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ID 115003
タイトル別表記
Myelopathy due to C2 Spondylolysis
著者
Kimura, Tetsuya The University of Tokushima
阿部, 光伸 The University of Tokushima KAKEN研究者をさがす
髙田, 洋一郎 The University of Tokushima KAKEN研究者をさがす
東野, 恒作 The University of Tokushima KAKEN研究者をさがす
キーワード
Axis
Cervical vertebra
Spondylolysis
Spinal cord compression
資料タイプ
学術雑誌論文
抄録
We report a case with compression myelopathy due to proliferative changes around the C2 pars defects without instability. A 69-year-old man presented with progressive clumsy hands and spastic gait. Plain radiographs showed bilateral spondylolysis (pars defects) at C2 and fusion between C2 and C3 spinous processes. Dynamic views revealed mobility through the pars defects, but there was no apparent instability. Computed tomography showed proliferative changes at the pars defects, which protruded into spinal canal. On magnetic resonance imaging, the spinal cord was compressed and intramedullary high signal change was found. A diagnosis of compression myelopathy due to proliferative changes around the C2 pars defects was made. We performed posterior decompression. Postoperatively, symptoms have been alleviated and images revealed sufficient decompression and no apparent instability. In patients with the cervical spondylolysis, myelopathy caused by instability or slippage have been periodically reported. The present case involving C2 spondylolysis is extremely rare.
掲載誌名
Asian Spine Journal
ISSN
19761902
19767846
cat書誌ID
AA12329596
出版者
Korean Society of Spine Surgery
10
3
開始ページ
565
終了ページ
569
発行日
2016-06-16
権利情報
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
EDB ID
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
医学系
病院