ID | 31849 |
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フルテキストURL | |
著者 |
Tanaka, Masato
Department of Orthopaedic Surgery, Okayama University Hospital
ORCID
Kaken ID
publons
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Nakahara, Shinnosuke
Department of Orthopedic Surgery, National Hospital Organization, Okayama Medical Center
Ito, Yasuo
Department of Orthopedic Surgery, Kobe Red Cross Hospital
Kunisada, Toshiyuki
Department of Medical Materials for Musculoskeletal Reconstruction, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutial Sciences
Misawa, Haruo
Department of Orthopaedic Surgery, Okayama University Hospital
Koshimune, Koichiro
Department of Orthopaedic Surgery, Okayama University Hospital
Ozaki, Toshifumi
Department of Orthopaedic Surgery, Okayama University Hospital
Kaken ID
publons
researchmap
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抄録 | Surgical treatment of metastatic spinal cord compression is controversial. The purpose of this study was to investigate the effectiveness of our current surgical treatments and the use of spinal instrumentation. In this retrospective study covering the years between 1990 and 2006, 100 patients with spinal metastases which were secondary to various cancers underwent posterior and/or anterior decompression with spinal stabilization for the purposes of reduction of pain, and/or to help correct or improve neurological deficits. The group was made up of 60 men and 40 women whose ages ranged from 16 to 83 years (average of 60 years), and the average follow-up period was 14 months. The effect of treatment upon pain relief and neural deficits was assessed, and the cumulative survival rate was calculated by the Kaplan-Meier method. The average surgical time was 185min. This was calculated based on the following times, listed here with the surgery type:178min for posterior surgery;245min for anterior surgery;465 min for combined surgery;and 475min for total en bloc spondylectomy. Average blood loss during surgery was 1,630 ml for posterior surgery, 1,760 ml for anterior surgery, 1,930 ml for combined surgery, and 3,640 ml for total en bloc spondylectomy. Preoperative pain and paralysis were improved by 88% and 53%, respectively. In regards to surgical complications, postoperative epidural hematoma was observed in 2 patients, and instrumentation-related infection was observed in 1. Only 2 patients died within 2 months of surgery. In conclusion, posterior and/or anterior decompression with spinal stabilization is a safe and effective treatment for patients with spinal metastases, and can improve their quality of life. |
キーワード | spinal metastasis
spinal surgery
instrumentation
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Amo Type | Original Article
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出版物タイトル |
Acta Medica Okayama
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発行日 | 2009-06
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巻 | 63巻
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号 | 3号
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出版者 | Okayama University Medical School
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開始ページ | 145
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終了ページ | 150
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ISSN | 0386-300X
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NCID | AA00508441
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資料タイプ |
学術雑誌論文
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言語 |
英語
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論文のバージョン | publisher
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査読 |
有り
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PubMed ID | |
Web of Science KeyUT |