{"_buckets": {"deposit": "608164da-52a5-416d-b776-153c26e7dc05"}, "_deposit": {"id": "23221", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "23221"}, "status": "published"}, "_oai": {"id": "oai:nagoya.repo.nii.ac.jp:00023221"}, "item_10_biblio_info_6": {"attribute_name": "\u66f8\u8a8c\u60c5\u5831", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2016-12", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "8", "bibliographicPageEnd": "821", "bibliographicPageStart": "812", "bibliographicVolumeNumber": "6", "bibliographic_titles": [{"bibliographic_title": "Global Spine Journal"}]}]}, "item_10_description_4": {"attribute_name": "\u6284\u9332", "attribute_value_mlt": [{"subitem_description": "Study Design: Prospective clinical study. Objective: Posterior decompression and fusion surgery for beak-type thoracic ossification of the posterior longitudinal ligament (T-OPLL) generally has a favorable outcome. However, some patients require additional surgery for postoperative severe paralysis, a condition that is inadequately discussed in the literature. The objective of this study was to describe the efficacy of a procedure we refer to as \u201cresection at an anterior site of the spinal cord from a posterior approach\u201d (RASPA) for severely paralyzed patients after posterior decompression and fusion surgery for beak-type T-OPLL. Methods: Among 58 consecutive patients who underwent posterior decompression and fusion surgery for beak-type T-OPLL since 1999, 3 with postoperative paralysis (5%) underwent RASPA in our institute. Clinical records, the Japanese Orthopaedic Association score, gait status, intraoperative neurophysiological monitoring (IONM) findings, and complications were evaluated in these cases. Results: All three patients experienced a postoperative decline in Manual Muscle Test (MMT) scores of 0 to 2 after the first surgery. RASPA was performed 3 weeks after the first surgery. All patients showed gradual improvements in MMT scores for the lower extremity and in ambulatory status; all could walk with a cane at an average of 4 months following RASPA surgery. There were no postoperative complications. Conclusions: RASPA surgery for beak-type T-OPLL after posterior decompression and fusion surgery resulted in good functional outcomes as a salvage surgery for patients with severe paralysis. Advantages of RASPA include a wide working space, no spinal cord retraction, and additional decompression at levels without T-OPLL resection and spinal cord shortening after additional dekyphosis and compression maneuvers. When used with IONM, this procedure may help avoid permanent postoperative paralysis.", "subitem_description_type": "Abstract"}]}, "item_10_identifier_60": {"attribute_name": "URI", "attribute_value_mlt": [{"subitem_identifier_type": "DOI", "subitem_identifier_uri": "https://doi.org/10.1055/s-0036-1579662"}, {"subitem_identifier_type": "HDL", "subitem_identifier_uri": "http://hdl.handle.net/2237/25415"}]}, "item_10_publisher_32": {"attribute_name": "\u51fa\u7248\u8005", "attribute_value_mlt": [{"subitem_publisher": "Georg Thieme Verlag"}]}, "item_10_rights_12": {"attribute_name": "\u6a29\u5229", "attribute_value_mlt": [{"subitem_rights": "CC BY-NC-ND"}]}, "item_10_select_15": {"attribute_name": "\u8457\u8005\u7248\u30d5\u30e9\u30b0", "attribute_value_mlt": [{"subitem_select_item": "publisher"}]}, "item_10_source_id_7": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "2192-5682", "subitem_source_identifier_type": "ISSN"}]}, "item_creator": {"attribute_name": "\u8457\u8005", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "Imagama, Shiro"}], "nameIdentifiers": [{"nameIdentifier": "68821", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Ando, Kei"}], "nameIdentifiers": [{"nameIdentifier": "68822", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Ito, Zenya"}], "nameIdentifiers": [{"nameIdentifier": "68823", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Kobayashi, Kazuyoshi"}], "nameIdentifiers": [{"nameIdentifier": "68824", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Hida, Tetsuro"}], "nameIdentifiers": [{"nameIdentifier": "68825", