Spinal Instrumentation for Unstable C1-2 Injury
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概要
- 論文の詳細を見る
1990年から1997年にかけて治療した17例の環軸椎部の不安定性損傷におけるspinal instlumentationの有用性について検討した。手術施行した16例中14例に対して、Sofwireやtransarticular screw等の後方固定術を用いた。また4例の軸椎骨折に対してodontoid screwを使用した。結果は概ね良好であったが、2例のodontoid screwによる固定性に問題が生じたため、後方固定術を追加した。不安定性のある環軸椎外傷に対するspinal instrumentationは手術直後より強固な固定力が得られHalo vestを不要化できるが、手術手技に精通しないと合併症を起こしうることに注意を要する。Navigation systemや透視システムは有用な支援機器であり、併用する必要がある。
- 日本脳神経外科学会の論文
- 1999-06-15
著者
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Nakagawa Hiroshi
Department Of Diagnostic Ultrasound And Medical Electronics Sapporo Medical University
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Mizuno Junichi
Department Of Neurological Surgery Aichi Medical University
-
Nakagawa Hiroshi
Department Of Biological Sciences Tokyo Institute Of Technology
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MIZUNO Junichi
Department of Neurological Surgery, Aichi Medical University
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水野 順一
Department of Neurological Surgery, Aichi Medical University
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