@article{oai:niigata-u.repo.nii.ac.jp:00022608,
 author = {羽場, 輝夫},
 issue = {2},
 journal = {新潟医学会雑誌, 新潟医学会雑誌},
 month = {Feb},
 note = {The compression fracture of osteoporotic spine sometimes causes incomplete paraplegia or prolonged severe back pain which have to be treated by an operative treament in order to regain normal activity of daily living as early as possible. Few reports of the operative treatment for compression fracture of osteoporotic spine are not always satisfactory in regard to maintenance of the spinal alignment for a long time. The purpose of this study is to clarify the appropriate operative procedures based on the results obtained by investigation of 17 cases of spondyloporotic compression fracture that were operated on. The essential pathology, which caused paraplegia due to protrusion of posterior wall of the fractured vertebra or angulation of the spinal column and prolonged pain due to delayed union with vacuum phenomenon visualized on X-ray, was thought to be an impaired fracture healing accompanied with the involutional osteoporosis. An appropriate operative procedure is to facilitate union of the fractured vertebra itself with or without simultaneous use of a short instrument. Anterior decompression and interbody fusion will be able to remove the neurological complication and maintain the spinal alignment, however this will be too invasive for the elderly. Packing of synthesized hydroxyapatite granules and iliac bone chips into the fractured vertebra through transpedicular route with simultaneous use of a short instrument maintaining the reconstructed posterior wall and the spinal alignment is a new idea proposed by the author as to the operative treatment for compression or burst fracture.},
 pages = {86--102},
 title = {椎骨粗鬆症例における椎体圧迫骨折に対する手術療法},
 volume = {104},
 year = {1990}
}