{"_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", "sets": ["501"]}, "author_link": ["68821", "68822", "68823", "68824", "68825", "68826", "68827", "68828", "68829", "68830", "68831", "68832", "68833", "68834", "68835", "68836", "68837", "68838"], "item_10_biblio_info_6": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2016-12", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "8", "bibliographicPageEnd": "821", "bibliographicPageStart": "812", "bibliographicVolumeNumber": "6", "bibliographic_titles": [{"bibliographic_title": "Global Spine Journal", "bibliographic_titleLang": "en"}]}]}, "item_10_description_4": {"attribute_name": "抄録", "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 “resection at an anterior site of the spinal cord from a posterior approach” (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_language": "en", "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": "出版者", "attribute_value_mlt": [{"subitem_publisher": "Georg Thieme Verlag", "subitem_publisher_language": "en"}]}, "item_10_relation_11": {"attribute_name": "DOI", "attribute_value_mlt": [{"subitem_relation_type": "isVersionOf", "subitem_relation_type_id": {"subitem_relation_type_id_text": "https://doi.org/10.1055/s-0036-1579662", "subitem_relation_type_select": "DOI"}}]}, "item_10_rights_12": {"attribute_name": "権利", "attribute_value_mlt": [{"subitem_rights": "CC BY-NC-ND", "subitem_rights_language": "en"}]}, "item_10_select_15": {"attribute_name": "著者版フラグ", "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": "PISSN"}]}, "item_1615787544753": {"attribute_name": "出版タイプ", "attribute_value_mlt": [{"subitem_version_resource": "http://purl.org/coar/version/c_970fb48d4fbd8a85", "subitem_version_type": "VoR"}]}, "item_access_right": {"attribute_name": "アクセス権", "attribute_value_mlt": [{"subitem_access_right": "open access", "subitem_access_right_uri": "http://purl.org/coar/access_right/c_abf2"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "Imagama, Shiro", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "68821", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Ando, Kei", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "68822", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Ito, Zenya", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "68823", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Kobayashi, Kazuyoshi", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "68824", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Hida, Tetsuro", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "68825", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Ito, Kenyu", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "68826", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Ishikawa, Yoshimoto", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "68827", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Tsushima, Mikito", "creatorNameLang": "en"}], "nameIdentifiers": 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"s-0036-1579662.pdf", "filesize": [{"value": "334.6 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_note", "mimetype": "application/pdf", "size": 334600.0, "url": {"label": "s-0036-1579662.pdf", "objectType": "fulltext", "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": "キーワード", "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": "言語", "attribute_value_mlt": [{"subitem_language": "eng"}]}, "item_resource_type": {"attribute_name": "資源タイプ", "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": "タイトル", "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", "subitem_title_language": "en"}]}, "item_type_id": "10", "owner": "1", "path": ["501"], "permalink_uri": "http://hdl.handle.net/2237/25415", "pubdate": {"attribute_name": "PubDate", "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": -1}