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  1. C100 医学部/医学系研究科
  2. C100b 刊行物
  3. Nagoya journal of medical science
  4. 80(1)

Surgical outcomes of decompressive laminoplasty with spinous process osteotomy to treat lumbar spinal stenosis

https://doi.org/10.18999/nagjms.80.1.1
https://doi.org/10.18999/nagjms.80.1.1
ce01f417-3f74-4bf3-a691-dd3ee8004494
名前 / ファイル ライセンス アクション
01_Kanbara.pdf 01_Kanbara (8.7 MB)
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アイテムタイプ 紀要論文 / Departmental Bulletin Paper(1)
公開日 2018-03-19
タイトル
タイトル Surgical outcomes of decompressive laminoplasty with spinous process osteotomy to treat lumbar spinal stenosis
言語 en
著者 Kanbara, Shunsuke

× Kanbara, Shunsuke

WEKO 75423

en Kanbara, Shunsuke

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Urasaki, Testuya

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en Urasaki, Testuya

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Tomita, Hiroyuki

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Ando, Kei

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Kobayashi, Kazuyoshi

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Ito, Kenyu

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Tsushima, Mikito

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Matsumoto, Akiyuki

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Morozumi, Masayoshi

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Tanaka, Satoshi

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Ota, Kyotaro

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Machino, Masaaki

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Ito, Sadayuki

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Nishida, Yoshihiro

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Ishiguro, Naoki

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Imagama , Shiro

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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
権利情報Resource http://creativecommons.org/licenses/by-nc-nd/4.0/
権利情報 Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
言語 en
キーワード
主題Scheme Other
主題 decompressive laminoplasty with spinous process osteotomy
キーワード
主題Scheme Other
主題 lumbar spinal stenosis
キーワード
主題Scheme Other
主題 a less invasive procedure
キーワード
主題Scheme Other
主題 surgical outcome
抄録
内容記述タイプ Abstract
内容記述 Decompressive laminoplasty with spinous process osteotomy (LSPO) was developed as a less invasive procedure for lumbar decompression by Weiner et al. There are few reports extensively highlighting the surgical outcomes of LSPO. The purpose of this study was to evaluate the surgical outcomes of LSPO for lumbar spinal stenosis (LSS). In total, 23 patients with LSS were studied. All patients were followed up for more than 2 years. The Japanese Orthopedic Association (JOA) scores, the recovery rate (RR) of JOA scores, Visual analog scale (VAS) scores, responses to the JOA Back Pain Evaluation Questionnaire (JOABPEQ), sagittal alignment and segmental motion following LSPO were assessed preoperatively and 2 years postoperatively. Postoperative paravertebral muscle atrophy and bone union rates between the spinous process and the residual laminae were assessed. Preoperative and 2-year postoperative JOA scores were 13.0 points and 24.7 points, respectively (p<0.001). With respect to JOABPEQ, significant improvements were observed in pain-related disorders (p<0.05), walking ability (p<0.01), social life function (p<0.05), and mental health (p<0.05) dimensions. There were no significant differences between preoperative and 2-year postoperative sagittal alignment and range of motion. The degree of the paravertebral muscle atrophy at 2 years postoperatively was 23.0 % at spread side and 9.6 % at nonspread side (p<0.01). The fusion rate of the spinous process with the arcus vertebrae was 87%. This result reveals that LSPO could acquire the reconstruction of posterior supporting structures. We demonstrated that LSPO could be a one of the surgical options for LSS.
言語 en
出版者
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語 en
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
ID登録
ID登録 10.18999/nagjms.80.1.1
ID登録タイプ JaLC
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/801.html
ISSN(print)
収録物識別子タイプ PISSN
収録物識別子 0027-7622
ISSN(Online)
収録物識別子タイプ EISSN
収録物識別子 2186-3326
書誌情報 en : Nagoya Journal of Medical Science

巻 80, 号 1, p. 1-9, 発行日 2018-02
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