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福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
Vol.70 (2024) >
このアイテムの引用には次の識別子を使用してください:
http://ir.fmu.ac.jp/dspace/handle/123456789/2234
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| タイトル: | A reduction method for anterior opening displacement in thoracolumbarvertebral fractures with diffuse idiopathic skeletal hyperostosis using the skull clamp-assisted position |
| 著者: | Kobayashi, Hiroshi
Watanabe, Kazuyuki
Kobayashi, Yoshihiro
Kato, Kinshi
Nikaido, Takuya
Otani, Koji
Yabuki, Shoji
Konno, Shin-Ichi
Matsumoto, Yoshihiro |
| 学内所属: | 整形外科学講座 |
| 誌名/書名: | Fukushima Journal of Medical Science |
| 巻: | 70 |
| 号: | 2 |
| 開始ページ: | 87 |
| 終了ページ: | 92 |
| 発行日: | 2024年 |
| 抄録: | Diffuse idiopathic skeletal hyperostosis (DISH) frequently occurs in the spine, resulting in unstable fractures. Treating thoracolumbar fractures in patients with DISH is often difficult because the anterior opening of the vertebral body is exacerbated by dislocation in the prone position, making reduction difficult. In this study, we introduced a novel skull clamp-assisted positioning (SAP) technique. The patient is placed in a supine position with a skull clamp used in cervical spine surgery before surgery to prevent the progression of dislocation and to restore the patient's position. Using this method, the mean difference in local kyphosis angle improved from -2.9 (±8.4)° preoperatively to 10.9 (±7.7)° postoperatively. Furthermore, posterior displacement decreased from a preoperative mean of 5.5 (±4.3) mm to 0.3 (±0.7) mm postoperatively. Complications such as neurological sequelae, implant fracture, and surgical site infection were not observed through one year of postoperative follow-up. SAP may decrease invasiveness and complications. Longer-term studies and larger sample sizes are needed to establish long-term efficacy and benefits. |
| 出版者: | The Fukushima Society of Medical Science |
| 出版者（異表記）: | 福島医学会 |
| 本文の言語: | eng |
| このページのURI: | http://ir.fmu.ac.jp/dspace/handle/123456789/2234 |
| 本文URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/2234/1/FksmJMedSci_70_p87.pdf |
| ISSN: | 0016-2590
2185-4610 |
| DOI: | 10.5387/fms.23-00014 |
| PubMed番号: | 38494730 |
| 関連ページ: | https://doi.org/10.5387/fms.23-00014 |
| 権利情報: | © 2024 The Fukushima Society of Medical Science. This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license. |
| 権利情報: | https://creativecommons.org/licenses/by-nc-sa/4.0/ |
| 出現コレクション: | Vol.70 (2024)
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