Journal of the Eastern Japan Association of Orthopaedics and Traumatology
Online ISSN : 2433-569X
Print ISSN : 1342-7784
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Corset treatment for lumbar disease with stoma
Yusuke OSHITAHaruka EMORIYoshifumi KUDOToshiyuki SHIRAHATAKoji KANZAKITomoaki TOYONE
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2022 Volume 34 Issue 4 Pages 393-397

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Abstract

Stomas are occasionally used in the treatment of malignant diseases of the urological and gastrointestinal tracts. Corsets are periodically used for lumbar spine disease; however, there have been very few studies or reports on its use in cases of additional stomas. We treated these cases by utilizing lumbar orthosis by creating a hole in the stoma area.

We treated 10 patients (8 males, 2 females) with an average age of 70.7 (range: 49-85) years. The primary diseases that led to stoma creation were seven cases of rectal cancer, two of bladder cancer, and one of transverse colon cancer. Lumbar diseases observed were four pathological fractures associated with metastatic bone tumors, four osteoporotic fractures, one postoperative lumbar spinal canal stenosis, and one pyogenic discitis. These cases were treated and demonstrated significant improvement in walking ability on the Basel index (P<0.05).

Corset therapy was effective in preventing loss of mobility in cancer patients with stomas.

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© 2022 The Eastern Japan Association of Orthopaedics and Traumatology
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