Posterior Fusion for Odontoid Fracture in an Infant : Case Report
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概要
- 論文の詳細を見る
軸椎歯状突起骨折は小児では希である。症例は2歳3ヶ月の女児、交通事故にて受傷。同日ハロベストを装着し保存的に治療したが、3ヶ月目にして骨折部が偏位し手術に踏み切った。手術は腸骨稜を用い環椎軸椎を後方からステンレスワイヤーにて固定した。手術から4か月後歯状突起は椎体と癒合した。小児の歯状突起は軸椎体部と軟骨結合しており3歳から6歳の間に骨性に癒合する。従って癒合不全が起きにくく保存的治療により治療しやすい。我々の症例では当初保存的に治療したが失敗した。保存的治療による治療に難渋した場合、アラインメントを保つためできるかぎり侵襲が少ない方法として後方固定は一つの選択であると考えられた。
- 日本脳神経外科学会の論文
- 1996-03-15
著者
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MATSUMURA Akira
Department of Neurosurgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba
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上村 和也
筑波大学臨床医学系脳神経外科
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Noguchi Shozo
筑波大学臨床医学系脳神経外科
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NOSE Tadao
Department of Neurosurgery, Institute of Clinical Medicine, University of Tsukuba
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Matsumura Akira
Department Of Neurosurgery Graduate School Of Comprehensive Human Sciences University Of Tsukuba
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SHIBATA Tomoyuki
筑波大学臨床医学系脳神経外科
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ITO Masami
筑波大学臨床医学系脳神経外科
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KOBAYASHI Eiki
筑波大学臨床医学系脳神経外科
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MAKI Yutaka
筑波大学臨床医学系脳神経外科
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Nose Tadao
Department Of Neurosurgery Institute Of Clinical Medicine University Of Tsukuba
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Nose Tadao
Department Of Neurological Surgery Insititute Of Clinical Medicine University Of Tsukuba
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Matsumura Akira
Department Of Neurosurgery Institute Of Clinical Medicine University Of Tsukuba
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Matsumura Akira
Department Of Gastroenterology Dokkyo Medical University
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Matsumura Akira
Department Of Forest Resources Science Shizuoka University
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MATSUMURA Akira
Department of Electronic Science and Engineering, Faculty of Engineering, Kyoto University
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