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RISS 인기검색어
- 검색키워드
- 저자 : Fumitake Tezuka (검색결과 3 건)
- 무료
- 기관 내 무료
- 유료
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Complete Resolution of a Case of Calcific Tendinitis of the Longus Colli with Conservative Treatment
Fumitake Tezuka,Toshinori Sakai,Ryo Miyagi,Yoichiro Takata,Kosaku Higashino,Shinsuke Katoh,Koichi Sairyo,Natsuo Yasui 대한척추외과학회 2014 Asian Spine Journal Vol.8 No.5
Acute calcific tendinitis of the longuscolli is a self-limiting inflammatory condition caused by calcium hydroxyapatite deposition in the longuscolli tendon. Although several case reports have described its radiological presentation, few reports provide detailed chronological accounts through symptomatic and radiologic resolution. A 59-year-old woman presented with severe neck pain and stiffness of a few days duration as well as moderate discomfort when swallowing. Lateral radiographs revealed a large calcium deposit anterior to the C1–C2 joint and swelling of the prevertebral soft tissue from C1 to C5. CT and magnetic resonance imaging showed fluid in the retropharyngeal gap.A soft collar and non-steroidal anti-inflammatory drug were prescribed, without antibiotics. At 4 months after presentation, the calcium deposit and all symptoms had resolved completely. Although this disease is comparatively rare, physicians should keep it in mind when a patient presents with acute severe neck pain.
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Compression Myelopathy due to Proliferative Changes around C2 Pars Defects without Instability
Tetsuya Kimura,Toshinori Sakai,Fumitake Tezuka,Mitsunobu Abe,Kazuta Yamashita,Yoichiro Takata,Kosaku Higashino,Koichi Sairyo 대한척추외과학회 2016 Asian Spine Journal Vol.10 No.3
We report a case with compression myelopathy due to proliferative changes around the C2 pars defects without instability. A 69-yearold 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.
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Norio Yamamoto,Hirofumi Kosaka,Kosaku Higashino,Masatoshi Morimoto,Kazuta Yamashita,Fumitake Tezuka,Fumio Hayashi,Yoichiro Takata,Toshinori Sakai,Akihiro Nagamachi,Koichi Sairyo 대한척추외과학회 2018 Asian Spine Journal Vol.12 No.2
Study Design: Retrospective study of 37 consecutive female patients with cervical spondylotic myelopathy who underwent reconstructed computed tomography (CT) scanning of the cervical spine. Purpose: The purpose of this study was to investigate whether the vertebral lateral notch of the cervical spine is an effective landmark to determine the entry point for lateral mass screwing. A modified Roy-Camille technique was used to determine the entry point associated with the lateral notch of the cervical spine. Overview of Literature: The Roy-Camille technique has been a popular technique for the posterior fixation of the cervical spine. A problem with this technique is determining the entry point on the lateral mass via visual inspection, such as in cases with degenerative or destructive cervical facet joints. Methods: Thirty-three female patients with cervical spondylotic myelopathy underwent reconstructed CT scanning of the cervical spine. Overall, 132 vertebrae from C3 to C6 were reviewed using reconstructed CT. The probable trajectory using a modified Roy- Camille technique was determined using reconstructed CT scans, and the optimal entry point was identified. Horizontal and vertical distances from the vertebral lateral notch were measured. Results: The entry point determined using the modified Roy-Camille technique was significantly superior and medial compared with that determined using the conventional Roy-Camille technique. At C3 and C4 levels, the entry point using the modified technique was 1.4 mm below and 4.4 mm medial to the lateral notch, and at C5 and C6 levels, it was 2.3 mm below and 4.9 mm medial to the lateral notch. Conclusions: The vertebral lateral notch of the cervical spine was an effective landmark to determine the entry point for lateral mass screwing. The modified Roy-Camille technique proposed here may prevent surgical complications and poor outcomes.
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