Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 17 de 17
Filter
1.
Spine Surg Relat Res ; 8(3): 280-286, 2024 May 27.
Article in English | MEDLINE | ID: mdl-38868795

ABSTRACT

Introduction: The Scoliosis Research Society-30 (SRS-30) is a questionnaire originally developed from the SRS-22r questionnaire and is used to evaluate adolescent idiopathic scoliosis (AIS). It comprised questions on five domains: function, pain, self-image, mental health, and satisfaction, with seven additional questions related to postoperative aspects. In addition to the original English version, translations in multiple languages have been effectively applied. Herein, we evaluated the internal consistency and external validity of the Japanese version of the SRS-30 for AIS patients. Methods: Among the 30 questions in SRS-30, the eight additional questions from SRS-22r were translated and back-translated to create a Japanese version of the SRS-30. This translated questionnaire was then used to survey patients with AIS who underwent corrective fusion surgery one year postoperatively. The internal consistency of the responses was evaluated using the Cronbach α coefficient. Additionally, the Spearman correlation analyses were conducted to assess the correlation between the scores obtained from the SRS-30 Japanese version and SRS-22r and the Oswestry Disability Index (ODI) for the overall scale and the five domains. Results: A total of 81 cases (eight males and 73 females; mean age at surgery 14.4 years) were enrolled. The mean preoperative Cobb angle was 51.0°. The Cronbach α coefficient for the overall SRS-30 was 0.861, indicating high internal consistency, while the coefficients for each domain were as follows: function/activity, 0.697; pain, 0.405; self-image/appearance, 0.776; mental health, 0.845; and satisfaction, 0.559. The SRS-30 total score significantly correlated with the SRS-22r total (r=0.945, P<0.001) and the ODI (r=-0.511, P<0.001). The SRS-30 domains highly correlated with the corresponding SRS-22r domains, with correlations ranging from r=0.826 to 0.901 (all P<0.001). Conclusions: The Japanese version of the SRS-30 demonstrated good internal and external validity. The SRS-30 can be used as an assessment tool for health-related quality of life in AIS patients.

2.
BMC Musculoskelet Disord ; 22(1): 312, 2021 Mar 29.
Article in English | MEDLINE | ID: mdl-33781247

ABSTRACT

BACKGROUND: Patient-reported outcome measures are widely utilized to assess health-related quality of life (HRQOL) in patients with adolescent idiopathic scoliosis (AIS). However, the association between HRQOL and curve severity is mostly unknown. The aim of this study is to clarify the association between HRQOL and curve severity, and to determine the optimal cutoff values of patient-reported outcomes for major curve severity in female patients with AIS. METHODS: Female patients with AIS treated conservatively were recruited. The patients' HRQOL outcomes were examined using the revised Scoliosis Research Society-22 (SRS-22r) and the Scoliosis Japanese Questionnaire-27 (SJ-27). The correlations of the SRS-22r and SJ-27 scores with the major Cobb angle were assessed using Spearman's correlation coefficient analysis. The association between HRQOL issues in the SJ-27 and the major Cobb angle was evaluated by calculating Akaike's Information Criterion (AIC). Furthermore, the optimal cutoff values of the SRS-22r and SJ-27 scores for the major Cobb angle were determined by AIC analysis. RESULTS: The study cohort comprised 306 female patients with AIS. The SRS-22r and SJ-27 scores were significantly correlated with the major Cobb angle. Questions in the SJ-27 regarding discomfort when wearing clothes showed a lower AIC value in patients with severe scoliosis. The optimal cutoff values were a SRS-22r score of 3.2 for the discrimination of severe scoliosis (Cobb angle ≥48°), and a SJ-27 score of 32 for the discrimination of moderate scoliosis (Cobb angle ≥33°). CONCLUSION: Discomfort when wearing clothes was the most important HRQOL problem caused by severe scoliosis. The SRS-22r and SJ-27 scores are useful for the discrimination of clinical status in female patients with severe scoliosis or moderate scoliosis.


