ワダ ケイジ
和田 圭司 所属 その他 その他 職種 嘱託医師 |
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論文種別 | 症例報告 |
言語種別 | 英語 |
査読の有無 | 査読あり |
表題 | Reduction of caudal traction force using dural sac opening rather than spinal cord detethering for tethered cord syndrome caused by lipomyelomeningocele: a case report. |
掲載誌名 | 正式名:The spine journal : official journal of the North American Spine Society 略 称:Spine J ISSNコード:18781632/15299430 |
掲載区分 | 国外 |
巻・号・頁 | 14(10),pp.e1-3 |
著者・共著者 | Murata Yasuaki, Kanaya Kohichi, Wada Hiroyoshi, Wada Keiji, Shiba Masahiro, Kato Yoshiharu |
発行年月 | 2014/10 |
概要 | BACKGROUND CONTEXT:A few reports have addressed tethered cord syndrome. Detethering surgery has been performed in these cases because abnormal tension on the spinal cord causes neurologic and urologic symptoms.PURPOSE:To discuss the surgical treatment of tethered cord syndrome with the belief that the tension on the cord can be decreased by shifting tethered cord to the dorsal side.STUDY DESIGN:A patient with tethered cord syndrome was surgically treated by shifting the tethered cord to the dorsal side by harnessing the lumbar lordosis instead of detethering.METHODS:We performed surgery to shift the tethered cord to the dorsal side by harnessing the lumbar lordosis to decrease the tension on the spinal cord.RESULTS:The tethered cord that was pressed to the ventral side because of a lipoma was shifted dorsally by laminectomy and opening of the dural sac. Pain and numbness were alleviated immediately after surgery.CONCLUSIONS:The method used in the present case, that is, shifting the tethered cord and lipoma to the dorsal side by harnessing the lumbar lordosis instead of detethering, is a viable treatment option for tethered cord syndrome. |
DOI | 10.1016/j.spinee.2014.02.031 |
PMID | 24613376 |