{"created":"2021-03-01T06:12:25.745529+00:00","id":8413,"links":{},"metadata":{"_buckets":{"deposit":"ce7f0f1c-87ef-45c4-82b2-a1b33706a656"},"_deposit":{"id":"8413","owners":[],"pid":{"revision_id":0,"type":"depid","value":"8413"},"status":"published"},"_oai":{"id":"oai:niigata-u.repo.nii.ac.jp:00008413","sets":["453:456","471:537:538:894"]},"item_7_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"The Challenge to Spinal Deformity"}]},"item_7_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2016-10","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"10","bibliographicPageEnd":"558","bibliographicPageStart":"551","bibliographicVolumeNumber":"130","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":"脊柱変形は脊柱の3次元的な弯曲異常であり，高度進行例では重篤な呼吸機能障害や神経障害を引き起こす．脊柱変形はその原因によって，1.特発性，2.先天性，3.症候（群）性に分類されるが，一般的に発症年齢が低いほど，また，その際の角度が大きいほど，進行する確率が高い．現在有効性が確立されている治療は装貝と手術以外には無い．装具の有効性には議論があったが，近年のランダム化比較試験によってその有効性が証明された．遅滞なく装具療法を開始するためには早期発見が重要で，学校検診は有効であるが，校医や養護教諭との連携および啓発が不可欠である．最も多い思春期特発性側弯症は，遺伝子解析などによって原因が解明されつつある.手術治療も進歩が著しく，適切な時期に手術を施行すれば良好な成績が得られる．一方，10歳未満で発症する早期発症側弯症の治療も進歩はしているが，未だに挑戦的な分野である．","subitem_description_type":"Abstract"}]},"item_7_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"58737","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Hirano, Toru"}]}]},"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":"平野, 徹"}],"nameIdentifiers":[{"nameIdentifier":"58736","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":"2019-08-06"}],"displaytype":"detail","filename":"130(10)_551-558.pdf","filesize":[{"value":"1.2 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"130(10)_551-558.pdf","url":"https://niigata-u.repo.nii.ac.jp/record/8413/files/130(10)_551-558.pdf"},"version_id":"7c9b3cb0-7720-45cf-92f5-25f96058c012"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"脊柱変形","subitem_subject_scheme":"Other"},{"subitem_subject":"思春期特発性側弯症","subitem_subject_scheme":"Other"},{"subitem_subject":"早期発症側弯症","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":"脊柱変形への挑戦","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"脊柱変形への挑戦"},{"subitem_title":"脊柱変形への挑戦","subitem_title_language":"en"}]},"item_type_id":"7","owner":"1","path":["456","894"],"pubdate":{"attribute_name":"公開日","attribute_value":"2017-04-06"},"publish_date":"2017-04-06","publish_status":"0","recid":"8413","relation_version_is_last":true,"title":["脊柱変形への挑戦"],"weko_creator_id":"1","weko_shared_id":null},"updated":"2022-12-15T03:42:46.137522+00:00"}