Subject(s)
Scoliosis , Adolescent , Cross-Sectional Studies , Female , Humans , Japan/epidemiology , Quality of Life , Scoliosis/diagnostic imaging , Scoliosis/epidemiology , Surveys and Questionnaires
3.
J Orthop Sci ; 26(4): 533-537, 2021 Jul.
Article in English | MEDLINE | ID: mdl-32591199

ABSTRACT

BACKGROUND: The Japanese Scoliosis Society Morbidity & Mortality Committee performed a longitudinal nationwide complication survey of spinal deformity surgery from 2012 to 2017. The present study aimed to analyze the survey results and report the complication trends of adult spinal deformity surgery in Japan. METHODS: All Japanese Scoliosis Society members were invited to participate in the survey. Adult spinal deformity was categorized into three groups by age: 20-39 years, 40-64 years and ≥65 years. Complications were grouped into death, blindness, neurological deficits (motor/sensory), infection, massive bleeding, hematoma, pneumonia, cardiac failure, deep vein thrombosis/pulmonary embolism, gastrointestinal perforation, and instrumentation failure. RESULTS: The surveys were performed in 2012, 2014, and 2017. The overall complication rates were 21.6%, 26.0%, and 25.4%, respectively. The complication rates differed significantly by age group in all years such that older patients had a higher complication rate than younger patients. The rate of neurological deficits, particularly motor deficits, significantly increased in 2014 (3.1%-5.5%), and decreased in 2017 (4.3%). Massive bleeding and postoperative hematoma decreased significantly year by year (8.0%, 4.8%, 2.5% and 1.3%, 0.5%, 0.3%, respectively). The complication rate of instrumentation failure remained high, increasing without significant difference (5.2%, 5.8%, 6.5%, respectively), and was more common in the middle-aged and older patients. CONCLUSIONS: Surgical complication rates in patients with adult spinal deformity remain high, especially neurological deficits and instrumentation failure in patients aged over 40 years. However, the complication rates of massive bleeding and postoperative hematoma decreased over this period.


Subject(s)
Scoliosis , Spinal Fusion , Adult , Aged , Humans , Japan/epidemiology , Middle Aged , Morbidity , Postoperative Complications/epidemiology , Retrospective Studies , Scoliosis/surgery , Young Adult
4.
J Orthop Sci ; 26(5): 744-749, 2021 Sep.
Article in English | MEDLINE | ID: mdl-32800635

ABSTRACT

BACKGROUND: The Japanese Scoliosis Society Morbidity & Mortality Committee performed a longitudinal nationwide complication survey of spinal deformity surgery from 2012 to 2017. The present study aimed to analyze the survey results and report the complication trends of pediatric spinal deformity surgery in Japan. METHODS: All Japanese Scoliosis Society members were invited to participate in the survey. Diagnoses were grouped into idiopathic scoliosis, congenital scoliosis, neuromuscular scoliosis, other types of scoliosis, and pediatric kyphosis. Complications were grouped into death, blindness, neurological deficits (motor/sensory), infection, massive bleeding, hematoma, pneumonia, cardiac failure, deep vein thrombosis/pulmonary embolism, gastrointestinal perforation, and instrumentation failure. RESULTS: The surveys were performed in 2012, 2014, and 2017. The overall complication rate decreased from 10.7% in 2012 to 8.1% in 2017. In particular, the complication rate in patients with idiopathic scoliosis decreased from 8.8% in 2012 to 4.0% in 2017. The complication rate of patients with neuromuscular scoliosis and kyphosis remained high. The rate of neurological deficits, especially in motor deficits, significantly decreased from 2.0% in 2012 to 0.7% in 2017, and tended to be highest in patients with kyphosis. The rate of massive bleeding was significantly decreased from 3.3% in 2012 to 0.8% in 2017, especially in patients with neuromuscular scoliosis (12.2-4.4%). However, patients with neuromuscular scoliosis had a high rate of postoperative pneumonia (3.7%, 2.6%, and 5.1%, respectively). The rate of instrumentation failure was also high (2.1%, 1.5%, and 2.2%, respectively), especially in patients with early onset idiopathic, congenital and other types of scoliosis. CONCLUSIONS: The overall surgical complication rates in pediatric patients decreased due to decreased rates of neurological deficits and massive bleeding, especially in patients with idiopathic scoliosis. However, the complication rates remain high in patients with neuromuscular scoliosis and kyphosis.


