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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

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

http://hdl.handle.net/2237/25415
http://hdl.handle.net/2237/25415
4abce308-c170-449b-aae1-436fe3df759f
名前 / ファイル ライセンス アクション
s-0036-1579662.pdf s-0036-1579662.pdf (334.6 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 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
言語 en
著者 Imagama, Shiro

× Imagama, Shiro

WEKO 68821

en Imagama, Shiro

Search repository
Ando, Kei

× Ando, Kei

WEKO 68822

en Ando, Kei

Search repository
Ito, Zenya

× Ito, Zenya

WEKO 68823

en Ito, Zenya

Search repository
Kobayashi, Kazuyoshi

× Kobayashi, Kazuyoshi

WEKO 68824

en Kobayashi, Kazuyoshi

Search repository
Hida, Tetsuro

× Hida, Tetsuro

WEKO 68825

en Hida, Tetsuro

Search repository
Ito, Kenyu

× Ito, Kenyu

WEKO 68826

en Ito, Kenyu

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Ishikawa, Yoshimoto

× Ishikawa, Yoshimoto

WEKO 68827

en Ishikawa, Yoshimoto

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Tsushima, Mikito

× Tsushima, Mikito

WEKO 68828

en Tsushima, Mikito

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Matsumoto, Akiyuki

× Matsumoto, Akiyuki

WEKO 68829

en Matsumoto, Akiyuki

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Tanaka, Satoshi

× Tanaka, Satoshi

WEKO 68830

en Tanaka, Satoshi

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Morozumi, Masayoshi

× Morozumi, Masayoshi

WEKO 68831

en Morozumi, Masayoshi

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Machino, Masaaki

× Machino, Masaaki

WEKO 68832

en Machino, Masaaki

Search repository
Ota, Kyotaro

× Ota, Kyotaro

WEKO 68833

en Ota, Kyotaro

Search repository
Nakashima, Hiroaki

× Nakashima, Hiroaki

WEKO 68834

en Nakashima, Hiroaki

Search repository
Wakao, Norimitsu

× Wakao, Norimitsu

WEKO 68835

en Wakao, Norimitsu

Search repository
Nishida, Yoshihiro

× Nishida, Yoshihiro

WEKO 68836

en Nishida, Yoshihiro

Search repository
Matsuyama, Yukihiro

× Matsuyama, Yukihiro

WEKO 68837

en Matsuyama, Yukihiro

Search repository
Ishiguro, Naoki

× Ishiguro, Naoki

WEKO 68838

en Ishiguro, Naoki

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 T-OPLL
キーワード
主題Scheme Other
主題 RASPA
キーワード
主題Scheme Other
主題 salvage surgery for paralysis
キーワード
主題Scheme Other
主題 additional dekyphosis
キーワード
主題Scheme Other
主題 spinal cord shortening
キーワード
主題Scheme Other
主題 intraoperative neurophysiological monitoring
抄録
内容記述 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.
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-0036-1579662
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 8, p. 812-821, 発行日 2016-12
著者版フラグ
値 publisher
URI
識別子 https://doi.org/10.1055/s-0036-1579662
識別子タイプ DOI
URI
識別子 http://hdl.handle.net/2237/25415
識別子タイプ HDL
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