A case involving a newly developed radiculopathy after percutaneous vertebral drilling for lumbar compression fractures
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- KAWAI Shigeaki
- Department of Palliative Care (Pain Clinic), Tane General Hospital
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- YAMASAKI Hiroyuki
- Department of Anesthesiology, Osaka City University
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- FUJITA Maya
- Department of Anesthesiology, Osaka City University
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- FUNAO Tomoharu
- Funao Pain Clinic
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- YABE Mitsuhide
- Department of Anesthesiology, Osaka City University
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- NISHIKAWA Kiyonobu
- Department of Anesthesiology, Osaka City University
Bibliographic Information
- Other Title
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- 腰椎圧迫骨折に対する椎体穿孔術後に新たな神経根症状の出現が疑われた1症例
- 症例 腰椎圧迫骨折に対する椎体穿孔術後に新たな神経根症状の出現が疑われた1症例
- ショウレイ ヨウツイ アッパク コッセツ ニ タイスル ツイタイ センコウ ジュツゴ ニ アラタ ナ シンケイ コン ショウジョウ ノ シュツゲン ガ ウタガワレタ 1 ショウレイ
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Abstract
<p>Percutaneous vertebral drilling (PVD) for acute lumbar compression fractures ameliorates back pain and promotes rehabilitation. However, its effect on spinal construction and function has not been sufficiently evaluated. We report a case involving a newly developed radiculopathy after PVD. A 67-year-old woman presented with back pain and right fourth-lumbar (L4) radiculopathy. Magnetic resonance imaging (MRI) revealed vertebral compression fractures at L2 and L3. The patient was hospitalized immediately, and continuous epidural block was initiated. Despite treatment, severe back pain persisted, and hence, PVD on L2 and L3 was performed. The patient was able to ambulate more easily while wearing a lumbosacral corset after the operation; however, she reported pain in the right leg. This was diagnosed as a newly developed radiculopathy. Although we could not definitively determine when the new radiculopathy developed during the continuous epidural block, PVD may have influenced this development. It is, therefore, important to evaluate the chronological progression of fractures and radiculopathies via radiography and MRI.</p>
Journal
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- Journal of Japan Society of Pain Clinicians
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Journal of Japan Society of Pain Clinicians 27 (1), 70-74, 2020-02-25
Japan Society of Pain Clinicians
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Details 詳細情報について
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- CRID
- 1390565134832811008
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- NII Article ID
- 130007805161
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- NII Book ID
- AN10440947
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- ISSN
- 18841791
- 13404903
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- NDL BIB ID
- 030283235
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- CiNii Articles
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- Abstract License Flag
- Disallowed