骨粗しょう症による胸椎破裂骨折の治療経験
書誌事項
- タイトル別名
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- A Case of Osteoporotic Thoracic Burst Fracture Treated by Posterolateral Decompression without Spinal Instrumentation.
説明
Osteoporotic thoracolumbar burst fractures are rarely complicated by neurological deficits. Recently the treatment of these fractures has been controversial. A 69-year-old woman developed paraparesis in June 1991 with no previous history of trauma. Radiograph demonstrated a burst fracture of the 11th thoracic vertebra and myelography disclosed incomplete blockage of contrast column at this level. The CT scan demonstrated retropulsion of vertbral fragment into the spinal canal. The patient had a past medical history of chronic viral hepatitis type C. If the patient's general condition permited, anterior decompression and stabilization seemed to be the most reasonable treatment at that time. However, we had to chose a minor invasive surgery because of the complications. We planned and carried out a modified decompression surgery without spinal instrumentation. Two years and five months after the surgery she recovered from Frankel grade C to D despite her kyphosis not being corrected nor stabilized. The kyphosis was assessed using the Cobb method on the lateral radiograph. Her preoperative kyphotic angulation was 16° and progressed to 21° at the time of the follow-up. Anterior decompression is an essential factor for neurological recovery, however, in exceptional cases stabilization is omissible.
収録刊行物
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- 中国・四国整形外科学会雑誌
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中国・四国整形外科学会雑誌 6 (2), 279-282, 1994
中国・四国整形外科学会
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詳細情報 詳細情報について
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- CRID
- 1390282679326260864
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- NII論文ID
- 130003437533
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- ISSN
- 13475606
- 09152695
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可
