{"created":"2023-06-20T15:49:30.789113+00:00","id":4100,"links":{},"metadata":{"_buckets":{"deposit":"ed162e9f-2cca-431b-b78a-15b10133e58a"},"_deposit":{"created_by":4,"id":"4100","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"4100"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:00004100","sets":["1:11"]},"author_link":["12716","12717","12718","12719","12720","12721","12722","12723","12724","12725","12726","12727"],"item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2022-04-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"7","bibliographicPageEnd":"547","bibliographicPageStart":"539","bibliographicVolumeNumber":"47","bibliographic_titles":[{"bibliographic_title":"Spine"}]}]},"item_3_description_9":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Study Design: Retrospective study.\nObjective: To investigate the long-term clinical outcome and incidence of iliac screw-related complications in patients with adult spinal deformity (ASD).\nSummary of Background Data: Rigid lumbosacral fixation is crucial to achieve optimal global alignment and successful long-term clinical outcomes.\nMethods: The data of eligible patients with ASD who underwent spinopelvic fixation using bilateral iliac screws with at least 5-year follow-up periods were retrospectively analyzed. Iliac screw loosening and rod breakage between the S1 and iliac (S1/IL) screws were defined as distal instability (DI). Demographic data, health-related quality of life scores, and spinopelvic parameters in the DI group were compared with those in the non-DI group. Sub-group analyses were performed between the cases with and without alignment change after rod fracture at S1/IL.\nResults: Of the 159 patients, the data of 110 patients (15 men, 95 women; mean age, 67.8 years) were analyzed. The follow-up rate was 69%. Forty-five (41%) patients showed DI (29 cases [26%] in screw loosening, 16 cases [15%] in rod breakage). Eight patients (7.3%) required revision surgery because of iliac screw-related complications. No significant differences were observed in the Oswestry Disability Index and Scoliosis Research Society questionnaire (revised) scores between the DI and non-DI groups. The patients with iliac screw loosening showed significantly greater values of preoperative pelvic incidence, pelvic tilt (PT) and postoperative PT, and T1-pelvic angle. In patients with rod breakage at S1/IL, five patients (31%) who had associated mechanical complications showed an alignment change between pre and post rod breakage. They showed significantly higher and lower rates of high-grade osteotomies and L5/S interbody fusion, respectively.\nConclusion: The incidence rate of iliac screw-related complications was relatively high. However, they had a little effect on sagittal alignment deterioration and there were few cases that required revision surgery.","subitem_description_type":"Abstract"},{"subitem_description":"Mini abstract:\nLong fusion surgery with pelvic fixation using iliac screw resulted in higher incidence rates of iliac screw-related complications; however, the cases that required revision surgery were limited (7.3%). Iliac screw loosening and rod breakage at S1/IL had little effect on sagittal alignment deterioration.","subitem_description_type":"Abstract"}]},"item_3_publisher_6":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"Wolters Kluwer Health"}]},"item_3_relation_26":{"attribute_name":"PubMed番号","attribute_value_mlt":[{"subitem_relation_type":"isVersionOf","subitem_relation_type_id":{"subitem_relation_type_id_text":"34798648","subitem_relation_type_select":"PMID"}}]},"item_3_relation_28":{"attribute_name":"出版社DOI","attribute_value_mlt":[{"subitem_relation_type":"isVersionOf","subitem_relation_type_id":{"subitem_relation_type_id_text":"10.1097/BRS.0000000000004276","subitem_relation_type_select":"DOI"}}]},"item_3_rights_7":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"\"This is a non-final version of an article published in final form in \"\"Spine; 47(7): p539-547, 2022\"\".\""}]},"item_3_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0362-2436","subitem_source_identifier_type":"ISSN"}]},"item_3_source_id_20":{"attribute_name":"EISSN","attribute_value_mlt":[{"subitem_source_identifier":"1528-1159","subitem_source_identifier_type":"ISSN"}]},"item_3_source_id_23":{"attribute_name":"NII書誌ID","attribute_value_mlt":[{"subitem_source_identifier":"AA0084801X","subitem_source_identifier_type":"NCID"}]},"item_3_version_type_32":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_ab4af688f83e57aa","subitem_version_type":"AM"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Banno, Tomohiro"}],"nameIdentifiers":[{"nameIdentifier":"12716","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Hasegawa, Tomohiko"}],"nameIdentifiers":[{"nameIdentifier":"12717","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Yamato, Yu"}],"nameIdentifiers":[{"nameIdentifier":"12718","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Yoshida, Go"}],"nameIdentifiers":[{"nameIdentifier":"12719","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Arima, Hideyuki"}],"nameIdentifiers":[{"nameIdentifier":"12720","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Oe, Shin"}],"nameIdentifiers":[{"nameIdentifier":"12721","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Mihara, Yuki"}],"nameIdentifiers":[{"nameIdentifier":"12722","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Ide, Koichiro"}],"nameIdentifiers":[{"nameIdentifier":"12723","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Watanabe, Yuh"}],"nameIdentifiers":[{"nameIdentifier":"12724","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Kurosu, Kenta"}],"nameIdentifiers":[{"nameIdentifier":"12725","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Nakai, Keiichi"}],"nameIdentifiers":[{"nameIdentifier":"12726","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Matsuyama, Yukihiro"}],"nameIdentifiers":[{"nameIdentifier":"12727","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-12-01"}],"displaytype":"detail","filename":"Spine-47-539.pdf","filesize":[{"value":"1.1 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"Spine-47-539.pdf","url":"https://hama-med.repo.nii.ac.jp/record/4100/files/Spine-47-539.pdf"},"version_id":"718b755f-33df-47b2-8cd7-75098ccff742"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"adult spinal deformity","subitem_subject_scheme":"Other"},{"subitem_subject":"complication","subitem_subject_scheme":"Other"},{"subitem_subject":"surgery","subitem_subject_scheme":"Other"},{"subitem_subject":"sagittal alignment","subitem_subject_scheme":"Other"},{"subitem_subject":"iliac screw","subitem_subject_scheme":"Other"},{"subitem_subject":"loosening","subitem_subject_scheme":"Other"},{"subitem_subject":"rod breakage","subitem_subject_scheme":"Other"},{"subitem_subject":"incidence rate","subitem_subject_scheme":"Other"},{"subitem_subject":"osteotomy","subitem_subject_scheme":"Other"},{"subitem_subject":"pelvic tilt","subitem_subject_scheme":"Other"},{"subitem_subject":"interbody fusion","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"The Incidence of Iliac Screw-Related Complications After Long Fusion Surgery in Patients with Adult Spinal Deformity","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"The Incidence of Iliac Screw-Related Complications After Long Fusion Surgery in Patients with Adult Spinal Deformity","subitem_title_language":"en"}]},"item_type_id":"3","owner":"4","path":["11"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2022-12-01"},"publish_date":"2022-12-01","publish_status":"0","recid":"4100","relation_version_is_last":true,"title":["The Incidence of Iliac Screw-Related Complications After Long Fusion Surgery in Patients with Adult Spinal Deformity"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2023-08-02T07:17:46.342249+00:00"}