture when he dived head first into a river. After 3 months of conservative therapy with a body cast, he showed disability at work because of his persistent low back pain and fatigue in his whole back. He showed no neurological disorder. Diagnostic imaging revealed localized kyphotic deformity at L1. Therefore, lumbar lordosis and thoracic kyphosis worsened. Anterior release and fusion, and posterior fusion were conducted. Three months after surgical treatment, circumferential fusion was obtained. His low back pain and fatigue in the whole back disappeared, and he could resume work without any difficulty. From the bone union standpoint, the surgical strategy for spinal correction in OI patients is still controversial because of the intractableness of bone union and fragility of the bone itself. The authors achieved circumferential union using anterior fusion and posterior fusion, in which wide bone bed is available owing to spared posterior elements of the spinal column.
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.76.3-4.341
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. 341-348, 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/2237/20553
識別子タイプ HDL
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