臨床整形外科57巻7号

2022年07月発行

臨床経験

椎弓形成術後の局所アライメント変化は全脊椎アライメントへ影響を及ぼすか？

著者： 百田吉伸¹ 重松英樹¹ 田中誠人¹ 山本雄介¹ 須賀佑磨¹ 川崎佐智子¹ 田中康仁¹

所属機関： ¹奈良県立医科大学整形外科

ページ範囲：P.903 - P.907

背景：椎弓形成術(laminoplasty：LP)後の頚椎アライメント変化が，胸椎以下のアライメントにどのような影響を及ぼすかについては明らかではない．対象と方法：対象は当院で2010〜2017年度にLPを行った症例で術後2年間追跡可能であり，データを収集可能であった62例で，ΔC2-7Cobb≦−5°と＞−5°の2群間比較を行った．結果：頚椎アライメントは有意に変化したが，胸椎以下のアライメントに有意差は認めなかった．結論：頚髄症性脊髄症(CSM)に対するLP後に後弯進行を来す症例では，頚椎後弯は脊椎全体ではなく局所で代償されると考えられた．

参考文献

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