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頸椎除圧手術に合併する上肢に限局した神経学的障害の分析
http://hdl.handle.net/10191/46637
http://hdl.handle.net/10191/4663710695c4d-14a0-465f-bcc1-ea8142606c1b
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
113(4)_217-224.pdf (1.4 MB)
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| Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2017-02-21 | |||||
| タイトル | ||||||
| タイトル | 頸椎除圧手術に合併する上肢に限局した神経学的障害の分析 | |||||
| タイトル | ||||||
| タイトル | 頸椎除圧手術に合併する上肢に限局した神経学的障害の分析 | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | jpn | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | cervical myelopathy | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | decompression surgery | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | neurological complication | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | postoperative radiculopathy | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | postoperative myelopathy | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 頸部脊髄症 | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 徐圧手術 | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 神経学的合併症 | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 術後神経根症 | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 術後脊髄症 | |||||
| 資源タイプ | ||||||
| 資源 | http://purl.org/coar/resource_type/c_6501 | |||||
| タイプ | departmental bulletin paper | |||||
| その他のタイトル | ||||||
| その他のタイトル | Analysis of Neurological Complications, Limited in Upper Extremities After Cervical Decompression Surgery | |||||
| 著者 |
千葉, 義和
× 千葉, 義和 |
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| 著者別名 | ||||||
| 識別子Scheme | WEKO | |||||
| 識別子 | 102871 | |||||
| 姓名 | Chiba, Yoshikazu | |||||
| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Neurological complications occurred after cervical decompression surgery for cervical myelopathy or radiculopathy. due to cervical disc herniation, spondylosis, ossification of the posterior longitudinal ligament （OPLL）, ossification or calcification of the yellow ligament were reviewed’in 507 cases. Anterior decompression and fusion were performed in 288 cases, included 129 anterior interbody fusions and 159 subtotal corpectomies with strut bone graft. Posterior decompression were performed in 219 cases, included 62 laminectomies and 157 laminoplasties. Forty－two patients （8. 30／o）developed new neurological symptoms, limited in upper extremities after surgery. These symtoms were classfied into two types on the basis of the neurological signs： disturbance of single root function （25 cases） or of multiple roots function （17 cases）. There were no differences in time of the onset, existence of pain and recovery rate between two types. As a result of multivariate analysis between 5 factors, i. e. sex, aging, type of disease, stage of myelopathy and approach of procedures： anterior or posterior, only aging （p〈O. 05） and OPLL （p〈O. Ol） were risk factors. In the case of anterior approach, the more widely decompression surgery performed, the more frequently new symptoms occurred （p〈O. Ol）. In the case of posterior approach, there was no difference in risk between laminectomy and laminoplasty. There were no findings of compression of root in postoperative CTM or MRI. It has been considered this disturbance to be root injury, and reported several mechanisms until now. However, it was difficult to explain the new symptoms limited only in upper extremities as single root injury Consequently, myelopathy was strong suspected in most of cases of this report. | |||||
| 書誌情報 |
新潟医学会雑誌 en : 新潟医学会雑誌 巻 113, 号 4, p. 217-224, 発行日 1999-04 |
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| 出版者 | ||||||
| 出版者 | 新潟医学会 | |||||
| ISSN | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 00290440 | |||||
| 書誌レコードID | ||||||
| 収録物識別子タイプ | NCID | |||||
| 収録物識別子 | AN00182415 | |||||
| 著者版フラグ | ||||||
| 値 | publisher | |||||
