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Vol.70 (2024) >

Please use this identifier to cite or link to this item: http://ir.fmu.ac.jp/dspace/handle/123456789/2234

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Title: A reduction method for anterior opening displacement in thoracolumbarvertebral fractures with diffuse idiopathic skeletal hyperostosis using the skull clamp-assisted position
Authors: Kobayashi, Hiroshi
Watanabe, Kazuyuki
Kobayashi, Yoshihiro
Kato, Kinshi
Nikaido, Takuya
Otani, Koji
Yabuki, Shoji
Konno, Shin-Ichi
Matsumoto, Yoshihiro
Affiliation: 整形外科学講座
Source title: Fukushima Journal of Medical Science
Volume: 70
Issue: 2
Start page: 87
End page: 92
Issue Date: 2024
Abstract: 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.
Publisher: The Fukushima Society of Medical Science
Publisher (Alternative foam): 福島医学会
language: eng
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/2234
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/2234/1/FksmJMedSci_70_p87.pdf
ISSN: 0016-2590
DOI: 10.5387/fms.23-00014
PubMed ID: 38494730
Related Page: https://doi.org/10.5387/fms.23-00014
Rights: © 2024 The Fukushima Society of Medical Science. This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license.
Rights: https://creativecommons.org/licenses/by-nc-sa/4.0/
Appears in Collections:Vol.70 (2024)

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FksmJMedSci_70_p87.pdf876.18 kBAdobe PDFDownload

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