書誌事項
- タイトル別名
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- JAPANESE MORPHOLOGIC CONSIDERATIONS FOR ILIOSACRAL SCREW PLACEMENT
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抄録
type:Article
Iliosacral screw placement has recently become a popular method of treat- ment for pelvic disruption fractures. It provides stable fixation that is biomechanically equal or superior to other techniques and requires less invasive surgery. However, recently, some iatrogenic complications have been reported, including radiculopathy of lumbo-sacral nerve, and arterial injury derived from miscannulation of screws in fluoroscopic image- guided procedures. The purpose of this stydy was to investigate the proximity of neurovas- cular structures in Japanese people to the first sacral (S1) body in which screws will be inserted. Twenty- five human Japanese cadavers were investigated. The distance to each structure was measured from the mid-point of the promontorium in the surface parallel to the S1 body. Latitudinal measurement was performed: X longitudinal: Y. The mean distances were as follows : 1.) L3: X, 43.7±9.0 mm, Y, 19.3±9.5 mm ; 2.) L4; X, 42.6± 12.1 mm, Y, 20.9±10.0 mm ; 3.) L5: X, 33.9±6.4 mm, Y, 24.5±9.0 mm ; 4.) internal iliac vein : X, 28.5±8.5 mm, Y, 7.4±7.5 mm ; 5.) internal iliac artery ; X, 28.7±10.4 m, Y, 5.5 mm±10.0 mm. These results suggest that if screws penetrate the sacral body, the L 5 nerve will be severely injured. Vascular structures will escape screw-related injury.
identifier:Journal of Nara Medical Association Vol.50 No.6 p.524-530
identifier:13450069
identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/563
identifier:Journal of Nara Medical Association, 50(6): 524-530
収録刊行物
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- Journal of Nara Medical Association
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Journal of Nara Medical Association 50 (6), 524-530, 1999-12-31
奈良医学会
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詳細情報 詳細情報について
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- CRID
- 1050001337493990912
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- NII論文ID
- 120004973055
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- NII書誌ID
- AA11252383
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- ISSN
- 13450069
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- 本文言語コード
- ja
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- 資料種別
- departmental bulletin paper
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- データソース種別
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- IRDB
- CiNii Articles