Abstract:
RATIONALE:Fixed thoracolumbar kyphosis with spinal stenosis in adult patients with achondroplasia presents a challenging issue. We describe the first case in which spondylectomy and minimally invasive lateral access interbody arthrodesis were used for the treatment of fixed severe thoracolumbar kyphosis and lumbar spinal canal stenosis in an adult with achondroplasia. PATIENT CONCERNS:A 61-year-old man with a history of achondroplastic dwarfism presented with low back pain and radiculopathy and neurogenic claudication. DIAGNOSES:Plain radiographs revealed a high-grade thoracolumbar kyphotic deformity with diffuse degenerative changes in the lumbar spine. The apex was located at L2, the local kyphotic angle from L1 to L3 was 105°, and the anterior area was fused from the L1 to L3 vertebrae. MRI revealed significant canal and lateral recess stenosis secondary to facet hypertrophy. INTERVENTIONS:We planned a front-back correction of the anterior and posterior spinal elements. We first performed anterior release at the fused part from L1 to L3 and XLIF at L3/4 and L4/5. Next, the patient was placed in the prone position. Spondylectomy at the L2 vertebra and posterior fusion from T10 to L5 were performed. Postoperative radiographs revealed L1 to L3 kyphosis of 32°. OUTCOMES:No complications occurred during or after surgery. Postoperatively, the patient's low back pain and neurological claudication were resolved. No worsening of kyphosis was observed 24 months postoperatively. LESSONS:Circumferential decompression of the spinal cord at the apical vertebral level and decompression of lumbar canal stenosis were necessary. Front-back correction of the anterior and posterior spinal elements via spondylectomy and lateral lumbar interbody fusion is a reasonable surgical option for thoracolumbar kyphosis and developmental canal stenosis in patients with achondroplasia.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Miyazaki M,Kanezaki S,Notani N,Ishihara T,Tsumura Hdoi
10.1097/MD.0000000000008983subject
Has Abstractpub_date
2017-12-01 00:00:00pages
e8983issue
49eissn
0025-7974issn
1536-5964pii
00005792-201712080-00059journal_volume
96pub_type
杂志文章相关文献
MEDICINE文献大全abstract::The relationship between the prevalence of chronic diseases and income level has now become a main theme in poor national economic situations. We examined the prevalence of well-controlled chronic diseases according to income level. Data from the 2008 to 2014 Korea National Health and Nutrition Examination Survey, con...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005286
更新日期:2016-11-01 00:00:00
abstract::This study aimed to investigate the correlation of long noncoding RNA zinc finger antisense 1 (lncRNA ZFAS1) expression with disease risk, disease severity and inflammatory cytokines levels in lumbar disc degeneration (LDD) patients.83 LDD patients underwent surgery and 28 traumatized, non-LDD patients underwent lumba...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018465
更新日期:2019-12-01 00:00:00
abstract::Several studies have pointed out a significant association between rheumatoid arthritis (RA) and accelerated atherosclerosis. At the best of our knowledge, no such study has been carried out in a large Italian series and, in this study, we aimed to investigate the prevalence of both subclinical atherosclerosis and his...
