| Item type |
文献 / Documents(1) |
| 公開日 |
2021-05-25 |
| アクセス権 |
|
|
アクセス権 |
open access |
| 資源タイプ |
|
|
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 |
|
|
|
識別子タイプ |
DOI |
|
|
関連識別子 |
https://doi.org/10.2152/jmi.68.1 |
|
|
言語 |
ja |
|
|
関連名称 |
10.2152/jmi.68.1 |
| 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 surgical strategy for the intractable chronic low back pain due to type 1 Modic change using transforaminal full-endoscopic disc cleaning (FEDC) surgery under the local anesthesia : A case report and literature review |
|
言語 |
en |
| タイトル別表記 |
|
|
その他のタイトル |
Full-endoscopic disc cleaning surgery |
|
言語 |
en |
| 著者 |
西良, 浩一
前田, 徹
山下, 一太
手束, 文威
森本, 雅俊
ヤギ, キヨシ
キシマ, カズヤ
杉浦, 宏祐
竹内, 誠
ヤマダ, ユウジ
髙田, 洋一郎
酒井, 紀典
|
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
It has been reported that Modic change of the lumbar spine endplate includes three types: i.e. . edema or inflammation for type 1, fatty marrow change for type 2 and sclerotic change for type 3. Basically, type 1 Modic change may be related to the chronic low back pain. There are two kinds of the treatment for the type 1 Modic change to heal the pain : the anti-inflammatory drugs, and intra-discal injection of steroid. When the inflammatory change would be intractable, surgical intervention is needed. The gold standard for the surgical intervention is the segmental fusion of the affected level. The fusion surgery may cause the adjacent degeneration ; thus, motion preservation surgery is better, if possible. Our department started the motion preservation full-endoscopic intradiscal debridement surgery for this pathology, since some of the type 1 Modic change may be chronic discitis by P. Acnes. In this paper, we describe the first patient of type 1 Modic change who was successfully treated by the full-endoscopic intra-discal debridement and drainage under the local anesthesia. We named this procedure as transforaminal full-endoscopic disc cleaning surgery (FEDC). Finally, pathology, conservative and surgical intervention of Modic change was discussed. |
|
言語 |
en |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Type 1 Modic change |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
inflammation |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Propionibacterium acnes (P. acnes) |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
transforaminal full-endoscopic spinal surgery |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
disc cleaning |
| 書誌情報 |
en : The Journal of Medical Investigation
巻 68,
号 1-2,
p. 1-5,
発行日 2021-02
|
| 収録物ID |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
13496867 |
| 収録物ID |
|
|
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 |
| 出版者 |
|
|
出版者 |
Tokushima University Faculty of Medicine |
|
言語 |
en |
| EID |
|
|
識別子 |
376355 |
|
識別子タイプ |
URI |
| 言語 |
|
|
言語 |
eng |
jmi_68_1-2_1.pdf (521 KB)
