臨床整形外科47巻3号

2012年03月発行

臨床経験

胸椎椎間板ヘルニアに対する後方経路胸椎椎体間固定術（PTIF）

著者： 山崎良二¹ 奥田真也¹ 前野考史¹ 白隆光¹ 岩崎幹季² 小田剛紀¹

所属機関： ¹大阪労災病院整形外科 ²大阪大学大学院医学系研究科外科系臨床医学専攻器官制御外科学

ページ範囲：P.261 - P.269

　胸椎椎間板ヘルニアに対する後方経路胸椎椎体間固定術(PTIF)の手術成績を明らかにするために，6カ月以上の追跡が可能であった11例・12椎間を調査した．手術時年齢は平均51.3歳，追跡期間は平均47カ月であった．JOAスコア(11点満点)は，術前5.1点が術後8.6点に改善し，改善率は平均57.0％であった．合併症は硬膜損傷を1例，偽関節に伴う局所後弯の進行を1例に認めた．T2/3やT3/4の上位胸椎症例にも手術可能であった．PTIFは胸椎椎間板ヘルニアの手術として有用な方法であると考える．

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