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頸部脊柱管拡大術 : 術後頸椎アライメントの変化ならびに縦割棘突起間骨移植の必要性について
http://hdl.handle.net/10191/37051
http://hdl.handle.net/10191/37051aeb54f66-7e5a-4f2d-a7b3-91cec8756fbe
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
107(1)_19-28.pdf (2.5 MB)
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| Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2016-01-25 | |||||
| タイトル | ||||||
| タイトル | 頸部脊柱管拡大術 : 術後頸椎アライメントの変化ならびに縦割棘突起間骨移植の必要性について | |||||
| タイトル | ||||||
| タイトル | 頸部脊柱管拡大術 : 術後頸椎アライメントの変化ならびに縦割棘突起間骨移植の必要性について | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | jpn | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | laminoplasty | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | intra-spinous bone graft | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | kyphotic deformity | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 脊柱管拡大術 | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 縦割棘突起間骨移植 | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 後彎変形 | |||||
| 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 | Laminoplasty of the Cervical Spine by Sagittal Splitting of Spinous Processes : Necessity of Bone Grafting and Change of Curvature | |||||
| 著者 |
新井, 久夫
× 新井, 久夫 |
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| 著者別名 | ||||||
| 識別子Scheme | WEKO | |||||
| 識別子 | 125943 | |||||
| 姓名 | Arai, Hisao | |||||
| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Laminoplasty of the cervical spine was performed by sagittal splitting of spinous processes in 127 cases, 63 males and 64 females with cervical myelopathy. The iliac bone was grafted into split spinous processes in 63 cases, and their average age was 59.1 years. The bone was inserted into each split spinous process of 46 cases (K-O method), and a longer bone was inserted to obtain interspinous fusion in 17 cases (K-PF method). No bone was grafted in split spinous process of 64 cases (T-method), and their average age was 61.6 years. Operative time was shorter and blood loss was less in cases without bone grafting than with bone grafting. There was no significant difference between K-O, K-PF and T-method with regard to pre- and postoperative JOA score, and Hirabayashi's recovery rate. Alignment of the cervical spine of lateral view X-ray at neutral position was evaluated before and after surgery in 39 cases by K-O method, 17 cases by K-PF method and 53 cases by T-method. In 31 cases by K-O method with preoperative lordosis, 25 remained lordotic, 3 were straight and 3 were kyphotic, postoperatively. In 17 cases by K-PF method, 10 cases with preoperative lordosis maintained all to have lordosis. Bone grafting may maintain lordosis of the cervical spine. In the patients without bone grafting by T-method, 44 out of 46 with preoperative lordosis remained lordotic, but 2 became straight. A trend of improvement was shown more in cases with lordosis than with straight or kyphotic spine by Hirabayashi's recovery rate. The range of motion of cervical spine was significantly decreased postoperatively in all three methods, more in cases with bone grafting. There was no significant difference of the angle of enlarged laminae, assessed by computed tomography, between right after surgery and at the time of follow-up, even though bone union did not occur or even the grafted bone became smaller or disappeared. The effect of laminoplasty was obtained whether or not bone grafting were performed. | |||||
| 書誌情報 |
新潟医学会雑誌 en : 新潟医学会雑誌 巻 107, 号 1, p. 19-28, 発行日 1993-01 |
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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 | |||||
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Cite as
新井, 久夫, 1993, 頸部脊柱管拡大術 : 術後頸椎アライメントの変化ならびに縦割棘突起間骨移植の必要性について: 新潟医学会, 19–28 p.
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