{"created":"2021-03-01T06:31:03.558162+00:00","id":23221,"links":{},"metadata":{"_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":["499:500:501"]},"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":[{"nameIdentifier":"68828","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Matsumoto, Akiyuki","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"68829","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Tanaka, Satoshi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"68830","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Morozumi, Masayoshi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"68831","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Machino, Masaaki","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"68832","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Ota, Kyotaro","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"68833","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Nakashima, Hiroaki","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"68834","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Wakao, Norimitsu","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"68835","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Nishida, Yoshihiro","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"68836","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Matsuyama, Yukihiro","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"68837","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Ishiguro, Naoki","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"68838","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-02-22"}],"displaytype":"detail","filename":"s-0036-1579662.pdf","filesize":[{"value":"334.6 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","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"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2017-01-18"},"publish_date":"2017-01-18","publish_status":"0","recid":"23221","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_creator_id":"1","weko_shared_id":-1},"updated":"2023-01-16T04:12:54.464512+00:00"}