{"title":"Low back pain: Comparison of pain sites between with and without pain provocation","authors":"H. Kanno","doi":"10.3753/YOTSU.13.186","DOIUrl":"https://doi.org/10.3753/YOTSU.13.186","url":null,"abstract":"","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124963036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Y. Aota, A. Honda, T. Yamashita, N. Baba, Tomoyuki Saito
The invasive schwannoma in the spine is a rare clinical entity. There have been no reports of schwannoma arising from tuberculous spine. The authors report on a case in which invasive cystic schwannoma arose at old tuberculous spine and paraplesia progressed by the tumor. The tumor excision and resection of the sequestra achieved satisfying neurological improvement. Although development of cystic tumor in the tuberculous spine may be extremely rare, it should be considered in the differential diagnosis, especially when systemic symptoms of tuberculosis were absent.
{"title":"A case of an invasive schwannoma developing at gibbus due to an old tuberculous spine","authors":"Y. Aota, A. Honda, T. Yamashita, N. Baba, Tomoyuki Saito","doi":"10.3753/YOTSU.11.102","DOIUrl":"https://doi.org/10.3753/YOTSU.11.102","url":null,"abstract":"The invasive schwannoma in the spine is a rare clinical entity. There have been no reports of schwannoma arising from tuberculous spine. The authors report on a case in which invasive cystic schwannoma arose at old tuberculous spine and paraplesia progressed by the tumor. The tumor excision and resection of the sequestra achieved satisfying neurological improvement. Although development of cystic tumor in the tuberculous spine may be extremely rare, it should be considered in the differential diagnosis, especially when systemic symptoms of tuberculosis were absent.","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124094251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Percutaneous transpedicular vertebroplasty with polymethylmethacrylate in the treatment of osteoporotic fractures","authors":"K. Anabuki","doi":"10.3753/YOTSU.13.171","DOIUrl":"https://doi.org/10.3753/YOTSU.13.171","url":null,"abstract":"","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"148 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134328992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Basic science of lumbar facet joint as a source of low back pain","authors":"T. Yamashita","doi":"10.3753/YOTSU.13.24","DOIUrl":"https://doi.org/10.3753/YOTSU.13.24","url":null,"abstract":"椎間関節包やその周囲組織には，痛覚伝達に関与する細径神経線維や侵害受容器が豊富に存在する．椎間関節の炎症により，受容器は長時間にわたり興奮し，機械的閾値が低下する．また，椎間関節の炎症は，神経根に波及し，後根神経節内のサイトカインの発現を増加させるとの報告がある．椎間関節に対する機械的有害刺激や，椎間関節の炎症あるいは椎間板変性に伴い発生する化学的有害刺激は，椎間関節および周囲組織に存在する侵害受容器を興奮させ，急性あるいは慢性腰痛の発生に関与しているものと思われる．また，椎間関節の変性や炎症は，神経根性疼痛の発生にも関与していることが推測される．","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133104040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cell transplantation therapy using activated nucleus pulposus cells for intervertebral disc degeneration-Present status and future perspectives-","authors":"Toru Iwashina, 酒井 大輔, 渡邊 拓也, 檜山 明彦, 大見 博子, 健司 芹ヶ野, 持田 讓治","doi":"10.3753/YOTSU.14.63","DOIUrl":"https://doi.org/10.3753/YOTSU.14.63","url":null,"abstract":"当教室では椎間板変性に対する新たな治療として椎間板内細胞移植療法を考案し臨床応用化に向けてさまざまな分野での検討を行っている．今回，臨床応用の最終段階のvivoの実験としてbeagle犬を用い，大型動物における細胞移植療法の有用性，臨床現場での手技の確立を目的に調査したので，その結果と臨床応用化に向けた現況を含め報告する．Beagle犬11頭を無処置（NC）群，変性処置（D）群，細胞移植（Tx）群の3群に分け，D群とTx群に椎間板変性処置を行い，Tx群は変性処置後活性化髄核細胞を透視下で椎間板内へ注入し，·線，MRI，組織染色で評価した．結果は画像上，組織学的にもTx群がD群に比べ椎間板変性が抑制され，細胞移植療法の著しい効果が示された．また，今回大型動物を用いることで，この手法が臨床応用可能であることが確認された．","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133756717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Y. Aota, Haruhiko Iduka, M. Uesugi, N. Ozeki, Kanichiro Kaneko, Tomoyuki Saito