journal_title:Medicine
pub_type: 杂志文章,多中心研究
doi:10.1097/MD.0000000000008180
更新日期:2017-10-01 00:00:00
abstract::Hysterectomy is a potential risk factor for subsequent surgery for pelvic organ prolapse, especially when the prolapse exists before hysterectomy. Women without prolapse before hysterectomy may also experience prolapse after hysterectomy. This study aimed to describe a surgical modification of laparoscopic colposuspen...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000014616
更新日期:2019-02-01 00:00:00
abstract::Bacteremic pneumococcal pneumonia (BPP) causes considerable mortality and morbidity. We aimed to identify prognostic factors associated with mortality and major in-hospital complications in BPP.A prospective, population-based clinical registry of 1636 hospitalized adult patients (≥18 years) with BPP was established be...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005179
更新日期:2016-11-01 00:00:00
abstract::The purpose of this retrospective study is to show that transcervical diverticulectomy (TD) in treatment of Zenker diverticulum (ZD) can still be a first choice procedure in selected patients and in experienced hands its safety might be compared to the minimally invasive endoscopic diverticulostomy.The study cohort co...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010557
更新日期:2018-05-01 00:00:00
abstract::The size of the elderly population and the incidence of papillary thyroid carcinoma (PTC) in this group appear to be rapidly increasing, although published information based on more detailed older age groupings are lacking.This study aimed to determine the clinical features and outcomes of elderly patients in PTC.All ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005450
更新日期:2016-11-01 00:00:00
abstract::To assess the role of circulating immune complexes (CIC) in chronic hepatitis C virus (HCV) infection, the relative frequency of CIC was determined in 60 patients with chronic hepatitis C alone, 19 patients co-infected with hepatitis B and C, 15 asymptomatic HCV carriers, and 54 healthy controls. Levels of CIC were de...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/00005792-199505000-00003
更新日期:1995-05-01 00:00:00
abstract::Several studies have reported the relationship between alcoholic liver disease (ALD) and carotid intima-media thickness (CIMT). Few studies, however, have investigated the causes of CIMT thickening in patients with ALD. The authors explored the causes of CIMT thickening in patients with ALD. The authors enrolled 152 p...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000001087
更新日期:2015-07-01 00:00:00
abstract:INTRODUCTION:The clinical treatment is complicated for patients with placenta previa who must terminate pregnancy due to fetal malformation, death, or inevitable abortion in the second trimester. It is difficult to manage excessive bleeding during pregnancy termination; and those patients face risks of removing the ute...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000022499
更新日期:2020-09-25 00:00:00
abstract:BACKGROUND:This study assessed the effect transcutaneous vagus nerve stimulation (TVNS) for poststroke epilepsy (PSE). METHODS:Fifty-two patients with PSE were included in this study. Twenty-seven patients received TVNS, 30 minutes each session, once daily, twice weekly for a total of 4 weeks; and were assigned to the...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000011625
更新日期:2018-08-01 00:00:00
abstract::The clinical significance of ineffective esophageal motility (IEM) together with multiple rapid swallow (MRS) has not been yet evaluated in the Chicago Classification v3.0. This study evaluated the adjunctive role of MRS in IEM and determined the criteria of abnormal MRS to maximize the utility of IEM. We analyzed 186...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000001669
更新日期:2015-10-01 00:00:00
abstract::To determine the prognostic role of triglyceride (TG) to high-density lipoprotein cholesterol (HDL) ratio for poorly developed coronary collateral circulation (CCC) in elderly patients with ST-segment elevation myocardial infarction (STEMI) and acute total occlusion (ATO).As a retrospective case-control study, elderly...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000012587
更新日期:2018-09-01 00:00:00
abstract::This study evaluated the efficacy and toxicity of erlotinib and celecoxib (EC) for treating Chinese patients with advanced non-small cell lung cancer (ANSCLC) and epidermal growth factor receptor (EGFR) wild type.Totally, 75 subjects with ANSCLC and EGFR wild type were included. They all underwent EC treatment. The ou...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000014785
更新日期:2019-03-01 00:00:00
abstract:RATIONALE:Small-cell lung cancer (SCLC) is a common pathological type of lung cancer, but appendiceal metastasis of SCLC was rare. At present, clinical studies on the maintenance therapy of SCLC have not reached a significant conclusion. PATIENT CONCERNS:We reported on a 52-year-old man who diagnosed as extensive stag...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000015333
更新日期:2019-04-01 00:00:00
abstract:RATIONALE:Infantile-onset Pompe disease, also known as glycogen storage disease type II, is a progressive and fatal disorder without treatment. Enzyme replacement therapy with recombinant human acid alpha-glucosidase (GAA) enhances survival; however, the best outcomes have been achieved with early treatment. PATIENT C...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000009186
更新日期:2017-12-01 00:00:00
abstract::The study aimed to investigate the clinical features and prognoses of patients with tuberculosis (TB) who had secondary hemophagocytic lymphohistiocytosis (HLH).Patients first presenting with fever of unknown origin, who were ultimately diagnosed with TB-associated secondary HLH, were assessed retrospectively. We summ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000006575
更新日期:2017-04-01 00:00:00
abstract::[This corrects the article DOI: 10.1097/MD.0000000000000444.]. ...
