2024-03-29T10:31:35Z
https://niigata-u.repo.nii.ac.jp/oai
oai:niigata-u.repo.nii.ac.jp:00022880
2022-12-15T03:53:12Z
453:456
471:537:538:1209
Analysis of Spinal Cord Lesions Following Operative Procedures to the Spine and Spinal Cord
脊椎・脊髄の手術的操作により発生した脊髄障害の臨床的解析
脊椎・脊髄の手術的操作により発生した脊髄障害の臨床的解析
本間, 隆夫
138350
Iatrogenic spinal cord lesion
Paraplegia
Postoperative complication
医原性脊髄障害
対麻痺
手術合併症
Sixty three of severe spinal cord lesions which took place in 55 cases during diagnostic and therapeutic procedures were analysed. The procedures consisted of posterior decompression of spinal cord, removal of anteriorly located spinal cord tumor, anterior spondylodesis, dissection of ossified arachnoiditis, myelography and epidural puncture and others. The causes of the spinal cord damage were classified into direct intra-medullary injury, excessive extra-medullary compression, side effect of intrathecally-induced drug, and other miscellaneous factors. The myelopathy which occurred even with procedures carried out by experts and also even during evoked spinal cord monitoring was characteristically associated with flaccid paralysis and suppressed tendon reflexes of lower extremities. 90.0% of the cases lost basic function of the hand such as self-feeding or gait as the result of the procedures. It remained eventually in 27.0% of the cases. Recovery did not depend on the neurological findings but on causes, speed of progression, severity of damage, initial sign of recovery and on interval from the trauma to the initial appropriate treatment. The prognosis can be predicted to a certain extent by these factors.
departmental bulletin paper
新潟医学会
1989-06
application/pdf
新潟医学会雑誌
6
103
497
508
新潟医学会雑誌
AN00182415
00290440
https://niigata-u.repo.nii.ac.jp/record/22880/files/103(6)_497-508.pdf
jpn