長時間の着座における腰痛を緩和する目的で持続受動運動（Continuous passive motion; CPM）装置を開発してきた．今回，腰痛のない男子学生（平均21歳）23人を対象として，椅子の座面とLumbar supportに収縮性エアーバッグを設置し，2つのエアーバッグの収縮運動を連動させた連動型CPMの効果を検証した．エアーバッグの各種設置条件での２時間の連続着座直後の腰痛のvisual analog scale（VAS）スコアを比較検討した．固定式cushionやCPMのない状態でのVASは平均8.2±1.6であり，固定式Lumbar support cushionで5.9±1.9，Lumbar support CPMで5.7±2.3と有意に低下した（p<0.005）．連動型CPMでは4.3±2.4と，Lumbar support CPMと比較しても有意に改善した(p<0.05）
以缓解长时间坐位腰痛为目的的持续被动运动(Continuous passive motion;CPM)装置的开发。此次，以没有腰痛的23名男生(平均21岁)为对象，在椅子的座面和Lumbar support处设置了收缩性空气袋，对联动两个空气袋的收缩运动的联动型CPM效果进行了验证。比较研究了在各种设置条件下，连续坐2小时后腰痛的visual analog scale (VAS)得分。在没有固定cushion和CPM的状态下，VAS平均为8.2±1.6，固定Lumbar support cushion为5.9±1.9，Lumbar support CPM显著降低5.7±3 (p<0.005)。连动式CPM为4.3±2.4，与Lumbar support CPM相比也有显著改善(p<0.05)
{"title":"Dual lumbar continuous passive motion device works effectively for prevention of low back pain after prolonged sitting","authors":"Y. Aota, Haruhiko Iduka, M. Uesugi, N. Ozeki, Kanichiro Kaneko, Tomoyuki Saito","doi":"10.3753/YOTSU.13.71","DOIUrl":"https://doi.org/10.3753/YOTSU.13.71","url":null,"abstract":"長時間の着座における腰痛を緩和する目的で持続受動運動（Continuous passive motion; CPM）装置を開発してきた．今回，腰痛のない男子学生（平均21歳）23人を対象として，椅子の座面とLumbar supportに収縮性エアーバッグを設置し，2つのエアーバッグの収縮運動を連動させた連動型CPMの効果を検証した．エアーバッグの各種設置条件での２時間の連続着座直後の腰痛のvisual analog scale（VAS）スコアを比較検討した．固定式cushionやCPMのない状態でのVASは平均8.2±1.6であり，固定式Lumbar support cushionで5.9±1.9，Lumbar support CPMで5.7±2.3と有意に低下した（p<0.005）．連動型CPMでは4.3±2.4と，Lumbar support CPMと比較しても有意に改善した(p<0.05）","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114941884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Investigation of donor site pain after iliac crest bone graft","authors":"Tsuyoshi Ara","doi":"10.3753/YOTSU.13.150","DOIUrl":"https://doi.org/10.3753/YOTSU.13.150","url":null,"abstract":"脊椎再建・固定術に際し自家腸骨を採取し術後6カ月以上経過した77例を対象として採骨部痛を調査検討した．採取部位や方法にて後方腸骨（後方群），前方腸骨全層骨（全層骨群），前方腸骨半層骨（半層骨群）の3群に分類し，全層骨群と半層骨群で疼痛発生率について統計学的検討を行った．全症例中16例（20.8%）に術後の疼痛を認め，後方群の20例中5例（25%），全層骨群の33例中9例（27%），半層骨群の24例中2例（8%）に術後疼痛を認めた．統計学的有意差は認められなかったが，半層骨群では全層骨群に比し疼痛を訴える症例は少ない傾向であった．","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125733246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Straight Leg Raising test（SLRテスト）の定義の文献的検討","authors":"忠嗣 森本","doi":"10.3753/YOTSU.14.96","DOIUrl":"https://doi.org/10.3753/YOTSU.14.96","url":null,"abstract":"SLRテスト陽性（以下，SLR（＋））の定義が明記してある文献（和文32編，英文28編，整形外科教科書から20編）を調査した．SLRテストは手技により自動と他動に分類され，さらに使用目的により疼痛評価，筋力評価，柔軟性評価に細分類され，SLR（＋）の定義は評価者によりさまざまであった．とりわけ，疼痛評価の場合，SLR（＋）とする疼痛誘発部位は腰部，下肢，坐骨神経痛などであり，角度も70～80度以下と多様であった．本研究よりSLR（＋）の定義は目的や疼痛部位によりさまざまであり教科書レベルでも統一された定義がないことが明らかになった．そのため，SLR（＋）の定義を明確にしていない報告の解釈には注意が必要である．反面，SLR（＋）の定義の多様性は，SLRテストが腰下肢痛の誘発テストとして感度が高く，幅広い病態評価が可能な手技であることの反映と思われた．","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"159 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116211097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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