{"created":"2023-06-20T15:54:47.282302+00:00","id":351,"links":{},"metadata":{"_buckets":{"deposit":"0f4a3392-5f73-441f-b70c-03603d4edf2d"},"_deposit":{"created_by":8,"id":"351","owners":[8],"pid":{"revision_id":0,"type":"depid","value":"351"},"status":"published"},"_oai":{"id":"oai:ryotokuji-u.repo.nii.ac.jp:00000351","sets":["6:18"]},"author_link":["361","149","850"],"control_number":"351","item_10002_alternative_title_1":{"attribute_name":"その他（別言語等）のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Patients with low back pain suspected of Bertolotti’s syndrome","subitem_alternative_title_language":"en"}]},"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"12","bibliographicPageEnd":"40","bibliographicPageStart":"37","bibliographic_titles":[{"bibliographic_title":"了德寺大学研究紀要"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Bertolotti症候群は1917年にBertolottiが提唱した症候群であり，最尾側の腰椎横突起が肥大し仙骨との間に関節を形成，あるいは骨癒合した症例に腰痛が生じる症候群である．我々のもとにBertolotti症候群が疑われる患者が来院したため，その症状や治療などについて文献的考察を加え，報告する．症例は14歳女性，バレーボールをしており，左腰部痛が発生し，来院した．単純X線像にて左第５腰椎横突起の肥大，仙骨との関節形成を認めた．物理療法と理学療法士によるリハビリテーションを行い疼痛は消失した．他の文献では軟性コルセットの装着によって腰痛が軽快した症例や，関節形成部への局所注射により腰痛が軽快した症例が報告されており，本症例も含め保存療法にて症状が改善される例があるため治療の第1選択としては保存療法を行うべきであると考える．しかし，保存療法では改善せず，横突起の切除術や固定術を行った症例も報告されている．Bertolotti症候群による腰痛は保存療法では解決できない場合もあるので，手術療法も念頭に置きながら施術に当たる必要があると考えられる．","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"Bertolotti’s syndrome is a syndrome first diagnosed by Mario Bertolotti in 1917. Bertolotti’s syndrome manifests as hypertrophied lumbar transverse process formed joints with the sacrum. A 14-year-old woman playing volleyball visited our clinic complaining of left low back pain. X-rays showed she had hypertrophy of the fifth lumbar transverse process of the right and joint formation with the sacrum. Low back pain disappeared by physical therapy and rehabilitation by physiotherapist. In some literature low back pain is relieved by wearing a flexible corset. In another literature, there are cases in which low back pain has been relieved by local injection to the joint formation part. As a result, we think conservative therapy should be done as the first choice of treatment. However, some literature reports cases of surgery. We need to keep surgical therapy in mind when treating Bertolotti’s syndrome.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_10002_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.18933/00000306","subitem_identifier_reg_type":"JaLC"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"了德寺大学"}]},"item_10002_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA12217741","subitem_source_identifier_type":"NCID"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1881-9796","subitem_source_identifier_type":"PISSN"}]},"item_10002_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"岡村, 知明","creatorNameLang":"ja"},{"creatorName":"オカムラ, トモアキ","creatorNameLang":"ja-Kana"},{"creatorName":"Okamura, Tomoaki","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"松本, 揚","creatorNameLang":"ja"},{"creatorName":"マツモト, ヨウ","creatorNameLang":"ja-Kana"},{"creatorName":"Matsumoto, Yo","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"荻野, 英紀","creatorNameLang":"ja"},{"creatorName":"オギノ, ヒデキ","creatorNameLang":"ja-Kana"},{"creatorName":"Ogino, Hideki","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-04-24"}],"displaytype":"detail","filename":"2018_01_8.pdf","filesize":[{"value":"303.5 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"Bertolotti症候群の疑いがある腰痛患者","url":"https://ryotokuji-u.repo.nii.ac.jp/record/351/files/2018_01_8.pdf"},"version_id":"bf7b40bd-576d-4ae2-9c50-47d440542bfe"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Bertolotti症候群","subitem_subject_scheme":"Other"},{"subitem_subject":"保存療法","subitem_subject_scheme":"Other"},{"subitem_subject":"腰椎横突起","subitem_subject_scheme":"Other"},{"subitem_subject":"Bertolotti’s syndrome","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"conservative therapy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"lumbar transverse process","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Bertolotti症候群の疑いがある腰痛患者","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Bertolotti症候群の疑いがある腰痛患者","subitem_title_language":"ja"},{"subitem_title":"Patients with low back pain suspected of Bertolotti’s syndrome","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"8","path":["18"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2018-04-24"},"publish_date":"2018-04-24","publish_status":"0","recid":"351","relation_version_is_last":true,"title":["Bertolotti症候群の疑いがある腰痛患者"],"weko_creator_id":"8","weko_shared_id":-1},"updated":"2023-10-10T07:39:36.120325+00:00"}