{"created":"2023-06-20T14:25:10.384932+00:00","id":239,"links":{},"metadata":{"_buckets":{"deposit":"77fc5615-2625-434d-aba8-df8767143f59"},"_deposit":{"created_by":3,"id":"239","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"239"},"status":"published"},"_oai":{"id":"oai:dmu.repo.nii.ac.jp:00000239","sets":["81:30"]},"author_link":["830","833","835","839","831","834","828","840","836","829","832","837","838","841"],"item_2_biblio_info_12":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2004-07-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"166","bibliographicPageStart":"161","bibliographicVolumeNumber":"31","bibliographic_titles":[{"bibliographic_title":"Dokkyo journal of medical sciences"}]}]},"item_2_description_10":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_description":"イリザロフ法により重度脊柱後側弯例を漸次矯正したので報告する.症例は16歳男性で主訴は重度の脊柱変形で,歩行時正面を見るのが困難であった.9歳時と11歳時に後方矯正固定術を行ったが変形は進行し,16歳時側弯は130度,後弯は125度となった.胸椎部骨切りと椎弓切除術を行い,イリザロフ法による漸次矯正を開始した.術後26週と2日に下肢の運動麻痺が出現したため,矯正を2日分戻し麻痺は回復した.矯正の限界と考えイリザロフ創外固定器を内固定に置き換えた.重度後側弯変形に対する一期的な矯正術は,神経・血管合併症の危険が高く矯正不足となりやすい.イリザロフ法では意識下にモニタリングしながら矯正できる利点があり,一期的手術に比べより大きい矯正が得られる.イリザロフ法は,通常の脊椎instrumentationで矯正困難な症例に対する有効な治療法の1つとなりうる.","subitem_description_type":"Other"}]},"item_2_description_11":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_description":"We report a patient in whom severe kyphoscoliosis was gradually corrected by the Ilizarov method. A 16-year-old male presented with severe deformity of the spinal column, and it was difficult to walk facing forward. At the age of 9 and 11 years, posterior correction was performed ; however, deformity deteriorated, and the angles of scoliosis and kyphosis at the age of 16 years were 130 and 125 degrees, respectively. Osteotomy of the thoracic vertebrae and laminectomy were performed. Gradual correction by the Ilizarov method was initiated. Motor paralysis of the lower limbs developed 26 weeks and 2 days after surgery : a 2-day return of correction improved paralysis. Considering the limit of correction, we replaced an Ilizarov wound external fixator for an internal fixator. One-stage correction for severe kyphoscoliosis may cause neural/vascular complications, leading to insufficient correction. In the Ilizarov method, correction can be performed while the patient is conscious, which is its advantage, facilitating greater correction compared to that obtained by one-stage surgery. The Ilizarov method may be useful for treating patients in whom it is difficult to correct kyphoscoliosis by standard vertebral instrumentation.","subitem_description_type":"Other"}]},"item_2_description_8":{"attribute_name":"記事種別(日)","attribute_value_mlt":[{"subitem_description":"症例報告","subitem_description_type":"Other"}]},"item_2_description_9":{"attribute_name":"記事種別(英)","attribute_value_mlt":[{"subitem_description":"Case Report","subitem_description_type":"Other"}]},"item_2_source_id_1":{"attribute_name":"雑誌書誌ID","attribute_value_mlt":[{"subitem_source_identifier":"AA00629581"}]},"item_2_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"03855023","subitem_source_identifier_type":"ISSN"}]},"item_2_text_6":{"attribute_name":"著者所属(日)","attribute_value_mlt":[{"subitem_text_value":"獨協医科大学越谷病院整形外科"},{"subitem_text_value":"獨協医科大学越谷病院整形外科"},{"subitem_text_value":"獨協医科大学越谷病院整形外科"},{"subitem_text_value":"獨協医科大学越谷病院整形外科"},{"subitem_text_value":"獨協医科大学越谷病院整形外科"},{"subitem_text_value":"獨協医科大学越谷病院整形外科"},{"subitem_text_value":"獨協医科大学越谷病院整形外科"}]},"item_2_text_7":{"attribute_name":"著者所属(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Dokkyo University School of Medicine"},{"subitem_text_language":"en","subitem_text_value":"Dokkyo University School of Medicine"},{"subitem_text_language":"en","subitem_text_value":"Dokkyo University School of Medicine"},{"subitem_text_language":"en","subitem_text_value":"Dokkyo University School of Medicine"},{"subitem_text_language":"en","subitem_text_value":"Dokkyo University School of Medicine"},{"subitem_text_language":"en","subitem_text_value":"Dokkyo University School of Medicine"},{"subitem_text_language":"en","subitem_text_value":"Dokkyo University School of Medicine"}]},"item_2_title_3":{"attribute_name":"論文名よみ","attribute_value_mlt":[{"subitem_title":"ジュウド セキチュウ コウソクワン ヘンケイ ニ タイスル イリザロフホウ ノ オウヨウ"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"田島, 幹大"},{"creatorName":"タジマ, カンタ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"大関, 覚"},{"creatorName":"オオゼキ, サトル","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"木家, 哲郎"},{"creatorName":"キヤ, テツロウ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"竹本, 知裕"},{"creatorName":"タケモト, トモヒロ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"反町, 毅"},{"creatorName":"ソリマチ, ツヨシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"阿藤, 晃久"},{"creatorName":"アトウ, アキヒサ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"野原, 裕"},{"creatorName":"ノハラ, ユタカ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Tajima, Kanta","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Ozeki, Satoru","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kiya, Tetsurou","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Takemoto, Tomohiro","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Sorimachi, Tsuyoshi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Atou, Akihisa","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Nohara, Yutaka","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-05-24"}],"displaytype":"detail","filename":"KJ00004091332.pdf","filesize":[{"value":"674.7 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"KJ00004091332.pdf","url":"https://dmu.repo.nii.ac.jp/record/239/files/KJ00004091332.pdf"},"version_id":"1be85192-78d9-48d8-86d0-b46e3be0701d"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"脊柱後側弯"},{"subitem_subject":"イリザロフ法"},{"subitem_subject":"漸次矯正"},{"subitem_subject":"kyphoscoliosis","subitem_subject_language":"en"},{"subitem_subject":"Ilizarov method","subitem_subject_language":"en"},{"subitem_subject":"gradual correction","subitem_subject_language":"en"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"重度脊柱後側弯変形に対するイリザロフ法の応用","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"重度脊柱後側弯変形に対するイリザロフ法の応用"},{"subitem_title":"Ilizarov Method for Severe Kyphoscoliosis","subitem_title_language":"en"}]},"item_type_id":"2","owner":"3","path":["30"],"pubdate":{"attribute_name":"公開日","attribute_value":"2017-05-24"},"publish_date":"2017-05-24","publish_status":"0","recid":"239","relation_version_is_last":true,"title":["重度脊柱後側弯変形に対するイリザロフ法の応用"],"weko_creator_id":"3","weko_shared_id":3},"updated":"2023-06-20T16:25:36.272243+00:00"}