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  1. C100 医学部/医学系研究科
  2. C100b 刊行物
  3. Nagoya journal of medical science
  4. 77(1-2)

Grafted Vertebral Fracture after Implant Removal in a Patient with Spine-Shortening Vertebral Osteotomy

https://doi.org/10.18999/nagjms.77.1-2.315
https://doi.org/10.18999/nagjms.77.1-2.315
9e937c76-137f-4682-aed6-c3a7fef1c135
名前 / ファイル ライセンス アクション
43_Nakashima.pdf 43_Nakashima.pdf (395.8 kB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2015-02-27
タイトル
タイトル Grafted Vertebral Fracture after Implant Removal in a Patient with Spine-Shortening Vertebral Osteotomy
言語 en
著者 NAKASHIMA, HIROAKI

× NAKASHIMA, HIROAKI

WEKO 56141

en NAKASHIMA, HIROAKI

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YUKAWA, YASUTSUGU

× YUKAWA, YASUTSUGU

WEKO 56142

en YUKAWA, YASUTSUGU

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ITO, KEIGO

× ITO, KEIGO

WEKO 56143

en ITO, KEIGO

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MACHINO, MASAAKI

× MACHINO, MASAAKI

WEKO 56144

en MACHINO, MASAAKI

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KANBARA, SHUNSUKE

× KANBARA, SHUNSUKE

WEKO 56145

en KANBARA, SHUNSUKE

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MORITA, DAIGO

× MORITA, DAIGO

WEKO 56146

en MORITA, DAIGO

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IMAGAMA, SHIRO

× IMAGAMA, SHIRO

WEKO 56147

en IMAGAMA, SHIRO

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ISHIGURO, NAOKI

× ISHIGURO, NAOKI

WEKO 56148

en ISHIGURO, NAOKI

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KATO, FUMIHIKO

× KATO, FUMIHIKO

WEKO 56149

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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 implant removal
キーワード
主題Scheme Other
主題 spine-shortening vertebral osteotomy
キーワード
主題Scheme Other
主題 tethered cord syndrome
キーワード
主題Scheme Other
主題 grafted vertebral fracture
抄録
内容記述タイプ Abstract
内容記述 We experienced the rare complication of a vertebral fracture that was caused by implant removal after bony fusion had been achieved in a patient who underwent spine-shortening osteotomy (SSO) for tethered cord syndrome (TCS). We propose that the removal of the implant used for SSO should be contraindicated. The patient (a 27-year-old female) presented to our institution with a history of progressive severe lower back pain, gait disturbance, and urinary incontinence. As an infant, she had undergone surgery for spina bifida with lipoma. Magnetic resonance imaging of the spine revealed tethering of the spinal cord to a lipoma. We performed SSO at the level of the L1 vertebra level. After spine shortening and fixation using a posterior approach, the L1 vertebral body was completely removed anteriorly and replaced with a left iliac bone graft. The patient’s symptoms improved after surgery. After bony fusion was achieved after surgery, we decided to remove the spinal implant after we explained the advantages and disadvantages of the procedure to the patient. We performed implant removal surgery safely 2 years later; however, the patient complained of severe lower back pain 10 days after the surgery without any history of trauma. Reconstruction computed tomography showed fracture of the grafted vertebra. We performed a repeat posterior fixation, which relieved the lower back pain; she has experienced no complications in the subsequent 5 years. In summary, we report a case of a rare complication of the fracture of a grafted vertebra after removal of an implant used in SSO for TCS. Spinal stability could not be maintained without the spinal posterior implant after SSO. Postoperative fracture after spinal implant removal is rare but possible, and patients must be informed of this potential risk.
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 http://purl.org/coar/resource_type/c_6501
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.77.1-2.315
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/7712.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 77, 号 1-2, p. 315-320, 発行日 2015-02
著者版フラグ
値 publisher
URI
識別子 http://hdl.handle.net/2237/21285
識別子タイプ HDL
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