Subject(s)
Scoliosis , Spinal Fusion , Child , Humans , Japan/epidemiology , Morbidity , Postoperative Complications/epidemiology , Retrospective Studies , Scoliosis/epidemiology , Scoliosis/surgery
5.
J Phys Ther Sci ; 32(6): 405-409, 2020 Jun.
Article in English | MEDLINE | ID: mdl-32581434

ABSTRACT

[Purpose] We evaluated the reliability of the measurement function of the Honda Walking Assist Device and investigated the effect of the device on walking improvements, and foot and ankle function, in hemiplegic stroke patients. [Participants and Methods] We recruited 16 hemiplegic stroke patients who performed 10-meter walk tests, twice without assistance and once with device assistance. Based on the rate of change of velocity, we divided the participants into two groups and compared the walking parameters, the toe grip strength, the cross tests, and the maximum step width. Two examiners assessed the 10-meter walk test results, and the authors calculated the intraclass correlation coefficients for walking speed, stride length, cadence, flexion, extension, and scissor angles. [Results] The intraclass correlation coefficients were greater than 0.70 for all the walking parameters we measured. The device increased hip joint movement but did not alter the maximum walking speed of the stroke patients. The patients in the group with a greater change in velocity displayed lower toe grip strength and decreased maximum step width and used orthoses more commonly. [Conclusion] The walking measurement function of the device was reliable. The immediate effect of the device in stroke patients may be influenced by the level of paralysis and the presence of an orthosis.

6.
Spine Surg Relat Res ; 3(3): 214-221, 2019.
Article in English | MEDLINE | ID: mdl-31440679

ABSTRACT

INTRODUCTION: The Japanese Scoliosis Society (JSS) created a longitudinal complication survey of spinal deformity surgery and established the Morbidity and Mortality (M&M) Committee in 2012. The purpose of this study was to analyze the results of the complication survey in 2014 and to report the differences in the complication rates between the years 2012 and 2014. METHODS: A request to participate in this survey was mailed to all JSS members. The questionnaires were sent through e-mail to the members who took part in this survey, and the responses were returned through the same. Diagnosis was grouped into idiopathic scoliosis, congenital scoliosis, neuromuscular scoliosis, spondylolisthesis, pediatric kyphosis and adult spinal deformity. Complication was grouped into death, blindness, neurological deficit (motor or sensory deficit), infection, massive bleeding, hematoma, pneumonia, cardiac failure, DVT/PE, gastrointestinal perforation and instrumentation failure. RESULTS: A total of 2,012 patients were reported from 71 institutes. Overall, complications were observed in 326 patients, and the complication rate increased from 10.4% in 2012 to 15.3% in 2014. The complication rate decreased from 8.8% to 3.7% in idiopathic scoliosis, 21.9% to 15.8% in neuromuscular scoliosis and 26.8% to 0% in kyphosis. The complication rate increased from 6.6% to 14.4% in congenital scoliosis, 9.3% to 12.0% in other types of scoliosis, 3.5% to 14.3% in spondylolisthesis and 21.6% to 26.0% in adult spinal deformity. The rate of neurological deficit, especially in motor deficit, increased from 3.2% to 7.7% in older patients with adult spinal deformity. Instrumentation failure was also more common in patients with adult spinal deformity (5.2% to 5.8%), especially in patients aged 40-65 years (4.4% to 9.1%). CONCLUSIONS: The major complication trends were an increasing rate of neurological deficit and instrumentation failure, especially in adult spinal deformity.

