{"created":"2024-10-30T09:41:33.569706+00:00","id":2007642,"links":{},"metadata":{"_buckets":{"deposit":"c7621f3f-eefd-49da-8b92-546ebefab446"},"_deposit":{"created_by":7,"id":"2007642","owners":[7],"pid":{"revision_id":0,"type":"depid","value":"2007642"},"status":"published"},"_oai":{"id":"oai:tokushima-u.repo.nii.ac.jp:02007642","sets":["1713853213384:1713853296295:1716267876683:1716268551628"]},"author_link":["904","182","755","941","1543"],"control_number":"2007642","item_10001_alternative_title_1":{"attribute_name":"タイトル別表記","attribute_value_mlt":[{"subitem_alternative_title":"椎弓根スクリューの椎弓根外側、内側に誤挿入後再挿入した際の引き抜き強度","subitem_alternative_title_language":"ja"},{"subitem_alternative_title":"Pullout Strength of Pedicle Screws","subitem_alternative_title_language":"en"}]},"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-09-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"17","bibliographicPageEnd":"E989","bibliographicPageStart":"E983","bibliographicVolumeNumber":"43","bibliographic_titles":[{"bibliographic_title":"Spine","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Study Design: A cadaveric biomechanical study designed to test the pullout strength of pedicle screws.\nObjective: To evaluate the pullout strength of redirected pedicle screws with a larger diameter following lateral wall breach, redirected pedicle screws of the same diameter following medial wall breach, and redirected pedicle screws with a larger diameter following medial wall breach. Summary of Background Data: Screw malposition is one of the main pitfalls of inserting pedicle screws. Intraoperatively a malpositioned screw is re-directed and inserted along the correct axis.\nMethods: Forty-seven vertebrae (T9–L5) were harvested from 8 fresh cadaveric spines. The 18 pedicle screws that breached the lateral wall were then removed and redirected using a pedicle screw of 1 mm larger in diameter. The 16 pedicle screws that had breached the medial wall were then removed and redirected using a pedicle screw of the same diameter. The other 13 pedicle screws that had breached the medial wall were then removed and redirected using a pedicle screw of 1 mm larger in diameter. The pullout strength was measured.\nResults: Following lateral wall breach, mean pullout strength for the larger redirected screws was 46.9% greater than that of the correctly aligned screws. Following medial wall breach, mean pullout strength for the redirected screws of the same diameter was 20.6% less than that of the correctly aligned screws. Mean pullout strength for the larger pedicle screws following medial wall breach was 27.3% more than that of the correctly aligned screws.\nConclusion: Redirected pedicle screws of larger diameter after a lateral or medial pedicle breach show recovery of pullout strength. However, the pullout strength of redirected pedicle screws of the same diameter after a medial pedicle breach is significantly less than that of correctly aligned screws.","subitem_description_language":"en","subitem_description_type":"Abstract"},{"subitem_description":"Redirected pedicle screws of larger diameter after a lateral or medial pedicle breach show the recovery of pullout strength. However, the pullout strength of redirected pedicle screws of the same diameter after a medial pedicle breach is significantly less than that of correctly aligned screws.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"Lippincott Williams & Wilkins","subitem_publisher_language":"en"},{"subitem_publisher":"Wolters Kluwer Health, Inc.","subitem_publisher_language":"en"}]},"item_10001_rights_15":{"attribute_name":"権利情報","attribute_value_mlt":[{"subitem_rights":"This the final peer-reviewed manuscript is made available under the CC-BY-NC 4.0 license.","subitem_rights_language":"en"}]},"item_10001_source_id_9":{"attribute_name":"収録物ID","attribute_value_mlt":[{"subitem_source_identifier":"03622436","subitem_source_identifier_type":"ISSN"},{"subitem_source_identifier":"15281159","subitem_source_identifier_type":"ISSN"},{"subitem_source_identifier":"AA0084801X","subitem_source_identifier_type":"NCID"},{"subitem_source_identifier":"AA12431865","subitem_source_identifier_type":"NCID"}]},"item_10001_version_type_20":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_be7fb7dd8ff6fe43","subitem_version_type":"NA"}]},"item_1714461018643":{"attribute_name":"報告番号","attribute_value_mlt":[{"subitem_dissertationnumber":"甲第3372号"}]},"item_1714461102074":{"attribute_name":"学位名","attribute_value_mlt":[{"subitem_degreename":"博士（医学）","subitem_degreename_language":"ja"}]},"item_1714461118377":{"attribute_name":"学位授与年月日","attribute_value_mlt":[{"subitem_dategranted":"2020-03-23"}]},"item_1714461137393":{"attribute_name":"学位授与機関","attribute_value_mlt":[{"subitem_degreegrantor":[{"subitem_degreegrantor_language":"ja","subitem_degreegrantor_name":"徳島大学"}]}]},"item_1715043197608":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access"}]},"item_1718868208704":{"attribute_name":"備考","attribute_value_mlt":[{"subitem_textarea_language":"ja","subitem_textarea_value":"内容要旨・審査要旨・論文本文の公開\n本論文は，著者Toru