徳島大学 教育・研究者情報データベース(EDB)

Education and Research Database (EDB), Tokushima University

徳島大学ウェブサイトへのリンク

著作: [酒井 紀典]/[加藤 真介]/[西良 浩一]/Tamura Tatsuya/[廣橋 紀]/[東野 恒作]/[安井 夏生]/Anterior transvertebral herniotomy for cervical disc herniation: a long-term follow-up study/[Journal of Spinal Disorders & Techniques]

ヘルプを読む

「著作」(著作(著書,論文,レター,国際会議など))は,研究業績にかかる著作(著書,論文,レター,国際会議など)を登録するテーブルです. (この情報が属するテーブルの詳細な定義を見る)

  • 項目名の部分にマウスカーソルを置いて少し待つと,項目の簡単な説明がツールチップ表示されます.

この情報をEDB閲覧画面で開く

EID
194030
EOID
799983
Map
0
LastModified
2015年9月30日(水) 11:40:21
Operator
三木 ちひろ
Avail
TRUE
Censor
0
Owner
安井 夏生
Read
継承
Write
継承
Delete
継承
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. 酒井 紀典([徳島大学.大学院医歯薬学研究部.医学域.連携研究部門(医学域).寄附講座系(医学域).地域運動器・スポーツ医学])
    役割 任意
    貢献度 任意
    学籍番号 推奨
  2. 加藤 真介
    役割 任意
    貢献度 任意
    学籍番号 推奨
  3. 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
  4. (英) Tamura Tatsuya
    役割 任意
    貢献度 任意
    学籍番号 推奨
  5. 廣橋 紀([徳島大学.病院.中央診療施設等.リハビリテーション部]/->個人[佐藤 紀])
    役割 任意
    貢献度 任意
    学籍番号 推奨
  6. 東野 恒作
    役割 任意
    貢献度 任意
    学籍番号 推奨
  7. 安井 夏生
    役割 任意
    貢献度 任意
    学籍番号 推奨
題名 必須

(英) Anterior transvertebral herniotomy for cervical disc herniation: a long-term follow-up study

副題 任意
要約 任意

(英) Retrospective study. To investigate the efficacy and radiologic changes after anterior transvertebral herniotomy (ATH), in patients followed for at least 10 years after the surgery. The theoretical idea of ATH is to remove an extruded herniated mass while preserving disc motion. To our knowledge, no report has been published on the long-term outcome of this procedure. Twenty patients underwent single-level ATH at our institution between 1989 and 1995. Clinical outcome was evaluated by visual analog scale for neck and arm pain according to Japanese Orthopaedic Association (JOA) score, and range of motion (ROM) of the cervical spine. Radiologic outcome was evaluated by measuring disc height and range of intervertebral motion of the site on plain radiographs. We also evaluated the operated and the adjacent segments by magnetic resonance imaging (MRI) for degenerative changes. Fifteen of the 20 patients were evaluated. One patient required additional surgery, 3 patients were lost to follow-up, and 1 patient had died by the time of the evaluation. Therefore, we evaluated the clinical outcome of 15 patients. Both the plain radiographs and MRI were available from 10 patients, and for 3 patients only the plain radiographs were available. Two patients refused x-ray examination at the final follow-up. Regarding clinical outcome, no patient had suffered from neck pain or arm pain. The average visual analog scale was 7.8/100 (%) for neck pain, and 7.0/100 (%) for arm pain. JOA scores improved and remained at a good level. The improvement rate was 88.5%. The average ROM of the cervical spine was 42.7 degrees in flexion, 52.3 degrees in extension, 58.6 degrees in axial rotation, and 25.0 degrees in lateral bending. Although ROM in axial rotation and lateral bending was symmetric, the range was smaller than that in the healthy segments. On plain radiographs, although the disc height in the operated segment was not significantly decreased compared with the other segments, loss of intervertebral motion was noticed on the follow-up roentgenograms in most cases. Only 2 patients had mobility of the operated intervertebral levels (>10 degrees). There was no collapse of the drilled vertebral body in any patient. Four of the 10 patients who underwent MRI showed protrusion of intervertebral discs, including those adjacent to the affected discs. No recurrence of disk herniation at the involved level was seen on the follow-up MRI. In conclusion, ATH provided a good clinical outcome that was maintained for a long time. Although intervertebral motion at the operated level decreased to some extent, degenerative changes at the adjacent levels were not enhanced.

キーワード 推奨
  1. (英) Activities of Daily Living
  2. (英) Cervical Vertebrae
  3. (英) Diskectomy
  4. (英) Female
  5. (英) Follow-Up Studies
  6. (英) Humans
  7. (英) Intervertebral Disc
  8. (英) Intervertebral Disc Displacement
  9. 磁気共鳴映像法(magnetic resonance imaging)
  10. (英) Male
  11. (英) Middle Aged
  12. (英) Neck Pain
  13. (英) Patient Satisfaction
  14. (英) Postoperative Complications
  15. (英) Range of Motion, Articular
  16. (英) Retrospective Studies
  17. (英) Spinal Cord Compression
  18. (英) Spondylosis
  19. 時間(time)
  20. (英) Treatment Outcome
発行所 推奨
誌名 必須 Journal of Spinal Disorders & Techniques([Lippincott Williams & Wilkins])
(pISSN: 1536-0652, eISSN: 1539-2465)
ISSN 任意 1539-2465
ISSN: 1536-0652 (pISSN: 1536-0652, eISSN: 1539-2465)
Title: Journal of spinal disorders & techniques
Title(ISO): J Spinal Disord Tech
Publisher: Lippincott Williams & Wilkins Ltd.
 (NLM Catalog  (Scopus  (CrossRef (Scopus information is found. [need login])
必須 22
必須 6
必須 408 412
都市 任意
年月日 必須 2009年 8月 初日
URL 任意
DOI 任意 10.1097/BSD.0b013e31818cd428    (→Scopusで検索)
PMID 任意 19652566    (→Scopusで検索)
NAID 任意
WOS 任意 000279665300005
Scopus 任意 2-s2.0-68849087408
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 770-8503, Japan. norinori@clin.med.tokushima-u.ac.jp

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