| ○種別 (必須): | □ | 学術論文 (審査論文)
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| ○言語 (必須): | □ | 英語
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| ○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])
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| 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])
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| 3. | 東野 恒作
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| 4. | (英) Tamura Tatsuya (日) (読)
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| 5. | 加藤 真介
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| 6. | 安井 夏生
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| ○題名 (必須): | □ | (英) Cervical and upper thoracic screwing for spinal fusion: strategy for its safe insertion to avoid major complications. (日)
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| ○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. (日)
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| ○キーワード (推奨): | 1. | (英) Adolescent (日) (読)
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| 2. | (英) Bone Screws (日) (読)
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| 3. | (英) Cervical Vertebrae (日) (読)
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| 4. | (英) Female (日) (読)
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| 5. | (英) Humans (日) (読)
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| 6. | (英) Male (日) (読)
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| 7. | (英) Middle Aged (日) (読)
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| 8. | (英) Postoperative Complications (日) (読)
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| 9. | (英) Prosthesis Design (日) (読)
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| 10. | (英) Spinal Diseases (日) (読)
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| 11. | (英) Thoracic Vertebrae (日) (読)
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| 12. | (英) Tomography, X-Ray Computed (日) (読)
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| 13. | (英) Treatment Outcome (日) (読)
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| ○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 surgeryTitle(ISO): Arch Orthop Trauma SurgSupplier: Springer Online Journal ArchivePublisher: Springer (NLM Catalog)
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| ○巻 (必須): | □ | 129
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| ○号 (必須): | □ | 11
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| ○頁 (必須): | □ | 1447 1452
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| ○都市 (任意): |
| ○年月日 (必須): | □ | 西暦 2009年 1月 6日 (平成 21年 1月 6日)
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| ○DOI (任意): | □ | 10.1007/s00402-008-0774-8 (→Scopusで検索)
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| ○PMID (任意): | □ | 19125262 (→Scopusで検索)
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| ○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 (日)
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| 2. | (英) Article.PublicationTypeList.PublicationType: Case Reports (日)
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| 3. | (英) Article.PublicationTypeList.PublicationType: Journal Article (日)
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