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ID 55312
JaLCDOI
フルテキストURL
71_4_345.pdf 5.72 MB
著者
Tanaka, Masato Department of Orthopaedic Surgery, Okayama University Hospital
Sugimoto, Yoshihisa Department of Orthopaedic Surgery, Okayama University Hospital
Takigawa, Tomoyuki Department of Orthopaedic Surgery, Okayama University Hospital ORCID Kaken ID researchmap
Kimata, Yoshihiro Department of Plastic and Reconstructive Surgery, Okayama University Hospital Kaken ID publons researchmap
Ozaki, Toshifumi Department of Orthopaedic Surgery, Okayama University Hospital Kaken ID publons researchmap
抄録
Osteoradionecrosis (ORN), a well-known complication of radiotherapy in the mandibular bone, is very rare in the cervical spine. The authors report the result of a 3-year follow-up of a 63-year-old female patient with ORN of the cervical spine. The patient had a history of laryngeal carcinoma and was treated with chemotherapy and radiation therapy with a total of 120 Gy. Eight years later, she developed acute, severe neck pain due to cervical spine necrosis. The authors performed vascularized fibular bone graft and posterior pedicle screw fixation to reconstruct her cervical spine. The patient was successfully treated with surgery, and cervical alignment was preserved. She had neither neurological deficits nor severe neck pain at her final follow-up 3 years later. Delaying treatment of ORN may be life threatening, so the early diagnosis of this condition is important for patients who receive radiotherapy. Otolaryngologists and spine surgeons should understand this potential complication to speed diagnosis and treatment as early as possible.
キーワード
osteoradionecrosis
laryngeal carcinoma
cervical spine
radiotherapy
Amo Type
Case Report
出版物タイトル
Acta Medica Okayama
発行日
2017-08
71巻
4号
出版者
Okayama University Medical School
開始ページ
345
終了ページ
349
ISSN
0386-300X
NCID
AA00508441
資料タイプ
学術雑誌論文
言語
英語
著作権者
CopyrightⒸ 2017 by Okayama University Medical School
論文のバージョン
publisher
査読
有り
PubMed ID