Detailed Study of Graft Sinking and Worsening of the Fused Segment Angle in Patients With Cervical Disease Treated With the Williams-Isu Method
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概要
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Detailed changes involved in the worsening of the fused segment angle were assessed after application of the Williams-Isu method using autologous bone grafts from cervical vertebral bodies in 30 patients with cervical disease treated by single-level anterior fusion. The mean follow-up duration was 25.4 months. The fused segment angle was measured on serial radiographs. Whole cervical spine alignment changed from 12.8° to 9.9°. The alignment of the fused segment worsened by mean 3.3°. To elucidate the characteristics of worsening of the fused segment, the 30 patients were divided into 2 groups: Group I (n = 20) without and Group II (n = 10) with postoperative worsening of the fused segment. The loss in the fused segment angle was significantly greater in Group II (8.0°) than Group I (0.9°). Preoperative range of motion and disc height were significantly greater in Group II than Group I. Worsening of the fused segment angle occurred within 1 month in Group I, whereas stabilization was observed after 3 months in Group II. Graft subsidence was primarily posterior and inferior. Our results indicate that the preoperative range of motion and disc height of the fused segment must be considered to prevent worsening in that segment after anterior fusion. Such detailed information is useful for the selection and postoperative monitoring of patients eligible for treatment by the Williams-Isu method.
- 社団法人 日本脳神経外科学会の論文
- 2011-03-15
著者
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Matsumoto Ryoji
Department Of Citrus Research National Institute Of Fruit Tree Science
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Mishina Masahiro
Positron Medical Center Tokyo Metropolitan Institute Of Gerontology
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Mishina Masahiro
東京都老人総合研究所ポジトロン医学研究施設
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Mishina Masahiro
日本医科大学千葉北総病院 神経内科
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Mishina Masahiro
放射線医学総合研究所分子イメージング研究センター 先端生体計測研究グループ
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Mizuno Masaki
早稲田大学 人間科学研究科
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Teramoto Akira
Department Of Neurosurgery Nippon Medical School
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Mizuno Masaki
Faculty Of Sport Sciences Waseda University
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Teramoto Akira
The Department Of Neurosurgery Nephrology And Rheumatology Nippon Medical School
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Matsumoto Ryoji
Department Of Neurosurgery Kushiro Rosai Hospital
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ISOBE Masanori
Department of Neurosurgery, Kushiro Rosai Hospital
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Kominami Shushi
Department Of Neurosurgery Chiba Hokusoh Hospital Nippon Medical School
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Isu Toyohiko
Department Of Neurosurgery Hokkaido University School Of Medicine
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Isobe Masanori
Department Of Neurosurgery Kushiro Rosai Hospital
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Isobe Masanori
Department Obstetrics And Gynecology Osaka Rosai Hospital
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Kim Kyongsong
Department Of Neurosurgery Chiba Hokusoh Hospital Nippon Medical School
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Kim Kyongsong
Department Of Neurosurgery Chiba Hokuso Hospital Nippon Medical School
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Kobayashi Shiro
Department Of Neurosurgery Neurological Institute Chiba Hokuso Hospital Nippon Medical School
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Sugawara Atsushi
Department Of Biomolecular Engineering Graduate School Of Engineering Tohoku University
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Kobayashi Shiro
Department Of Neurosurgery Chiba Hokuso Hospital Nippon Medical School
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Mishina Masahiro
Department Of Neurosurgery Chiba Hokuso Hospital Nippon Medical School
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Morimoto Daijiro
Department Of Neurosurgery Chiba Hokuso Hospital Nippon Medical School
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Kitamura Shin
The Second Department Of Internal Medicine Nippon Medical School
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Kobayashi Shiro
Department Of Material Chemistry Graduate School Of Engineering Kyoto University
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Teramoto Akira
Department Of Functional Polymer Science Shinshu University
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Sugawara Atsushi
Department Of Neurosurgery Iwate Medical University
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Mishina Masahiro
Department Of Neurology Nippon Medical School Chiba-hokusoh Hospital
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MISHINA Masahiro
Department of Internal Medicine, Nippon Medical School
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