腰椎変性後側弯症に対するLIFカーブ進入側と局所矯正角，椎骨損傷に関するCT評価
はじめに：側方椎体間固定における矯正角度と合併症の頻度に関して術前楔状変形の強さと向きが影響を及ぼすのか調査した．対象と方法：腰椎変性後側弯症14例46椎間を対象とした．結果：楔状変形の強い椎間および楔状開大側からのケージ挿入で有意な矯正効果を認めた．終板損傷は全体の22%，椎弓根骨折は3.3%で発生していた．結語：術前楔状変形の強い椎間は冠状面矯正が得られやすいが終板損傷を有意に多く認めた．...
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| Published in | Journal of Spine Research Vol. 11; no. 8; pp. 1049 - 1055 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人 日本脊椎脊髄病学会
20.08.2020
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1884-7137 2435-1563 |
| DOI | 10.34371/jspineres.2020-0809 |
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| Abstract | はじめに：側方椎体間固定における矯正角度と合併症の頻度に関して術前楔状変形の強さと向きが影響を及ぼすのか調査した．対象と方法：腰椎変性後側弯症14例46椎間を対象とした．結果：楔状変形の強い椎間および楔状開大側からのケージ挿入で有意な矯正効果を認めた．終板損傷は全体の22%，椎弓根骨折は3.3%で発生していた．結語：術前楔状変形の強い椎間は冠状面矯正が得られやすいが終板損傷を有意に多く認めた． |
|---|---|
| AbstractList | はじめに：側方椎体間固定における矯正角度と合併症の頻度に関して術前楔状変形の強さと向きが影響を及ぼすのか調査した．対象と方法：腰椎変性後側弯症14例46椎間を対象とした．結果：楔状変形の強い椎間および楔状開大側からのケージ挿入で有意な矯正効果を認めた．終板損傷は全体の22%，椎弓根骨折は3.3%で発生していた．結語：術前楔状変形の強い椎間は冠状面矯正が得られやすいが終板損傷を有意に多く認めた． |
| Author | 辰村, 正紀 山崎, 正志 藤田, 開 江藤, 文彦 村上, 浩平 |
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| References | 2) 阿部幸喜, 折田純久, 稲毛一秀, 他: LIFの周術期・術後合併症. 脊椎脊髄. 2017; 30: 901-907 4) 石原昌幸, 齋藤貴徳, 谷口愼一郎, 他: LIFにおけるcage subsidenceの検討. J Spine Research. 2018; 9: 1371-1376 9) Acosta FL, Liu J, Slimack N, et al: Changes in coronal and sagittal plane alignment following minimally invasive direct lateral interbody fusion for the treatment of degenerative lumbar disease in adults: a radiographic study. J Neurosurg Spine. 2011; 15: 92-96 1) Tormenti MJ, Maserati MB, Bonfield CM, et al: Complications and radiographic correction in adult scoliosis following combined transpsoas extreme lateral interbody fusion and posterior pedicle screw instrumentation. Neurosurg Focus. 2010; 28: E7 11) Marchi L, Abdala N, Oliveira L, et al: Radiographic and clinical evaluation of cage subsidence after standalone lateral interbody fusion. J Neurosurg Spine. 2013; 19: 110-118 8) Hiyama A, Katoh H, Sakai D, et al: Changes in Spinal Alignment following extreme Lateral Interbody Fusion Alone in Patients with Adult Spinal Deformity using Computed Tomography. Scientic Reports. 2019; 9: 12039 7) Oliveira L, Marchi L, Coutinho E, et al: A radiographic assessment of the ability of the extreme lateral interbody fusion procedure to indirectly decompress the neural elements. Spine. 2010; 35: S331-337 5) Fujibayashi S, Kawakami N, Asazuma T, et al: Complications Associated With Lateral Interbody Fusion: Nationwide Survey of 2998 Cases During the First 2 Years of Its Use in Japan. Spine (Phila Pa 1976). 2015; 42: 1478-1484 12) Satake K, Kanemura T, Nakashima H, et al: Cage subsidence in lateral interbody fusion with transpsoas approach: intraoperative endplate injury or late-onset settling. Spine Surg Relat Res. 2017; 1: 203-210 6) 玄 奉学: 腰椎変性疾患に対するLIFの有効性と問題点 -間接除圧を中心に-. J MIOS. 2017; 82: 43-50 3) Catro C, Oliveira L, Amaral R, et al: Is the lateral transpsoas approach feasible for the treatment of adult degenerative scoliosis? Clin Orthop Relat Res. 2014; 472: 1776-1783 10) Malham GM, Parker RM, Blecher CM, et al: Assessment and classification of subsidence after lateral interbody fusion using serial computed tomography. J Neurosurg Spine. 2015; 23: 589-597 |
| References_xml | – reference: 1) Tormenti MJ, Maserati MB, Bonfield CM, et al: Complications and radiographic correction in adult scoliosis following combined transpsoas extreme lateral interbody fusion and posterior pedicle screw instrumentation. Neurosurg Focus. 2010; 28: E7 – reference: 6) 玄 奉学: 腰椎変性疾患に対するLIFの有効性と問題点 -間接除圧を中心に-. J MIOS. 2017; 82: 43-50 – reference: 4) 石原昌幸, 齋藤貴徳, 谷口愼一郎, 他: LIFにおけるcage subsidenceの検討. J Spine Research. 2018; 9: 1371-1376 – reference: 7) Oliveira L, Marchi L, Coutinho E, et al: A radiographic assessment of the ability of the extreme lateral interbody fusion procedure to indirectly decompress the neural elements. Spine. 2010; 35: S331-337 – reference: 8) Hiyama A, Katoh H, Sakai D, et al: Changes in Spinal Alignment following extreme Lateral Interbody Fusion Alone in Patients with Adult Spinal Deformity using Computed Tomography. Scientic Reports. 2019; 9: 12039 – reference: 9) Acosta FL, Liu J, Slimack N, et al: Changes in coronal and sagittal plane alignment following minimally invasive direct lateral interbody fusion for the treatment of degenerative lumbar disease in adults: a radiographic study. J Neurosurg Spine. 2011; 15: 92-96 – reference: 2) 阿部幸喜, 折田純久, 稲毛一秀, 他: LIFの周術期・術後合併症. 脊椎脊髄. 2017; 30: 901-907 – reference: 5) Fujibayashi S, Kawakami N, Asazuma T, et al: Complications Associated With Lateral Interbody Fusion: Nationwide Survey of 2998 Cases During the First 2 Years of Its Use in Japan. Spine (Phila Pa 1976). 2015; 42: 1478-1484 – reference: 11) Marchi L, Abdala N, Oliveira L, et al: Radiographic and clinical evaluation of cage subsidence after standalone lateral interbody fusion. J Neurosurg Spine. 2013; 19: 110-118 – reference: 12) Satake K, Kanemura T, Nakashima H, et al: Cage subsidence in lateral interbody fusion with transpsoas approach: intraoperative endplate injury or late-onset settling. Spine Surg Relat Res. 2017; 1: 203-210 – reference: 3) Catro C, Oliveira L, Amaral R, et al: Is the lateral transpsoas approach feasible for the treatment of adult degenerative scoliosis? Clin Orthop Relat Res. 2014; 472: 1776-1783 – reference: 10) Malham GM, Parker RM, Blecher CM, et al: Assessment and classification of subsidence after lateral interbody fusion using serial computed tomography. J Neurosurg Spine. 2015; 23: 589-597 |
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| Title | 腰椎変性後側弯症に対するLIFカーブ進入側と局所矯正角，椎骨損傷に関するCT評価 |
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