{"title":"Sacroiliac joint arthrodesis for chronic sacroiliac joint pain","authors":"Eiichi Murakami","doi":"10.3753/YOTSU.13.197","DOIUrl":"https://doi.org/10.3753/YOTSU.13.197","url":null,"abstract":"仙腸関節ブロックや骨盤ベルトなどの保存療法の効果が持続せず,日常生活や就労に著しい障害のある仙腸関節性疼痛例に対して仙腸関節前方固定術を行った.男6例,女9例の15例で,年齢は平均49歳(30~86歳),罹病期間は平均3.9年(1~7年),術後経過期間は平均2.3年(6カ月~5年)であった.片側前方固定術を14例に,両側固定術(骨盤輪固定術)を1例に施行した.これらの症例について,関節癒合をCTで,また臨床症状をJOAスコア,VASによる疼痛の変化,Roland-Morris disability questionnaire(RDQ)で評価した.関節癒合は15例全例で得られていた.JOAスコアが術前平均5.6点(4~9点)から術後平均18点(7~24点)に,VASが84(70~93)から40(10~75)に,RDQ得点が21.1(17~23)から6.9(1~14)に改善した.仙腸関節前方固定術の成績は良好であり,保存療法に抵抗する症例には有効な治療法と考えられる.","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"85 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":"129354827","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":"当院における「腰痛クリニック」の長期的治療成績","authors":"晶子 篠原, 章子 池田, 嘉浩 矢部","doi":"10.3753/YOTSU.14.102","DOIUrl":"https://doi.org/10.3753/YOTSU.14.102","url":null,"abstract":"当院で行う腰痛専門外来「腰痛クリニック」の長期的な効果について検討を行った.方法は,初診から1年以上を経過した症例に対して郵送によるアンケートを行い,症状の変化(VAS,ADLスコア)と腰痛の再発状況について調査した.アンケートの回答は141例中89例から得られ,回収率63.1%であった.対象者89例の平均年齢は45.2歳(22~73歳)で,初診から調査までの期間は平均3年であった.疾患名は,椎間板障害が77.5%であった.腰痛クリニック初回時から調査時までの症状の推移は,VASおよびADLスコアいずれも有意に改善がみられ,腰痛クリニック終了時の改善された状態は維持されていた.腰痛の再発は62例(70%)に認められたが,そのうち病院を受診したのは14例で,病院の受診状況からみると対象者の75例(84%)が自己対応できていた.当院で行う「腰痛クリニック」は,腰痛に対する自己対応が獲得でき,その効果は長期的に期待できるものと考えられた.","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"29 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":"121114699","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":"Treatment preferences of the low back pain judging from musculoskeletal rehabilitation","authors":"K. Fujino","doi":"10.3753/YOTSU.13.58","DOIUrl":"https://doi.org/10.3753/YOTSU.13.58","url":null,"abstract":"平成18年4月の診療報酬改定でリハビリテーションの枠組みが従来の施設規準,人員配置による分類から,疾患・疾病別による分類へと大きく変更された.1人の患者に対し診断から治療まで,それぞれの分野の専門医のもとで責任を持って行うことになったことで,その治療効果の評価が出しやすくなった反面,責任もより重大となった.腰痛は男女ともにわが国では非常に頻度の高い疾患であり,その原因も器質的,病理学的所見のはっきりしたものから,社会的,精神的要因の強いものまでさまざまである.また患者が治療に対して期待することと,医師が考える治療選択は必ずしも一致しない.リハビリテーションの選択はそれぞれの原因,症状,個人特性,さらには地域特性,家族構成までを考慮する必要がある.","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"52 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":"126625105","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":"Clinical results of new soft Flexion Brace for lumbar spinal canal stenosis","authors":"A. Honda","doi":"10.3753/YOTSU.12.184","DOIUrl":"https://doi.org/10.3753/YOTSU.12.184","url":null,"abstract":"","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"46 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":"127864087","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":"Risk factor on low back pain in the nurses and care workers","authors":"Kinuka Bono","doi":"10.3753/YOTSU.13.113","DOIUrl":"https://doi.org/10.3753/YOTSU.13.113","url":null,"abstract":"本研究の目的は,弘潤会野崎東病院および老人保健施設(以下当院)における腰痛の実態をアンケート調査により把握し,予防,改善策を考案することである.はじめに,看護師・介護福祉士・看護助手(118名)を対象に調査を行った結果,75%の職員に何らかの腰痛を認めた.さらに詳細に腰痛の原因を評価,分析するため対象を看護師(72名)にしぼり,第2回調査を行った.なお統計学的手法を用いて要因を検討した結果,有意に腰痛有り群(現在保有者,以下P群)の睡眠時間が短かった.今回の調査から,作業現場である環境面への配慮,勤務体制の見直しの必要性が示唆された.また,看・介護従事者自身が状況を把握し,動作指導が受けられる機会が必要であると思われる.","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":"127366001","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}
M. Miyamoto, R. Tsunoda, Y. Gembun, Shunsuke Konno, A. Makino, Hiromoto Ito
It is unusual for a spinal tumor to reveal shadows of calcification on X-rays, although this sometimes occurs with spinal meningioma. Spinal neurilemma is a benign tumor that often originates from a dorsal spinal nerve root and sometimes forms a dumbbell-shaped tumor. It is rare that these tumors show calcification, and we could find out only six such cases have been reported. Here we present a case of radiographically calcified thoracic spinal neurilemmoma.
