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  1. C100 医学部/医学系研究科
  2. C100a 雑誌掲載論文
  3. 学術雑誌

Comparative Study of Untethering and Spine-Shortening Surgery for Tethered Cord Syndrome in Adults

http://hdl.handle.net/2237/25414
http://hdl.handle.net/2237/25414
3a145693-fc84-4b5a-bebb-fe21c777d2c6
名前 / ファイル ライセンス アクション
s-0035-1569004.pdf s-0035-1569004.pdf (202.1 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2017-01-18
タイトル
タイトル Comparative Study of Untethering and Spine-Shortening Surgery for Tethered Cord Syndrome in Adults
言語 en
著者 Nakashima, Hiroaki

× Nakashima, Hiroaki

WEKO 68804

en Nakashima, Hiroaki

Search repository
Imagama, Shiro

× Imagama, Shiro

WEKO 68805

en Imagama, Shiro

Search repository
Matsui, Hiroki

× Matsui, Hiroki

WEKO 68806

en Matsui, Hiroki

Search repository
Yukawa, Yasutsugu

× Yukawa, Yasutsugu

WEKO 68807

en Yukawa, Yasutsugu

Search repository
Sato, Koji

× Sato, Koji

WEKO 68808

en Sato, Koji

Search repository
Kanemura, Tokumi

× Kanemura, Tokumi

WEKO 68809

en Kanemura, Tokumi

Search repository
Kamiya, Mitsuhiro

× Kamiya, Mitsuhiro

WEKO 68810

en Kamiya, Mitsuhiro

Search repository
Ito, Kenyu

× Ito, Kenyu

WEKO 68811

en Ito, Kenyu

Search repository
Matsuyama, Yukihiro

× Matsuyama, Yukihiro

WEKO 68812

en Matsuyama, Yukihiro

Search repository
Ishiguro, Naoki

× Ishiguro, Naoki

WEKO 68813

en Ishiguro, Naoki

Search repository
Kato, Fumihiko

× Kato, Fumihiko

WEKO 68814

en Kato, Fumihiko

Search repository
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
権利
言語 en
権利情報 CC BY-NC-ND
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 adult
キーワード
主題Scheme Other
主題 untethering
キーワード
主題Scheme Other
主題 spine-shortening osteotomy
抄録
内容記述 Study Design: Retrospective multicenter study. Objective: Although untethering surgery has been a standard treatment in patients with adult tethered cord syndrome (TCS), spine-shortening osteotomy (SSO) has recently been performed as an alternative technique. The purpose of this study was to compare the clinical outcomes of the two procedures for TCS in adults. Methods: Fourteen patients (37.7 ± 12.5 years) with TCS were enrolled at 6 hospitals. Their clinical charts, operative records, and follow-up data were reviewed. The categories of tethering lesions were tight terminal filum in 1 patient, lipoma in 5 patients, and lipomyelomeningocele in 8 patients. Eleven patients underwent untethering surgery, and 3 patients underwent SSO surgery. Results: There were no significant differences in age, sex, types of preoperative symptoms, or duration of follow-up between the two groups. The preoperative duration of symptoms was significantly longer (25 ± 12.4 years) and the percentage of those with prior surgery was higher in the SSO group (66.7%). The preoperative pathology was lipomeningocele in all SSO group and lipoma or tight terminal filum in the untethering group. Cerebrospinal fluid leakage and urinary infection occurred in 1 patient each among those with untethering, and massive intraoperative bleeding occurred in 1 patient with SSO. SSO provided better clinical improvement than untethering surgery (p = 0.003). Conclusions: Based on this small retrospective case series, SSO appears to provide clinical improvement at least comparable to the untethering procedure, especially in more challenging cases.
言語 en
内容記述タイプ Abstract
出版者
言語 en
出版者 Georg Thieme Verlag
言語
言語 eng
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
タイプ journal article
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
DOI
関連タイプ isVersionOf
識別子タイプ DOI
関連識別子 https://doi.org/10.1055/s-0035-1569004
ISSN
収録物識別子タイプ PISSN
収録物識別子 2192-5682
書誌情報 en : Global Spine Journal

巻 6, 号 6, p. 535-541, 発行日 2016-09
著者版フラグ
値 publisher
URI
識別子 http://doi.org/10.1055/s-0035-1569004
識別子タイプ DOI
URI
識別子 http://hdl.handle.net/2237/25414
識別子タイプ HDL
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