7.
BMC Musculoskelet Disord ; 19(1): 99, 2018 04 03.
Article in English | MEDLINE | ID: mdl-29615021

ABSTRACT

BACKGROUND: A progressive deformity associated with adolescent idiopathic scoliosis (AIS) negatively affects a patient's health-related quality of life (HRQOL). Although the Scoliosis Research Society-22 (SRS-22) is the standard measurement tool for assessing HRQOL in patients with AIS, it is partially suboptimal for evaluating HRQOL in Japanese patients with AIS because of cultural differences. The purpose of this study was to develop a novel patient-reported outcome measure for Japanese female patients with AIS and to evaluate the reliability and validity of this questionnaire in comparison with the SRS-22 tool. METHODS: We developed 27 questions based on the psychosocial problems in the daily life of young female patients with AIS in Japan, the Scoliosis Japanese Questionnaire-27 (SJ-27). To evaluate its reliability, the internal consistency was assessed using Cronbach's alpha coefficient. Concurrent validity was evaluated using Spearman's correlation coefficient between the SJ-27 and the SRS-22. To investigate the construct validity of the SJ-27, the correlation between the SJ-27 questions was assessed using Akaike's information criterion (AIC). RESULTS: We analyzed 384 female patients with AIS. Cronbach's alpha coefficients were 0.914 and 0.829 for the SJ-27 and the SRS-22, respectively. Spearman's correlation coefficient between the SJ-27 and the SRS-22 was 0.692 (p < 0.001). The AIC analysis indicated that the SJ-27 items are divided into five domains, indicating that the SJ-27 covered a wide range of health-related problems among female patients with AIS. CONCLUSIONS: The results suggest that the SJ-27 is a reliable and valid patient-reported outcome measure for evaluating HRQOL in female patients with AIS in Japan.


Subject(s)
Scoliosis/psychology , Adolescent , Asian People , Child , Cross-Sectional Studies , Female , Humans , Quality of Life , Reproducibility of Results , Surveys and Questionnaires
8.
Spine Surg Relat Res ; 1(2): 78-81, 2017.
Article in English | MEDLINE | ID: mdl-31440616

ABSTRACT

INTRODUCTION: The Japanese Scoliosis Society (JSS) planned to make a longitudinal survey of the mortality and morbidity (M&M) of spinal deformity surgery and established the M&M Committee in 2012. We reported the analysis of the surgical complication (M&M) survey in 2012. METHODS: A request to participate in this survey was mailed to all JSS members. Questionnaires were sent by email to members who agreed to cooperate, and their answers were obtained. Diagnosis was grouped into idiopathic scoliosis, congenital scoliosis, neuromuscular scoliosis, spondylolisthesis, pediatric kyphosis, and adult spinal deformity. Complications were grouped into death, blindness, neurological deficit, infection, massive bleeding, hematoma, pneumonia, cardiac failure, DVT/PE, gastrointestinal perforation, and instrumentation failure. RESULTS: A total of 2,906 patients were reported from sixty-eight hospitals: idiopathic 488, congenital 91, neuromuscular 82, others 214, spondylolisthesis 1,241, pediatric kyphosis 41, and adult spinal deformity 749. Complications were death in 3, neurological deficit in 49, early infection in 37, late infection in 14, massive bleeding in 91, hematoma in 18, pneumonia in 6, cardiac failure in 1, DVT/PE in 9, gastrointestinal perforation in 2, and instrumentation failure in 73. The complication rate of having a neurological deficit, massive bleeding, and instrumentation failure was 4.88%, 7.32%, and 4.88% respectively in patients with pediatric kyphosis, and 3.07%, 8.01%, and 5.21% respectively in patients with an adult spinal deformity. The complication rate of early infection was 4.88% in the patients with pediatric kyphosis. CONCLUSIONS: The complication rates of pediatric kyphosis and adult spinal deformity were high.

