ID | 50414 |
JaLCDOI | |
フルテキストURL | |
著者 |
Yasuhara, Takao
Department of Spinal Surgery, Shinkomonji Hospital
ORCID
Kaken ID
publons
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Takahashi, Yuichi
Department of Spinal Surgery, Shinkomonji Hospital
Kumamoto, Shinji
Department of Spinal Surgery, Shinkomonji Hospital
Nakahara, Masayuki
Department of Spinal Surgery, Shinkomonji Hospital
Yoneda, Kotaro
Department of Spinal Surgery, Shinkomonji Hospital
Niimura, Tatsuomi
Department of Spinal Surgery, Shinkomonji Hospital
Tanoue, Takashi
Department of Spinal Surgery, Shinkomonji Hospital
Kusumegi, Akira
Department of Spinal Surgery, Shinkomonji Hospital
Sennari, Takashi
Department of Spinal Surgery, Shinkomonji Hospital
Hijikata, Yasukazu
Department of Spinal Surgery, Shinkomonji Hospital
Manabe, Hiroaki
Department of Neurological Surgery, Okayama University Hospital
Miyoshi, Yasuyuki
Department of Neurological Surgery, Okayama University Hospital
Date, Isao
Department of Neurological Surgery, Okayama University Hospital
ORCID
Kaken ID
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Ogawa, Koichi
Department of Spinal Surgery, Shinkomonji Hospital
Nishida, Kenki
Department of Spinal Surgery, Shinkomonji Hospital
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抄録 | Some cases with lumbar degenerative diseases require multi-level fusion surgeries. At our institute, 27 and 4 procedures of 3- and 4-level fusion were performed out of a total 672 posterior lumbar interfusions (PLIFs) on patients with lumbar degenerative disease from 2005 to 2010. We present 2 osteoporotic patients who developed proximal vertebral body fracture after 4-level fusion. Both cases presented with gait disability for leg pain by degenerative lumbar scoliosis and canal stenosis at the levels of L1/2-4/5. After 4-level fusion using L1 as the upper instrumented vertebra, proximal vertebral body fractures were found along with the right pedicle fractures of L1 in both cases. One of these patients, aged 82 years, was treated as an outpatient using a hard corset for 24 months, but the fractures were exacerbated over time. In the other patient, posterolateral fusion was extended from Th10 to L5. Both patients can walk alone and have been thoroughly followed up. In both cases, the fracture of the right L1 pedicle might be related to the subsequent fractures and fusion failure. In consideration of multi-level fusion, L1 should be avoided as an upper instrumented vertebra to prevent junctional kyphosis, especially in cases with osteoporosis and flat back posture.
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キーワード | degenerative lumbar scoliosis
osteoporosis
pedicle fracture
posterior lumbar interbody fusion
vertebral body fracture
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Amo Type | Case Report
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出版物タイトル |
Acta Medica Okayama
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発行日 | 2013-06
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巻 | 67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 | 197
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終了ページ | 202
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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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著作権者 | CopyrightⒸ 2013 by Okayama University Medical School
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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 |