journal_title:Medicine
pub_type: 已发布勘误
doi:10.1097/MD.0000000000008578
更新日期:2017-11-03 00:00:00
abstract::Globalization has attracted much attention to universities over the past decade. The aim of this study was to evaluate the effect of the United States-China international pharmacy education programs (IPEP) in China.Kirkpatrick's model of evaluation was used to evaluate IPEP from reaction and learning levels. In the re...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000020945
更新日期:2020-07-02 00:00:00
abstract:RATIONALE:Carbapenem-resistant Klebsiella pneumonia (CRKP) infections have been a concerning threat, especially in organ transplant patients with very high mortality. Allograft hemorrhage associated with CRKP infection has never been described. PATIENT CONCERNS:A total of 6 recipients tested positive for CRKP were ide...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018982
更新日期:2020-03-01 00:00:00
abstract::The purpose of this observational study was to examine the prevalence of obesity in children of 6 to 8 years of age from primary public schools over a period of 6 years and the associated environmental and metabolic health risk factors.This was a cohort observational study to investigate the prevalence of obesity in c...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000015666
更新日期:2019-05-01 00:00:00
abstract::Neural tube defects (NTDs) are a group of congenital malformations with worldwide distribution and complex etiopathogenesis. Folic acid plays a pivotal role in their prevention. We aimed to identify the protective effect of folic acid intake against NTDs and its dependence on different socioeconomic and environmental ...
journal_title:Medicine
pub_type: 杂志文章,多中心研究
doi:10.1097/MD.0000000000001395
更新日期:2015-09-01 00:00:00
abstract::Chest injuries are common and inevitable complications of chest compressions during cardiopulmonary resuscitation (CPR). This study aimed to investigate lung parenchymal and thoracic skeletal injuries after CPR by using computed tomography (CT) and to analyze the correlation between the duration of CPR and related com...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021685
更新日期:2020-08-14 00:00:00
abstract::Patients with multiple traumas associated with cardiopulmonary failure have a high mortality rate; however, such patients can be temporarily stabilized using extracorporeal membrane oxygenation (ECMO), providing a bridge to rescue therapy. Using a retrospective study design, we aimed to clarify the prognostic factors ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000006067
更新日期:2017-02-01 00:00:00
abstract::Several studies suggest that dietary habits are associated with poor academic performance. However, few studies have evaluated these relations after adjusting for numerous confounding factors. This study evaluated the frequency of various diet items (fruit, soft drinks, fast foods, instant noodles, confections, vegeta...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000003096
更新日期:2016-03-01 00:00:00
abstract::Numerous previous studies have investigated the mental health status of medical staff in China and explored its associated determinate factors; however, scope and methods associated with these have introduced uncertainty regarding the results. The aim of this study was to perform a comprehensive examination of the men...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010113
更新日期:2018-03-01 00:00:00
abstract:BACKGROUND:Uveitis is the most common extra-articular manifestation in patients with ankylosing spondylitis (AS). The prevalence and characteristics of uveitis in AS have been studied in previous literatures, whereas its associated risk factors have not been clarified. Therefore, this study analyzed the risk factors of...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000004233
更新日期:2016-07-01 00:00:00
abstract::To investigate whether the control of morning blood pressure (MBP) reflects the control of blood pressure (BP) in other periods (daytime, nighttime and 24-hour) and to assess whether morning BP displays a closer association with subclinical target organ damage (TOD) than the BP measured in other periods.One thousand o...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000019278
更新日期:2020-02-01 00:00:00
abstract:ABSTRACT:Hepatic neuroendocrine tumors (HNETs) are uncommon neoplasms that can be subdivided into 2 types: primary and metastatic HNETs. Due to its rarity, heterogeneity and complexity, the diagnosis, treatment modalities and prognosis are still controversial.This retrospective study reviewed the effects of tumor origi...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000023655
更新日期:2020-12-18 00:00:00
abstract:RATIONALE:Immunosuppressive agents such as tacrolimus (TAC) and cyclosporin might cause glycemic disorders by suppressing insulin production. However, only a few cases of diabetic ketoacidosis (DKA) with longitudinal evaluation of endogenous insulin secretion related to TAC administration have been reported. PATIENT C...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000016992
更新日期:2019-09-01 00:00:00