Maedaの学位論文として提出され，学位審査・授与の対象となっている。\n学位授与者所属 : 徳島大学大学院医科学教育部（医学専攻）"}]},"item_1718868303842":{"attribute_name":"学位記番号","attribute_value_mlt":[{"subitem_text_language":"ja","subitem_text_value":"甲医第1455号"}]},"item_1722929371688":{"attribute_name":"出版社版DOI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_language":"ja","subitem_relation_name_text":"10.1097/BRS.0000000000002611"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.1097/BRS.0000000000002611","subitem_relation_type_select":"DOI"}}]},"item_1723180141928":{"attribute_name":"EID","attribute_value_mlt":[{"subitem_identifier_type":"URI","subitem_identifier_uri":"340874"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"前田, 徹","creatorNameLang":"ja"},{"creatorName":"マエダ, トオル","creatorNameLang":"ja-Kana"},{"creatorName":"Maeda, Toru","creatorNameLang":"en"}]},{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifier":"","affiliationNameIdentifierScheme":"ISNI","affiliationNameIdentifierURI":"http://www.isni.org/isni/"}],"affiliationNames":[{"affiliationName":"","affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"東野, 恒作","creatorNameLang":"ja"},{"creatorName":"ヒガシノ, コウサク","creatorNameLang":"ja-Kana"},{"creatorName":"Higashino, Kousaku","creatorNameLang":"en"}],"familyNames":[{"familyName":"東野","familyNameLang":"ja"},{"familyName":"ヒガシノ","familyNameLang":"ja-Kana"},{"familyName":"Higashino","familyNameLang":"en"}],"givenNames":[{"givenName":"恒作","givenNameLang":"ja"},{"givenName":"コウサク","givenNameLang":"ja-Kana"},{"givenName":"Kousaku","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"182","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"80380129","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://nrid.nii.ac.jp/ja/search/?qm=80380129"}]},{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifier":"","affiliationNameIdentifierScheme":"ISNI","affiliationNameIdentifierURI":"http://www.isni.org/isni/"}],"affiliationNames":[{"affiliationName":"","affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"眞鍋, 裕昭","creatorNameLang":"ja"},{"creatorName":"マナベ, ヒロアキ","creatorNameLang":"ja-Kana"},{"creatorName":"Manabe, Hiroaki","creatorNameLang":"en"}],"familyNames":[{"familyName":"眞鍋","familyNameLang":"ja"},{"familyName":"マナベ","familyNameLang":"ja-Kana"},{"familyName":"Manabe","familyNameLang":"en"}],"givenNames":[{"givenName":"裕昭","givenNameLang":"ja"},{"givenName":"ヒロアキ","givenNameLang":"ja-Kana"},{"givenName":"Hiroaki","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"941","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"346406/profile-ja.html","nameIdentifierScheme":"徳島大学 教育研究者総覧","nameIdentifierURI":"http://pub2.db.tokushima-u.ac.jp/ERD/person/346406/profile-ja.html"}]},{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifier":"","affiliationNameIdentifierScheme":"ISNI","affiliationNameIdentifierURI":"http://www.isni.org/isni/"}],"affiliationNames":[{"affiliationName":"","affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"山下, 一太","creatorNameLang":"ja"},{"creatorName":"ヤマシタ, カズタ","creatorNameLang":"ja-Kana"},{"creatorName":"Yamashita, Kazuta","creatorNameLang":"en"}],"familyNames":[{"familyName":"山下","familyNameLang":"ja"},{"familyName":"ヤマシタ","familyNameLang":"ja-Kana"},{"familyName":"Yamashita","familyNameLang":"en"}],"givenNames":[{"givenName":"一太","givenNameLang":"ja"},{"givenName":"カズタ","givenNameLang":"ja-Kana"},{"givenName":"Kazuta","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"904","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"334785/profile-ja.html","nameIdentifierScheme":"徳島大学 教育研究者総覧","nameIdentifierURI":"http://pub2.db.tokushima-u.ac.jp/ERD/person/334785/profile-ja.html"}]},{"creatorNames":[{"creatorName":"林, 二三男","creatorNameLang":"ja"},{"creatorName":"ハヤシ, フミオ","creatorNameLang":"ja-Kana"},{"creatorName":"Hayashi, Fumio","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"合田, 