{"created":"2023-06-19T10:21:35.134686+00:00","id":553,"links":{},"metadata":{"_buckets":{"deposit":"02c8547a-a178-451e-b4b5-355ec61c0ea4"},"_deposit":{"created_by":12,"id":"553","owners":[12],"pid":{"revision_id":0,"type":"depid","value":"553"},"status":"published"},"_oai":{"id":"oai:saitama-med.repo.nii.ac.jp:00000553","sets":["9:7:83"]},"author_link":["2002","1998","1996","2000","1995","1999","2001","2003","2005","2006","1997","2004"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2017-03","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"161","bibliographicPageStart":"155","bibliographicVolumeNumber":"43","bibliographic_titles":[{"bibliographic_title":"埼玉医科大学雑誌"},{"bibliographic_title":"Journal of Saitama Medical University","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"胸腰椎破裂骨折に対するshort segment pedicle screw fixation without fusion(non-segmental SSPSF)はmotion segmentを温存できる点で優れた方法である.一方で椎体圧潰や後彎変形の進行など許容できない悪化例の報告がある.骨折椎にpedicle screwを追加したSSPSF(segmental SSPSF)が整復位の維持に有効であるかを検討する為,implant抜去後までの経過を追跡調査した.non-segmental(group A):segmental(group B)11例:24例を対象とした.平均年齢は48.7歳:46.9歳,平均経過観察期間は36ヵ月:29.4ヵ月だった.受傷時のanterior vertebral height compression ratio(AVHC)はgroup A 41.7%:group B 38.4%(P=0.62),local kyphosisangle(KA)は14.55度:14.04度(P=0.88)だった.術直後ではAVHCは15.25%:10.88%(P=0.08),KAは1.18度:1.42度(P=0.91)と両群ともに良好な整復位が得られていた.骨癒合した時点では,AVHCは30.69%:13.61%(P<0.05),KAは16度:4.46度(P<0.05)と有意差があった.Implant抜去後では,AVHCの矯正損失は3.5%:2.27%,KAの損失角は4.5度:3.46度と僅かであった.胸腰椎破裂骨折の初期整復と後彎矯正はSSPSFで十分に得られる.しかしながら整復位と後彎矯正の維持はnon-segmental SSPSFでは不十分であり,骨折椎にpedicle screwを追加したsegmental SSPSFが有効であった.motion segmentの再獲得のためにはimplant抜去が推奨されると考えられた.(著者抄録)","subitem_description_type":"Abstract"}]},"item_10001_description_6":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"胸腰椎破裂骨折に対するshort segment pedicle screw fixation without fusion(non-segmental SSPSF)はmotion segmentを温存できる点で優れた方法である.一方で椎体圧潰や後彎変形の進行など許容できない悪化例の報告がある.骨折椎にpedicle screwを追加したSSPSF(segmental SSPSF)が整復位の維持に有効であるかを検討する為,implant抜去後までの経過を追跡調査した.non-segmental(group A):segmental(group B)11例:24例を対象とした.平均年齢は48.7歳:46.9歳,平均経過観察期間は36ヵ月:29.4ヵ月だった.受傷時のanterior vertebral height compression ratio(AVHC)はgroup A 41.7%:group B 38.4%(P=0.62),local kyphosisangle(KA)は14.55度:14.04度(P=0.88)だった.術直後ではAVHCは15.25%:10.88%(P=0.08),KAは1.18度:1.42度(P=0.91)と両群ともに良好な整復位が得られていた.骨癒合した時点では,AVHCは30.69%:13.61%(P<0.05),KAは16度:4.46度(P<0.05)と有意差があった.Implant抜去後では,AVHCの矯正損失は3.5%:2.27%,KAの損失角は4.5度:3.46度と僅かであった.胸腰椎破裂骨折の初期整復と後彎矯正はSSPSFで十分に得られる.しかしながら整復位と後彎矯正の維持はnon-segmental SSPSFでは不十分であり,骨折椎にpedicle screwを追加したsegmental SSPSFが有効であった.motion segmentの再獲得のためにはimplant抜去が推奨されると考えられた.(著者抄録)","subitem_description_type":"Other"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"埼玉医科大学医学会"}]},"item_10001_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN0009506X","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0385-5074","subitem_source_identifier_type":"ISSN"}]},"item_10001_text_24":{"attribute_name":"記事区分","attribute_value_mlt":[{"subitem_text_value":"原著"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"鳥尾, 哲矢"}],"nameIdentifiers":[{"nameIdentifier":"1995","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"吉川, 淳"}],"nameIdentifiers":[{"nameIdentifier":"1996","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"神成, 文裕"}],"nameIdentifiers":[{"nameIdentifier":"1997","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"鈴木, 景子"}],"nameIdentifiers":[{"nameIdentifier":"1998","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"根本, 学"}],"nameIdentifiers":[{"nameIdentifier":"1999","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"織田, 弘美"}],"nameIdentifiers":[{"nameIdentifier":"2000","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Torio, Tetsuya","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"2001","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Kikkawa, Jun","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"2002","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Kannari, Fumihiro","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"2003","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Suzuki, Keiko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"2004","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Nemoto, Manabu","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"2005","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Oda, Hiromi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"2006","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":"2017-08-31"}],"displaytype":"detail","filename":"jsms43_155_161.pdf","filesize":[{"value":"418.1 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"埼玉医科大学雑誌43巻2号155-161頁","url":"https://saitama-med.repo.nii.ac.jp/record/553/files/jsms43_155_161.pdf"},"version_id":"6f226504-6dfc-4c0f-baef-d6f3c927534d"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"thoracolumbar","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"short segment","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"additional screw","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"fracture level","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"pedicle 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pedicle screw fixation"],"weko_creator_id":"12","weko_shared_id":-1},"updated":"2023-06-19T10:36:36.812995+00:00"}