9.
Case Rep Orthop ; 2014: 467246, 2014.
Article in English | MEDLINE | ID: mdl-25525538

ABSTRACT

Traumatic hip dislocation in children has a relatively rare occurrence. There are some residual complications, such as avascular necrosis of the femoral head, growth disturbance caused by premature fusion, neurological injury, recurrent dislocation, and posttraumatic arthritis. There is no consensus in the literature about the period of non-weight bearing after reduction. A rare case of a 13-year-old boy of hip dislocation caused by trivial force for age is reported followed by review of the pediatric literatures with treatment recommendation.

10.
Spine (Phila Pa 1976) ; 32(4): E141-6, 2007 Feb 15.
Article in English | MEDLINE | ID: mdl-17304124

ABSTRACT

STUDY DESIGN: A cross-sectional observational study to determine the response distribution, internal consistency, and construct, concurrent, and discriminative validities of The Scoliosis Research Society-22 (SRS-22) Patient Questionnaire translated into Japanese as compared with the other language versions. OBJECTIVE: To validate the Japanese version of SRS22. SUMMARY OF BACKGROUND DATA: The SRS-22 was translated into several languages but yet not into Japanese. METHODS: The Japanese SRS-22 and Medical Outcomes Study Short Form 36 were simultaneously administered to 114 adolescent idiopathic scoliosis patients. RESULTS: Exploratory factor analysis revealed a 4-factor structure, though several items were not loaded as theoretically expected. The originally constructed Japanese SRS-22 subscales and the English version showed similar response distribution. Internal consistency was fair but lower than that of the English version. The concurrent validity of the translated version, except for the self-image subscale, was supported using Medical Outcomes Study Short Form 36 subscales as a reference. The function scale differed significantly by curve angle magnitude and treatment status. The self-image score was the highest in patients under observation when curve angle was < 40 degrees, while postsurgical patients marked the highest scores when the angle > or = 40 degrees, respectively. CONCLUSIONS: The Japanese SRS-22 is valid and may be useful for clinical evaluation of Japanese scoliosis patients, though the self-image subscale may need further assessment.


Subject(s)
Scoliosis/ethnology , Scoliosis/psychology , Surveys and Questionnaires , Adolescent , Child , Cross-Sectional Studies , Female , Humans , Japan/epidemiology , Male , Patient Compliance , Psychometrics , Scoliosis/surgery , Self Concept , Treatment Outcome
11.
J Spinal Disord Tech ; 18(5): 392-5, 2005 Oct.
Article in English | MEDLINE | ID: mdl-16189448

ABSTRACT

This article attempts to evaluate the effectiveness of the ultra-high-molecular-weight polyethylene (UHMW-PE) cable system in atlantoaxial transarticular screw fixation and posterior fusion through the clinical results of 10 postoperative patients with atlantoaxial subluxation secondary to rheumatoid arthritis. Among them, one patient with only one screw placed owing to an anomalous vertebral artery had the correction loss of the 3-mm atlas-dens interval after surgery. Another patient had a second operation to remove the screw and cable after 2 years 11 months because a unilateral transarticular screw had come to protrude through the lateral mass of the atlas ventrally. All patients had achieved C1-C2 osseous fusion without any complications associated with this cable system. The UHMW-PE cable is a very useful material as sublaminar wiring in atlantoaxial transarticular screw fixation and posterior fusion.


Subject(s)
Atlanto-Axial Joint/surgery , Bone Screws , Joint Dislocations/surgery , Polyethylenes , Spinal Fusion/instrumentation , Aged , Arthritis, Rheumatoid/complications , Atlanto-Axial Joint/diagnostic imaging , Axis, Cervical Vertebra/diagnostic imaging , Axis, Cervical Vertebra/surgery , Cervical Atlas/diagnostic imaging , Cervical Atlas/surgery , Female , Humans , Joint Dislocations/diagnostic imaging , Joint Dislocations/etiology , Male , Middle Aged , Radiography , Treatment Outcome
12.
J Emerg Med ; 29(1): 53-5, 2005 Jul.
Article in English | MEDLINE | ID: mdl-15961009

ABSTRACT

This article describes the case of a 40-year-old man with transient paralysis of both legs as the major symptom of an acute abdominal aortic aneurysm rupture presumably due to the occlusion of blood flow to the conus medullaris.


