{"created":"2021-03-01T06:28:00.524849+00:00","id":22814,"links":{},"metadata":{"_buckets":{"deposit":"07cf722f-a2a3-46dd-8776-36b43024570d"},"_deposit":{"id":"22814","owners":[],"pid":{"revision_id":0,"type":"depid","value":"22814"},"status":"published"},"_oai":{"id":"oai:niigata-u.repo.nii.ac.jp:00022814","sets":["453:456","471:537:538:1207"]},"item_7_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Neurological Findings in Relation to the Level of Lumbar Disc Hernia"}]},"item_7_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1989-08","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"8","bibliographicPageEnd":"678","bibliographicPageStart":"667","bibliographicVolumeNumber":"103","bibliographic_titles":[{"bibliographic_title":"新潟医学会雑誌"},{"bibliographic_title":"新潟医学会雑誌","bibliographic_titleLang":"en"}]}]},"item_7_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Real neurological findings in 177 cases of lumbar disc hernia, the levels of which were operatively proved were compared with those described as corresponding to a certain level of hernia in books hitherto published. Sensory change in Keegan's L5 dermatome was accordant with L4-5 hernia only in 41%, that in S1 dermatome with L5-S1 hernia in 44%, and that in L4 dermatome with L3-4 hernia in 67%. Weakness of an entire lower limb or of lliopsoas was proved in accordance with L1-2 or L2-3 hernia. However, weakness of extensor hallucis longus with L4-5 hernia only in 65%, that of flexor hallucis longus with L5-S1 hernia in 37%, and that of quadriceps with L3-4 hernia in 44%. Patellar tendon reflex was diminished in 67% of L3-4 hernia, in 10% of L4-5 hernia, and in 6% of L5-S1 hernia. However, since the incidence of L4-5 hernia was much higher than L3-4 hernia, this finding was encountered in L4-5 hernia as often as in L3-4 hernia. By the same reason, diminished Achilles tendon reflex was encountered in L4-5 hernia as often as in L5-S1 hernia. Findings above described together with consideration that the positional deviation of a disc hernia at a certain lumbar intervertebral level did not cause simultaneous compression on a nerve root which branched at the level of herniation and one which branched one level above it, disclosed an individual difference in motor and sensory innervation was so great that a lumbar disc hernia at a certain level coincided with hitherto described neurological findings only in 40 to 60%. Results of this study led to the conclusion that the level of lumbar disc hernia could not be determined only with neurological findings but with myelography and other figure analyses.","subitem_description_type":"Abstract"}]},"item_7_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"138109","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Yashiro, Kouzou"}]}]},"item_7_publisher_7":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"新潟医学会"}]},"item_7_select_19":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_select_item":"publisher"}]},"item_7_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00182415","subitem_source_identifier_type":"NCID"}]},"item_7_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"00290440","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"谷代, 弘三"}],"nameIdentifiers":[{"nameIdentifier":"138108","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-08-19"}],"displaytype":"detail","filename":"103(8)_667-678.pdf","filesize":[{"value":"2.7 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"103(8)_667-678.pdf","url":"https://niigata-u.repo.nii.ac.jp/record/22814/files/103(8)_667-678.pdf"},"version_id":"241d0fc0-5595-4c3d-a136-0041fcc4b112"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Lumbar disc hernia","subitem_subject_scheme":"Other"},{"subitem_subject":"Diagnosis","subitem_subject_scheme":"Other"},{"subitem_subject":"Neurological findings","subitem_subject_scheme":"Other"},{"subitem_subject":"腰椎椎間板ヘルニア","subitem_subject_scheme":"Other"},{"subitem_subject":"診断","subitem_subject_scheme":"Other"},{"subitem_subject":"神経学的所見","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"腰椎椎間板ヘルニアレベルに対する神経学的所見の検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"腰椎椎間板ヘルニアレベルに対する神経学的所見の検討"},{"subitem_title":"腰椎椎間板ヘルニアレベルに対する神経学的所見の検討","subitem_title_language":"en"}]},"item_type_id":"7","owner":"1","path":["456","1207"],"pubdate":{"attribute_name":"公開日","attribute_value":"2016-04-12"},"publish_date":"2016-04-12","publish_status":"0","recid":"22814","relation_version_is_last":true,"title":["腰椎椎間板ヘルニアレベルに対する神経学的所見の検討"],"weko_creator_id":"1","weko_shared_id":null},"updated":"2022-12-15T03:52:44.990370+00:00"}