| Item type |
文献 / Documents(1) |
| 公開日 |
2018-03-02 |
| アクセス権 |
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|
アクセス権 |
open access |
| 資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版社版DOI |
|
|
|
関連識別子 |
https://doi.org/10.2152/jmi.64.1 |
|
|
関連名称 |
10.2152/jmi.64.1 |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| タイトル |
|
|
タイトル |
A new concept of transforaminal ventral facetectomy including simultaneous decompression of foraminal and lateral recess stenosis : Technical considerations in a fresh cadaver model and a literature review |
| 著者 |
西良, 浩一
東野, 恒作
山下, 一太
林, 二三男
和田, 佳三
酒井, 紀典
髙田, 洋一郎
手束, 文威
森本, 雅俊
テライ, トモヤ
千川, 隆志
米津, 浩
長町, 顕弘
福井, 義浩
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| 抄録 |
|
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内容記述 |
Percutaneous endoscopic surgery for the lumbar spine, which was established in the last decade, requires only an 8-mm skin incision and causes minimal damage to the paravertebral muscles ; thus, it is considered to be a minimally invasive technique for spinal surgery. It has been used to perform percutaneous endoscopic discectomy via two main approaches : the TF approach is a posterolateral one through the intervertebral foramen and can be done under local anesthesia ; the IL approach is a more traditional one through the interlaminar space and is difficult to perform under local anesthesia. Recently, these techniques have been applied for lumbar spinal stenosis (LSS), the TF method for foraminal stenosis under local anesthesia, and the IL method for central and lateral recess stenosis under general anesthesia. In this study, using a fresh human cadaver model, we performed simultaneous decompression of the lateral recess and foraminal stenosis at L4-5 using the TF approach. Computed tomography confirmed enlargement of the lateral recess and intervertebral foramen. This technique, which can be performed under local anesthesia, should benefit elderly patients with LSS and poor general condition due to multiple comorbidities. Finally, we introduce the concept of percutaneous transforaminal ventral facetectomy using a spinal percutaneous endoscope. |
| キーワード |
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|
主題 |
Percutaneous endoscopic surgery |
| キーワード |
|
|
主題 |
lumbar spinal stenosis |
| キーワード |
|
|
主題 |
foraminoplasty |
| キーワード |
|
|
主題 |
ventral facetectomy |
| 書誌情報 |
en : The Journal of Medical Investigation
巻 64,
号 1-2,
p. 1-6,
発行日 2017-02
|
| 収録物ID |
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収録物識別子タイプ |
ISSN |
|
収録物識別子 |
13496867 |
| 収録物ID |
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|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
13431420 |
| 収録物ID |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA11166929 |
| 収録物ID |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA12022913 |
| 出版者 |
|
|
出版者 |
Faculty of Medicine Tokushima University |
| EID |
|
|
識別子 |
324051 |
| 言語 |
|
|
言語 |
eng |
jmi_64_1-2_1.pdf (4.34 MB)
