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Title: 頸部神経根症に対して顕微鏡下後方椎間孔拡大術を施行した1例
Other Titles: A Case of Microscopic Posterior Foraminotomy for Cervical Radiculopathy
Authors: 角田, 圭司 / 馬場, 史郎 / 永田, 泉
Authors (alternative): Tsunoda, Keishi / Baba, Shirou / Nagata, Izumi
Issue Date: 20-Oct-2008
Publisher: 日本脳神経外科コングレス
Citation: 脳神経外科ジャーナル, 17(10), pp.788-793; 2008
Abstract: The ideal surgical treatment of cervical radiculopathy remains controversial. Recent reports from orthopedic surgeons in Japan recommend microscopic posterior foraminotomy. We observed a case of cervical spondylotic radiculopathy treated with microscopic posterior foraminotomy. This technique has several advantages, such as preservation of cervical motion, no need for external bracing, and a lower risk of complications. Careful patient selection and microsurgical technique is essential in obtaining consistent and excellent results. Here we report the details of surgical technique and the procedure for this treatment. / 頸部神経根症に対する手術治療には,種々の方法が報告されているが,近年,低侵襲手術の一つとして顕微鏡下後方椎間孔拡大術が日本においては整形外科医により推奨されている.脳神経外科医による報告は少ないが,今回われわれは1症例を経験した.本法は,頸椎の可動性を保ち,骨移植の必要がなく術後の装具も不要であり,患者の負担も少なく早期に社会復帰できる術式である.ただし的確な診断と顕微鏡を用いた慎重な手術操作が不可欠と思われる.本手術法の詳細と適応につき文献的考察とともに報告する.
Keywords: cervical radiculopathy / spondylosis / microscopic posterior foraminotomy
URI: http://hdl.handle.net/10069/22319
ISSN: 0917950X
Type: Journal Article
Text Version: publisher
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/22319

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