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著作: [西良 浩一]/[酒井 紀典]/[東野 恒作]/Tamura Tatsuya/[加藤 真介]/[安井 夏生]/Cervical and upper thoracic screwing for spinal fusion: strategy for its safe insertion to avoid major complications./[Archives of Orthopaedic and Trauma Surgery]

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EID
193825
EOID
663567
Map
0
LastModified
2012年10月4日(木) 21:00:17
Operator
大家 隆弘
Avail
TRUE
Censor
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Owner
安井 夏生
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種別 必須 学術論文(審査論文)
言語 必須 英語
招待 推奨
審査 推奨
カテゴリ 推奨
共著種別 推奨
学究種別 推奨
組織 推奨
著者 必須
  1. 西良 浩一([徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.運動機能外科学])
    役割 任意
    貢献度 任意
    学籍番号 推奨
  2. 酒井 紀典([徳島大学.病院.中央診療施設等.高度先進整形外科診療部])
    役割 任意
    貢献度 任意
    学籍番号 推奨
  3. 東野 恒作
    役割 任意
    貢献度 任意
    学籍番号 推奨
  4. (英) Tamura Tatsuya
    役割 任意
    貢献度 任意
    学籍番号 推奨
  5. 加藤 真介
    役割 任意
    貢献度 任意
    学籍番号 推奨
  6. 安井 夏生
    役割 任意
    貢献度 任意
    学籍番号 推奨
題名 必須

(英) Cervical and upper thoracic screwing for spinal fusion: strategy for its safe insertion to avoid major complications.
副題 任意
要約 任意

(英) There are several screwing techniques to attain cervical fusion such as pedicle screw, lateral mass screw, facet screw, transarticular and laminar screw. Each screwing technique has advantages and disadvantages. In this study, we introduce our strategy for safe screwing and its clinical results. Our strategy is as follows: lateral mass screw for C1, 3, 4, 5, 6 and pedicle screw for C2, 7, and thoracic level. When the C2 pedicle is thinner than 3.5 mm, we use C2 laminar screws. We do not use Magerl transarticular screw or facet screw; 146 screws were inserted in 17 patients. There were no major complications such as spinal cord and nerve root injury. We did not observe vertebral arterial injury either. Of the 146 screws, 141 (97.0%) were accurately inserted. As for lateral mass screwing by Roy-Camille's technique and C2 laminar screwing, all screws were inserted in the appropriate site (100%) without any complications. Five pedicle screws were misplaced. Of the 57 pedicle screws, 5 showed a minor tear of the wall at C7, Th1 and Th3, the success rate for all pedicle screws was 91%. All showed solid fusion. For cervical screwing the most important aspect should be safety to avoid severe morbidity. Our strategy, which consists in the combined use of pedicle, lateral mass and laminar screwing, is safe and reliable.
キーワード 推奨
  1. (英) Adolescent
  2. (英) Bone Screws
  3. (英) Cervical Vertebrae
  4. (英) Female
  5. (英) Humans
  6. (英) Male
  7. (英) Middle Aged
  8. (英) Postoperative Complications
  9. (英) Prosthesis Design
  10. (英) Spinal Diseases
  11. (英) Thoracic Vertebrae
  12. (英) Tomography, X-Ray Computed
  13. (英) Treatment Outcome
発行所 推奨
誌名 必須 Archives of Orthopaedic and Trauma Surgery(German Speaking Arthroscopy Association)
(pISSN: 0936-8051, eISSN: 1434-3916)
ISSN 任意 1434-3916
ISSN: 0936-8051 (pISSN: 0936-8051, eISSN: 1434-3916)
Title: Archives of orthopaedic and trauma surgery
Title(ISO): Arch Orthop Trauma Surg
Supplier: Springer Online Journal Archive
Publisher: Springer
 (NLM Catalog)   (Scopus)   (CrossRef)   (CrossRef)  (Scopus information is found. [need login])
巻 必須 129
号 必須 11
頁 必須 1447 1452
都市 任意
年月日 必須 2009年 1月 6日
URL 任意
DOI 任意 10.1007/s00402-008-0774-8    (→Scopusで検索)
PMID 任意 19125262    (→Scopusで検索)
CRID 任意
WOS 任意
Scopus 任意
評価値 任意
被引用数 任意
指導教員 推奨
備考 任意

  1. (英) Article.Affiliation: Department of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, Tokushima, Japan. sairyokun@hotmail.com

  2. (英) Article.PublicationTypeList.PublicationType: Case Reports

  3. (英) Article.PublicationTypeList.PublicationType: Journal Article