Subject(s)
Aortic Rupture/complications , Aortic Rupture/diagnosis , Paraplegia/etiology , Acute Disease , Adult , Aortic Rupture/surgery , Back Pain/etiology , Humans , Lumbar Vertebrae/diagnostic imaging , Male , Radiography , Treatment Outcome
13.
J Spinal Disord Tech ; 16(5): 493-6, 2003 Oct.
Article in English | MEDLINE | ID: mdl-14526199

ABSTRACT

We present a 15-year-old boy with severe cervical kyphosis due to neurofibromatosis (NF), who underwent one-stage anterior fusion and posterior correction using pedicle screw fixation. The kyphosis was corrected from 72 degrees to 35 degrees. At the follow-up 16 months postoperatively, anterior fusion and posterior stabilization had been obtained without correction loss. Cervical pedicle screw fixation is a useful method for the correction of severe cervical kyphosis in patients with NF.


Subject(s)
Cervical Vertebrae/surgery , Kyphosis/surgery , Neurofibroma/surgery , Neurofibromatoses/complications , Spinal Fusion/instrumentation , Spinal Neoplasms/surgery , Adolescent , Bone Screws/standards , Bone Screws/trends , Cervical Vertebrae/diagnostic imaging , Cervical Vertebrae/pathology , Humans , Internal Fixators/standards , Internal Fixators/trends , Intraoperative Complications/prevention & control , Kyphosis/complications , Kyphosis/diagnosis , Magnetic Resonance Imaging , Male , Monitoring, Physiologic/methods , Neurofibroma/complications , Radiography , Reflex, Abnormal/physiology , Spinal Cord Compression/etiology , Spinal Cord Compression/physiopathology , Spinal Cord Compression/surgery , Spinal Fusion/methods , Spinal Neoplasms/complications , Treatment Outcome
14.
J Neuropathol Exp Neurol ; 62(2): 185-94, 2003 Feb.
Article in English | MEDLINE | ID: mdl-12578228

ABSTRACT

Recently, it has been suggested that neural stem cells and neural progenitor cells exist in the ependyma that forms the central canal of the spinal cord. In this study, we produced various degrees of thoracic cord injury in adult rats using an NYU-weight-drop device, assessed the degree of recovery of lower limb motor function based on a locomotor rating scale, and analyzed the kinetics of ependymal cell proliferation and differentiation by proliferating cell nuclear antigen (PCNA), nestin, glial fibrillary acidic protein (GFAP), or GAP-43 immunostaining. The results showed that the time course of the ependymal cell proliferation and differentiation reactions differed according to the severity of injury, and that the responses occurred not only in the neighborhood of the injury but in the entire spinal cord. An increase in the locomotor rating score was related to an increase in the number of PCNA-positive cells, and the differentiation of ependymal cells into reactive astrocytes was involved in injury repair. No apoptotic cells in the ependyma were detectable by the TUNEL method. These results indicate that the ependymal cells of the spinal central canal are themselves multipotent, can divide and proliferate according to the severity of injury, and differentiate into reactive astrocytes within the ependyma without undergoing apoptosis or cell death.


Subject(s)
Astrocytes/metabolism , Ependyma/metabolism , Nerve Regeneration/physiology , Recovery of Function/physiology , Spinal Cord Injuries/metabolism , Spinal Cord/metabolism , Stem Cells/metabolism , Animals , Apoptosis/physiology , Astrocytes/cytology , Cell Differentiation/physiology , Cell Division/physiology , Ependyma/cytology , Female , GAP-43 Protein/metabolism , Glial Fibrillary Acidic Protein/metabolism , Immunohistochemistry , In Situ Nick-End Labeling , Movement Disorders/physiopathology , Proliferating Cell Nuclear Antigen/metabolism , Rats , Rats, Wistar , Spinal Cord/cytology , Spinal Cord Injuries/pathology , Spinal Cord Injuries/physiopathology , Stem Cells/cytology
15.
J Orthop Surg (Hong Kong) ; 10(1): 1-7, 2002 Jun.
Article in English | MEDLINE | ID: mdl-12401914

