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This study aimed to evaluate the surgical outcomes of eight patients with congenital scoliosis or kyphoscoliosis due to hemivertebrae treated by computer-assisted hemivertebral resection using only a posterior approach. Eight consecutive patients (two scoliotics and six kyphoscoliotics) managed by computer-assisted hemivertebral resection using only a posterior approach with transpedicular instrumentation were investigated retrospectively. A CT-based navigation system was used to confirm the positions of the vertebra, spinal cord and aorta in real-time when we inserted a pedicle screw and conducted the osteotomy. The mean patient age at surgery was 18 years (range 11-41 years). The mean follow-up was 46 months (range 18-84 months). Before surgery, the mean kyphotic curve was 55.8A degrees (range 26-83A degrees), and the mean scoliotic curve was 50.0A degrees (range 36-62A degrees). At the final follow-up period, the curves averaged 23.2A degrees (range 15-40A degrees) and 31.6A degrees (range 21-44A degrees), respectively, yielding kyphotic angle corrections of 32.7A degrees (range 11-58A degrees) and Cobb angle correction rates of 36.8% (range 24.1-48.3%). A total of 72 pedicle screws were inserted with the navigation system, and two screws revealed a perforating pedicle. No neurovascular complications occurred. The perforation rate was 2.8%. Hemivertebral resection via a single posterior approach is less invasive than combined anterior and posterior approaches; however, this procedure increases the risk of spinal cord and vascular injuries. Computer-assisted hemivertebral resection enables safe and accurate performance of a hemivertebral resection via a single posterior approach."}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "Takahashi, Jun", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "22060", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Ebara, Sohei", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "22061", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Hashidate, Hiroyuki", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "22062", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Hirabayashi, Hiroki", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "22063", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Ogihara, Nobuhide", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "22064", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Mukaiyama, Keijiro", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "22065", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Kato, Hiroyuki", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "22066", "nameIdentifierScheme": "WEKO"}]}]}, "item_files": {"attribute_name": "ファイル情報", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2015-09-25"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "Computer-assisted_Hemivertebra_Resection.pdf", "filesize": [{"value": "571.8 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_note", "mimetype": "application/pdf", "size": 571800.0, "url": {"label": "Computer-assisted_Hemivertebra_Resection.pdf", "url": "https://soar-ir.repo.nii.ac.jp/record/8022/files/Computer-assisted_Hemivertebra_Resection.pdf"}, "version_id": "83f231d6-a9c3-4583-a4ff-37cce09b25c4"}]}, "item_language": {"attribute_name": "言語", "attribute_value_mlt": [{"subitem_language": "eng"}]}, "item_resource_type": {"attribute_name": "資源タイプ", "attribute_value_mlt": [{"resourcetype": "journal article", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "Computer-assisted hemivertebral resection for congenital spinal deformity", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "Computer-assisted hemivertebral resection for congenital spinal deformity", "subitem_title_language": "en"}]}, "item_type_id": "6", "owner": "1", "path": ["883"], "permalink_uri": "http://hdl.handle.net/10091/17647", "pubdate": {"attribute_name": "PubDate", "attribute_value": "2014-06-20"}, "publish_date": "2014-06-20", "publish_status": "0", "recid": "8022", "relation": {}, "relation_version_is_last": true, "title": ["Computer-assisted hemivertebral resection for congenital spinal deformity"], "weko_shared_id": -1}
Computer-assisted hemivertebral resection for congenital spinal deformity
http://hdl.handle.net/10091/17647
http://hdl.handle.net/10091/17647f260c06d-8658-443d-8b9e-3bb3a46c7d5d
名前 / ファイル | ライセンス | アクション |
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2014-06-20 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Computer-assisted hemivertebral resection for congenital spinal deformity | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | journal article | |||||
著者 |
Takahashi, Jun
× Takahashi, Jun× Ebara, Sohei× Hashidate, Hiroyuki× Hirabayashi, Hiroki× Ogihara, Nobuhide× Mukaiyama, Keijiro× Kato, Hiroyuki |
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信州大学研究者総覧へのリンク | ||||||
氏名 | Takahashi, Jun | |||||
URL | https://soar-rd.shinshu-u.ac.jp/profile/ja.jeAhuakh.html | |||||
信州大学研究者総覧へのリンク | ||||||
氏名 | Kato, Hiroyuki | |||||
URL | https://soar-rd.shinshu-u.ac.jp/profile/ja.WVkCbaSp.html | |||||
出版者 | ||||||
出版者 | SPRINGER TOKYO | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | JOURNAL OF ORTHOPAEDIC SCIENCE. 16(5):503-509 (2011) | |||||
書誌情報 |
JOURNAL OF ORTHOPAEDIC SCIENCE 巻 16, 号 5, p. 503-509, 発行日 2011-09 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | No studies have reported on osteotomies utilizing a navigation system in congenital scoliosis surgery. This study aimed to evaluate the surgical outcomes of eight patients with congenital scoliosis or kyphoscoliosis due to hemivertebrae treated by computer-assisted hemivertebral resection using only a posterior approach. Eight consecutive patients (two scoliotics and six kyphoscoliotics) managed by computer-assisted hemivertebral resection using only a posterior approach with transpedicular instrumentation were investigated retrospectively. A CT-based navigation system was used to confirm the positions of the vertebra, spinal cord and aorta in real-time when we inserted a pedicle screw and conducted the osteotomy. The mean patient age at surgery was 18 years (range 11-41 years). The mean follow-up was 46 months (range 18-84 months). Before surgery, the mean kyphotic curve was 55.8A degrees (range 26-83A degrees), and the mean scoliotic curve was 50.0A degrees (range 36-62A degrees). At the final follow-up period, the curves averaged 23.2A degrees (range 15-40A degrees) and 31.6A degrees (range 21-44A degrees), respectively, yielding kyphotic angle corrections of 32.7A degrees (range 11-58A degrees) and Cobb angle correction rates of 36.8% (range 24.1-48.3%). A total of 72 pedicle screws were inserted with the navigation system, and two screws revealed a perforating pedicle. No neurovascular complications occurred. The perforation rate was 2.8%. Hemivertebral resection via a single posterior approach is less invasive than combined anterior and posterior approaches; however, this procedure increases the risk of spinal cord and vascular injuries. Computer-assisted hemivertebral resection enables safe and accurate performance of a hemivertebral resection via a single posterior approach. | |||||
資源タイプ(コンテンツの種類) | ||||||
内容記述タイプ | Other | |||||
内容記述 | Article | |||||
ISSN | ||||||
収録物識別子タイプ | PISSN | |||||
収録物識別子 | 0949-2658 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA11052566 | |||||
PubMed | ||||||
識別子タイプ | PMID | |||||
関連識別子 | https://pubmed.ncbi.nlm.nih.gov/21755373 | |||||
関連名称 | 21755373 | |||||
DOI | ||||||
識別子タイプ | DOI | |||||
関連識別子 | https://doi.org/10.1007/s00776-011-0134-3 | |||||
関連名称 | 10.1007/s00776-011-0134-3 | |||||
権利 | ||||||
権利情報 | The original publication is available at www.springerlink.com | |||||
出版タイプ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
WoS | ||||||
表示名 | Web of Science | |||||
URL | http://gateway.isiknowledge.com/gateway/Gateway.cgi?&GWVersion=2&SrcAuth=ShinshuUniv&SrcApp=ShinshuUniv&DestLinkType=FullRecord&DestApp=WOS&KeyUT=000295535000004 |