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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.76.3-4.341bd469f0c-4f62-4da6-af80-6576a5e6b938
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
20_Wakao.pdf (15.6 MB)
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| 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 | |||||
| 言語 | en | |||||
| 著者 |
WAKAO, NORIMITSU
× WAKAO, NORIMITSU× TAKEUCHI, MIKINOBU× KAMIYA, MITSUHIRO× HIRASAWA, ATSUHIKO× KAWANAMI, KATSUHISA× SATO, KEIJI× TAKAYASU, MASAKAZU |
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| アクセス権 | ||||||
| アクセス権 | open access | |||||
| アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
| 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 | ||||||
| 内容記述タイプ | Abstract | |||||
| 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. | |||||
| 言語 | en | |||||
| 出版者 | ||||||
| 出版者 | Nagoya University School of Medicine | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | departmental bulletin paper | |||||
| 出版タイプ | ||||||
| 出版タイプ | VoR | |||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
| ID登録 | ||||||
| ID登録 | 10.18999/nagjms.76.3-4.341 | |||||
| ID登録タイプ | JaLC | |||||
| 関連情報 | ||||||
| 関連タイプ | isVersionOf | |||||
| 識別子タイプ | URI | |||||
| 関連識別子 | http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/7634/7634.html | |||||
| ISSN（print） | ||||||
| 収録物識別子タイプ | PISSN | |||||
| 収録物識別子 | 0027-7622 | |||||
| ISSN（Online） | ||||||
| 収録物識別子タイプ | EISSN | |||||
| 収録物識別子 | 2186-3326 | |||||
| 書誌情報 |
en : Nagoya Journal of Medical Science 巻 76, 号 3-4, p. 341-348, 発行日 2014-08 |
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| 著者版フラグ | ||||||
| 値 | publisher | |||||
| URI | ||||||
| 識別子 | http://hdl.handle.net/2237/20553 | |||||
| 識別子タイプ | HDL | |||||
