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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

Ponte Osteotomy During Dekyphosis for Indirect Posterior Decompression With Ossification of the Posterior Longitudinal Ligament of the Thoracic Spine

http://hdl.handle.net/2237/00028404
070a3264-aba2-4710-beee-5262088166e6
名前 / ファイル ライセンス アクション
No62ando.pdf No62ando (148.1 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2018-08-01
タイトル
タイトル Ponte Osteotomy During Dekyphosis for Indirect Posterior Decompression With Ossification of the Posterior Longitudinal Ligament of the Thoracic Spine
著者 Ando, Kei

× Ando, Kei

WEKO 78592

Ando, Kei

Search repository
Imagama, Shiro

× Imagama, Shiro

WEKO 78593

Imagama, Shiro

Search repository
Ito, Zenya

× Ito, Zenya

WEKO 78594

Ito, Zenya

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Kobayashi, Kazuyoshi

× Kobayashi, Kazuyoshi

WEKO 78595

Kobayashi, Kazuyoshi

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Ukai, Junichi

× Ukai, Junichi

WEKO 78596

Ukai, Junichi

Search repository
Muramoto, Akio

× Muramoto, Akio

WEKO 78597

Muramoto, Akio

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Shinjo, Ryuichi

× Shinjo, Ryuichi

WEKO 78598

Shinjo, Ryuichi

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Matsumoto, Tomohiro

× Matsumoto, Tomohiro

WEKO 78599

Matsumoto, Tomohiro

Search repository
Nakashima, Hiroaki

× Nakashima, Hiroaki

WEKO 78600

Nakashima, Hiroaki

Search repository
Matsuyama, Yukihiro

× Matsuyama, Yukihiro

WEKO 78601

Matsuyama, Yukihiro

Search repository
Ishiguro, Naoki

× Ishiguro, Naoki

WEKO 78602

Ishiguro, Naoki

Search repository
権利
権利情報 "This is a non-final version of an article published in final form in (Clinical Spine Surgery. v.30, n.4, 2017, p.E358-E362)".
抄録
内容記述 Study Design: Retrospective clinical study. Purpose: To investigate the outcomes after indirect posterior decompression and dekyphosis using multilevel Ponte osteotomies for ossification of the posterior longitudinal ligament (OPLL) of the thoracic spine. Summary of Background Data: There are no previous reports on the use of Ponte osteotomy to treat thoracic OPLL. Methods: The subjects were 10 patients with an average age at surgery of 47 years, who underwent indirect posterior decompression and dekyphosis using multilevel Ponte osteotomies at our institute. Minimum follow-up period was 2 years, and averaged 2 year 6 months. Using radiographs and CT images, we investigated fusion range, preoperative and postoperative Cobb angles of thoracic fusion levels, intraoperative ultrasonography, and clinical results. Results: The mean fusion area was 9.8 vertebraes, with average laminectomy of 7.3 laminas. The mean preoperative thoracic kyphosis of fusion levels on standing radiograph measured 35 degrees and was changed to 21 degrees after surgery. The mean number of Ponte osteotomies was 3 levels. The mean preoperative and postoperative (at the 1 y follow-up) JOA scores were 3.5 and 7.5 points, respectively, and the recovery rate was 56%. On intraoperative ultrasonography, 7 of the cases were included in the floating (+) and 3 in the floating (−) groups, and the recovery rates were 66.0% and 33.4%, respectively. Conclusions: “The Ponte procedure for indirect spinal cord decompression” is a novel concept used for the first time with thoracic OPLL in our study, and we consider it a useful method to achieve more effectively dekyphosis and indirect spinal cord decompression if there is not the spinal cord free from OPLL on intraoperative ultrasonography after only laminectomies.
内容記述タイプ Abstract
出版者
出版者 Wolters Kluwer Health
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
DOI
関連識別子
識別子タイプ DOI
関連識別子 https://doi.org/10.1097/BSD.0000000000000188
ISSN
収録物識別子タイプ ISSN
収録物識別子 2380-0186
書誌情報 Clinical Spine Surgery

巻 30, 号 4, p. E358-E362, 発行日 2017-05
著者版フラグ
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