{"title":"Calcification in a thoracic neurilemmoma: A case report","authors":"M. Miyamoto, R. Tsunoda, Y. Gembun, Shunsuke Konno, A. Makino, Hiromoto Ito","doi":"10.3753/YOTSU.13.204","DOIUrl":"https://doi.org/10.3753/YOTSU.13.204","url":null,"abstract":"It is unusual for a spinal tumor to reveal shadows of calcification on X-rays, although this sometimes occurs with spinal meningioma. Spinal neurilemma is a benign tumor that often originates from a dorsal spinal nerve root and sometimes forms a dumbbell-shaped tumor. It is rare that these tumors show calcification, and we could find out only six such cases have been reported. Here we present a case of radiographically calcified thoracic spinal neurilemmoma.","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"36 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":"130496256","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":"Correlation between inflammatory cytokines in the spinal fluid and spinal disorders","authors":"Takayuki Imura","doi":"10.3753/YOTSU.14.134","DOIUrl":"https://doi.org/10.3753/YOTSU.14.134","url":null,"abstract":"腰部脊柱管狭窄症(LCS)15例,腰椎椎間板ヘルニア(LDH)6例,頚椎症性脊髄症(CSM)5例,腰椎分離症(SL)1例,特発性側弯(SC)2例の29例に対し髄液中のTNFα,IL1β,IL6,IL8,MMP3濃度を測定した.疾患別の濃度比較に加え硬膜管の圧迫度別に濃度を検討した.結果はIL6,IL8,MMP3は測定できたが,他の項目は低値で測定不能であった.SCに比べLCSでIL6,IL8,MMP3は増加傾向であった.神経因性疼痛を有するLCS,LDHは,疼痛を有さないSL,SCに比べIL6,IL8,MMP3は増加傾向であった.また脊柱管圧迫度が増すにつれてIL6,IL8,MMP3は増加していた.髄液調査時は保存治療後で慢性期にあたるため,神経因性疼痛を有する症例でも炎症早期に発現するTNFα,IL1βの上昇はなく,IL6,IL8およびMMP3のみが観察され,この原因として硬膜管の機械的圧迫により炎症性サイトカインが放出されたと考えられる.","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"77 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":"132745227","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":"ジクロフェナックNa外皮製剤(ボルタレンテープ)の腰背部組織への移行性","authors":"中村 潤一郎, 直人 三ツ木, 知行 齋藤","doi":"10.3753/YOTSU.13.127","DOIUrl":"https://doi.org/10.3753/YOTSU.13.127","url":null,"abstract":"ジクロフェナックNa外皮製剤を用いて,本剤の腰部での組織移行性を調査した.腰部脊柱管狭窄症に対する手術患者10例を対象とした.手術前に腰背部の予定手術部位に2枚貼付し,手術にて皮下脂肪,筋,血漿を採取した.検体は採取後-20℃以下に冷凍保存し,検査機関に郵送し測定を依頼した.ジクロフェナックNa濃度は,脂肪で平均14.5 ng/g,筋8.4 ng/g,血漿1.6 ng/gであった.皮膚に薬物を貼付した場合,強力なバリアである皮膚の角質層を通過すると,受動拡散により筋,脂肪に移行する.この経路は血液循環を介さないため,血中濃度を上昇させず,全身的副作用を軽減させうる.腰部に外皮剤を使用して組織移行性を調査した研究としては初めてのものであるが,脂肪,筋ともに組織内濃度は血中濃度より高濃度であることが判明した.","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"27 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":"131681861","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":"Whole body movement and human-seat interface pressure distribution during dual lumbar continuous passive motion","authors":"Y. Aota","doi":"10.3753/YOTSU.15.122","DOIUrl":"https://doi.org/10.3753/YOTSU.15.122","url":null,"abstract":"長時間着座における腰痛を緩和するための持続受動運動(continuous passive motion: CPM)装置として椅子のlumbar support に収縮性エアバッグを設置したもの(腰CPM)がすでに市販されているがその効果は限定的である.われわれが独自に開発した装置は座面にもエアバッグを設置しlumbar supportと座面を連動運動させるものであり,一方の縮小時に他方が拡大する連動逆位相型と両者が同時収縮する連動同位相型とがある.いずれの動作様式も腰CPMより優れた腰痛予防効果を有している.今回,健常学生13人を対象としてエアバッグの各種収縮条件での全身の姿勢と座面上の圧分布を検証した.腰CPMと比較した連動型の長所は同位相型では骨盤の前方移動を抑制しつつ前方回旋を獲得できることであり,逆位相型では腰椎や骨盤傾斜角の変化量が有意に大きいことと推察された.","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"11 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":"133971472","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}