ABSTRACT

We performed a comparative study of iliac bone graft (the iliac bone group) and carbon cage with local bone graft (the cage group) in PLIF to evaluate the clinical results of both methods. We examined both groups about the operating time, the estimated blood loss, the operative results using the score rating system of Japanese Orthopaedic Association (JOA score), and the presence of bone union on radiography. The operating time and the estimated blood loss of the cage group were statistically less than those of the iliac bone group. There were no significant differences between both groups about the operative results. The radiographic evaluation on bone union showed that half of the iliac bone group had collapsed union, but all cases of the cage group revealed union without collapse.


Subject(s)
Bone Transplantation/adverse effects , Bone Transplantation/methods , Orthopedic Fixation Devices , Prostheses and Implants , Spinal Diseases/surgery , Spinal Fusion/instrumentation , Adult , Aged , Carbon/therapeutic use , Female , Humans , Ilium/transplantation , Lumbar Vertebrae , Male , Middle Aged , Retrospective Studies , Treatment Outcome
16.
Arch Orthop Trauma Surg ; 122(2): 120-2, 2002 Mar.
Article in English | MEDLINE | ID: mdl-11880917

ABSTRACT

We describe a 37-year-old man complaining of right back pain and gait disturbance. He had a big soft tumor on his right back, hemihypertrophy of the right lower extremity, and right thoracic scoliosis. We diagnosed Klippel-Trenaunay-Weber syndrome based on the pathological findings of the soft tumor. Computed tomography (CT) scan revealed severe spinal stenosis due to a hypertrophic vertebral body and facet joint at T7. Treatment by decompression of hypertrophic bone led to complete neurological recovery. To our knowledge, no case has been reported of Klippel-Trenaunay-Weber syndrome with myelopathy which originated from thoracic scoliosis with a hypertrophic facet joint and vertebral body. We suggest that the cause of myelopathy in Klippel-Trenaunay-Weber syndrome originated not only from arteriovenous fistula, medullary angioma, and extradural hemangioma but also vertebral hypertrophy with scoliosis.


Subject(s)
Klippel-Trenaunay-Weber Syndrome/diagnosis , Scoliosis/diagnosis , Spinal Cord Diseases/diagnosis , Thoracic Vertebrae/pathology , Adult , Biopsy, Needle , Follow-Up Studies , Humans , Hypertrophy/complications , Hypertrophy/diagnosis , Klippel-Trenaunay-Weber Syndrome/complications , Laminectomy/methods , Male , Scoliosis/complications , Scoliosis/surgery , Spinal Cord Diseases/complications , Thoracic Vertebrae/diagnostic imaging , Thoracic Vertebrae/surgery , Tomography, X-Ray Computed , Treatment Outcome
17.
J Orthop Surg (Hong Kong) ; 8(2): 69-74, 2000 Dec.
Article in English | MEDLINE | ID: mdl-12468864

ABSTRACT

Intradural spinal teratoma is a very rare tumour that can be associated with dysraphic defects. We report a case of adult-onset intradural spinal teratoma in the lumbar spine. The patient was a 54-year-old female who had chief complaints of a gait disturbance. X-rays showed an enlargement of the interpedicular distance at L3/L4 and spina bifida distal to L4. MRI showed a spindle-shaped tumour between L2 and L5. We performed laminotomy using an ultrasonic surgical knife. Pathological diagnosis of the resected tumour was matured teratoma. The diagnosis of matured teratoma was made because the tumour had no epithelium and a layered structure including prostate tissue, matured fat, cartilage and sweat gland.

SELECTION OF CITATIONS
SEARCH DETAIL
...