有一郎","creatorNameLang":"ja"},{"creatorName":"ゴウダ, ユウイチロウ","creatorNameLang":"ja-Kana"},{"creatorName":"Goda, Yuichiro","creatorNameLang":"en"}]},{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifier":"","affiliationNameIdentifierScheme":"ISNI","affiliationNameIdentifierURI":"http://www.isni.org/isni/"}],"affiliationNames":[{"affiliationName":"","affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"鶴尾, 吉宏","creatorNameLang":"ja"},{"creatorName":"ツルオ, ヨシヒロ","creatorNameLang":"ja-Kana"},{"creatorName":"Tsuruo, Yoshihiro","creatorNameLang":"en"}],"familyNames":[{"familyName":"鶴尾","familyNameLang":"ja"},{"familyName":"ツルオ","familyNameLang":"ja-Kana"},{"familyName":"Tsuruo","familyNameLang":"en"}],"givenNames":[{"givenName":"吉宏","givenNameLang":"ja"},{"givenName":"ヨシヒロ","givenNameLang":"ja-Kana"},{"givenName":"Yoshihiro","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"755","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"289950/profile-ja.html","nameIdentifierScheme":"徳島大学 教育研究者総覧","nameIdentifierURI":"http://pub2.db.tokushima-u.ac.jp/ERD/person/289950/profile-ja.html"},{"nameIdentifier":"90207449","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://nrid.nii.ac.jp/ja/search/?qm=90207449"}]},{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifier":"","affiliationNameIdentifierScheme":"ISNI","affiliationNameIdentifierURI":"http://www.isni.org/isni/"}],"affiliationNames":[{"affiliationName":"","affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"西良, 浩一","creatorNameLang":"ja"},{"creatorName":"サイリョウ, コウイチ","creatorNameLang":"ja-Kana"},{"creatorName":"Sairyo, Koichi","creatorNameLang":"en"}],"familyNames":[{"familyName":"西良","familyNameLang":"ja"},{"familyName":"サイリョウ","familyNameLang":"ja-Kana"},{"familyName":"Sairyo","familyNameLang":"en"}],"givenNames":[{"givenName":"浩一","givenNameLang":"ja"},{"givenName":"コウイチ","givenNameLang":"ja-Kana"},{"givenName":"Koichi","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1543","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"60063/profile-ja.html","nameIdentifierScheme":"徳島大学 教育研究者総覧","nameIdentifierURI":"http://pub2.db.tokushima-u.ac.jp/ERD/person/60063/profile-ja.html"},{"nameIdentifier":"10304528","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://nrid.nii.ac.jp/ja/search/?qm=10304528"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2020-05-20"}],"displaytype":"detail","filename":"k3372_abstract_review.pdf","filesize":[{"value":"176 KB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"objectType":"abstract","url":"https://tokushima-u.repo.nii.ac.jp/record/2007642/files/k3372_abstract_review.pdf"},"version_id":"561cf2a6-6d3e-4018-a4f1-5e6bea60c670"},{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2020-06-18"}],"displaytype":"detail","filename":"k3372_fulltext.pdf","filesize":[{"value":"779 KB"}],"format":"application/pdf","licensetype":"license_3","mimetype":"application/pdf","url":{"objectType":"fulltext","url":"https://tokushima-u.repo.nii.ac.jp/record/2007642/files/k3372_fulltext.pdf"},"version_id":"3348ec15-6e8b-4317-b059-7e8dece270a9"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"larger screw","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"malpositioned screw","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"pedicle screw","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"pullout strength","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"redirection","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"thoracolumbar spine","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"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":"doctoral thesis","resourceuri":"http://purl.org/coar/resource_type/c_db06"}]},"item_title":"Pullout Strength of Pedicle Screws Following Redirection After Lateral or Medial Wall Breach","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Pullout Strength of Pedicle Screws Following Redirection After Lateral or Medial Wall Breach","subitem_title_language":"en"}]},"item_type_id":"40001","owner":"7","path":["1716268551628"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2020-05-20"},"publish_date":"2020-05-20","publish_status":"0","recid":"2007642","relation_version_is_last":true,"title":["Pullout Strength of Pedicle Screws Following Redirection After Lateral or Medial Wall Breach"],"weko_creator_id":"7","weko_shared_id":-1},"updated":"2025-01-29T13:18:47.470961+00:00"}