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Ito, Kenyu"}], "nameIdentifiers": [{"nameIdentifier": "68826", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Ishikawa, Yoshimoto"}], "nameIdentifiers": [{"nameIdentifier": "68827", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Tsushima, Mikito"}], "nameIdentifiers": [{"nameIdentifier": "68828", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Matsumoto, Akiyuki"}], "nameIdentifiers": [{"nameIdentifier": "68829", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Tanaka, Satoshi"}], "nameIdentifiers": [{"nameIdentifier": "68830", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Morozumi, Masayoshi"}], "nameIdentifiers": [{"nameIdentifier": "68831", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Machino, Masaaki"}], "nameIdentifiers": [{"nameIdentifier": "68832", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Ota, Kyotaro"}], "nameIdentifiers": [{"nameIdentifier": "68833", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Nakashima, Hiroaki"}], "nameIdentifiers": [{"nameIdentifier": "68834", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Wakao, Norimitsu"}], "nameIdentifiers": [{"nameIdentifier": "68835", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Nishida, Yoshihiro"}], "nameIdentifiers": [{"nameIdentifier": "68836", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Matsuyama, Yukihiro"}], "nameIdentifiers": [{"nameIdentifier": "68837", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Ishiguro, Naoki"}], "nameIdentifiers": [{"nameIdentifier": "68838", "nameIdentifierScheme": "WEKO"}]}]}, "item_files": {"attribute_name": "\u30d5\u30a1\u30a4\u30eb\u60c5\u5831", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2018-02-22"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "s-0036-1579662.pdf", "filesize": [{"value": "334.6 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 334600.0, "url": {"label": "s-0036-1579662.pdf", "url": "https://nagoya.repo.nii.ac.jp/record/23221/files/s-0036-1579662.pdf"}, "version_id": "77b25ba3-91cc-4b58-be27-6a0d2f5ef3c6"}]}, "item_keyword": {"attribute_name": "\u30ad\u30fc\u30ef\u30fc\u30c9", "attribute_value_mlt": [{"subitem_subject": "T-OPLL", "subitem_subject_scheme": "Other"}, {"subitem_subject": "RASPA", "subitem_subject_scheme": "Other"}, {"subitem_subject": "salvage surgery for paralysis", "subitem_subject_scheme": "Other"}, {"subitem_subject": "additional dekyphosis", "subitem_subject_scheme": "Other"}, {"subitem_subject": "spinal cord shortening", "subitem_subject_scheme": "Other"}, {"subitem_subject": "intraoperative neurophysiological monitoring", "subitem_subject_scheme": "Other"}]}, "item_language": {"attribute_name": "\u8a00\u8a9e", "attribute_value_mlt": [{"subitem_language": "eng"}]}, "item_resource_type": {"attribute_name": "\u8cc7\u6e90\u30bf\u30a4\u30d7", "attribute_value_mlt": [{"resourcetype": "journal article", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "Resection of Beak-Type Thoracic Ossification of the Posterior Longitudinal Ligament from a Posterior Approach under Intraoperative Neurophysiological Monitoring for Paralysis after Posterior Decompression and Fusion Surgery", "item_titles": {"attribute_name": "\u30bf\u30a4\u30c8\u30eb", "attribute_value_mlt": [{"subitem_title": "Resection of Beak-Type Thoracic Ossification of the Posterior Longitudinal Ligament from a Posterior Approach under Intraoperative Neurophysiological Monitoring for Paralysis after Posterior Decompression and Fusion Surgery"}]}, "item_type_id": "10", "owner": "1", "path": ["499/500/501"], "permalink_uri": "http://hdl.handle.net/2237/25415", "pubdate": {"attribute_name": "\u516c\u958b\u65e5", "attribute_name_i18n": "\u516c\u958b\u65e5", "attribute_value": "2017-01-18"}, "publish_date": "2017-01-18", "publish_status": "0", "recid": "23221", "relation": {}, "relation_version_is_last": true, "title": ["Resection of Beak-Type Thoracic Ossification of the Posterior Longitudinal Ligament from a Posterior Approach under Intraoperative Neurophysiological Monitoring for Paralysis after Posterior Decompression and Fusion Surgery"], "weko_shared_id": null}