1 0 0 0 OA 脊椎脊髄手術におけるDuragenⓇの髄液漏防止効果の検討
- 著者
- 原 毅 高橋 良介 尾原 裕康 岩室 宏一 下地 一彰 志村 有永 佐藤 達哉 宮川 慶 奥田 貴俊 野尻 英俊
- 出版者
- 一般社団法人 日本脊椎脊髄病学会
- 雑誌
- Journal of Spine Research (ISSN:18847137)
- 巻号頁・発行日
- vol.12, no.7, pp.926-932, 2021-07-20 (Released:2021-07-20)
- 参考文献数
- 9
DuragenⓇは多孔性のcollagen matrixにより形成されている吸収性の人工硬膜で,内部に血小板が浸潤することでフィブリン塊による膜を形成し,早期の髄液漏防止効果が得られる.DuragenⓇの脊椎脊髄手術における髄液漏防止効果について,後方視的に検討した.DuragenⓇを用いた脊椎脊髄手術34例中,髄液漏発生は2例であった.DuragenⓇは脊椎脊髄手術において髄液漏予防に有用と考えられる.水との親和性により様々な使用方法が期待できる素材と考える.
1 0 0 0 OA Currarino triadの手術治療について
- 著者
- 尾原 裕康 野中 康臣 宮嶋 雅一 新井 一
- 出版者
- 日本脊髄外科学会
- 雑誌
- 脊髄外科 (ISSN:09146024)
- 巻号頁・発行日
- vol.24, no.2, pp.217-222, 2010 (Released:2017-05-11)
- 参考文献数
- 24
The Currarino triad was first described by Currarino et al as a combination of presacral mass, bony sacral defect, and anorectal malformation. Neuroanatomic malformations associated with this hereditary syndrome are anterior sacral meningocele, teratoma, tethered cord syndrome and Chiari malformation. In this paper the authors report four surgically treated cases of Currarino triad. The patients' age at first admission was between 1 month and 8 months, 3 patients were female and one was male. Initial symptoms were meningitis, periproctal abscess, constipation and abdominal mass. The indication for surgery was different in each case. The combination of the pathological findings of the presacral mass and the tethered cord in our cases were different in all patients. All patients showed tethered cord in our cases, although tethered cord was reported in only approximately 18% of the patients with the Currarino triad reported in the literature. The Currarino triad is categorized as a of hereditary abnormality but each case shows various combination of anomaly. It is therefore necessary to understand the condition of each individual case and to determine the proper strategy for treatment accordingly.
