骨粗しょう症性椎体圧潰の椎体置換術における術中術後管理の問題点
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概要
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The authors investigated retrospectively the risks to patients from osteoporotic vertebral fractures during 7 operative and postoperative days, and compared them with those of traumatic vertebral fractures.The osteoporotic vertebral fractures group (Os group) had 4 patients (means age 78.3 years, 71-81 years, 1 men and 3 women), and the traumatic vertebral fractures group (Tr group) had 6 patients (means age 59.8 years, 52-69 years, 4 men and 2 women). The affected vertebral levels were Th 12 in 1 patient, L1 in 7 patients, L2 in 1 patient, L3 in 1 patient. The implants used were the Liberty ANTARES spine system, and Lift-J vertebral cage. They were examined and treated on admission for concurrent illness which might have affected the results of the treatments. Case reports were examined for data on concurrent illness, the change of blood pressure during the operation length of time under systolic pressure was 90 mmHg, the duration of high body temperature (higher than 37°C), and postoperative complications such as atelectasis and dementia, and infection of the operative wound.The Os group had more severe concurrent illnesses on admission than did the Tr group, for example aneurysma dissecans, uncontrollable diabetes mellitus, and severe hypertension. The blood pressure of Os group was more changeable than that of Tr group despite the use of the medications to control blood pressure. The duration of the high body temperature in Os group was prolonged. There were no major postoperative complications. There was no infection of the operative wound.When we treat the Os group, we have to recognize the risks that the patients of Os group have more severe concurrent illness which might affect the results of the treatments and further more their lives, and their blood pressure during the operation is more changeable than that of the Tr group.
- 中国・四国整形外科学会の論文
中国・四国整形外科学会 | 論文
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