{"title":"Preoperative symptoms and clinical outcomes of cauda equine tumors","authors":"Sunao Tanaka","doi":"10.3753/YOTSU.13.180","DOIUrl":"https://doi.org/10.3753/YOTSU.13.180","url":null,"abstract":"馬尾腫瘍に特徴的な症状・所見およびその手術的治療による症状の改善効果について検討した．対象は，馬尾腫瘍18例(男性9例，女性9例)．組織型はneurinomaが最も多く，発生高位は，第4～第5腰椎レベルが最も多かった．初発症状の出現から診断までの期間は，平均25.2カ月であった．馬尾腫瘍に特徴的な症状は，根性疼痛が50%にみられたことと疼痛の出現に変動があることであった．67%で疼痛の出現に変動があり，そのうち75%で体動による増強がみられた．内訳は立位・歩行動作が67%，咳・くしゃみが33%であった．特徴的な神経学的所見はなかった．手術成績は良好で，術後に加療を要するほどではないが，しびれの訴えが多かった．馬尾腫瘍の治療においてはしびれの残存が課題である．馬尾腫瘍を早期に診断し，不可逆的な神経症状を残す前に治療することが重要である．","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"4 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":"116059519","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":"Various drug therapies for lumbar spinal canal stenosis prescribed prior to referral and surgery","authors":"Kimiaki Sato","doi":"10.3753/YOTSU.12.167","DOIUrl":"https://doi.org/10.3753/YOTSU.12.167","url":null,"abstract":"","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"4 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":"116264559","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":"Analysis of noninstrumented posterolateral fusion for lumbar spinal diseases","authors":"H. Sameda","doi":"10.3753/YOTSU.14.76","DOIUrl":"https://doi.org/10.3753/YOTSU.14.76","url":null,"abstract":"インストゥルメンテーションを用いない腰椎後側方固定術（以下PLF）を行った36例の検討を行った．男性28例，女性8例で手術時年齢は平均53.2歳であった．疾患は腰椎変性すべり症17例，腰部脊柱管狭窄症9例，腰椎椎間板ヘルニア4例，腰椎分離すべり症4例，腰椎分離症2例であった．経過観察期間は平均4年3カ月．PLFの骨癒合率は86.1％であった．PLF片側群は両側群に比べ有意に骨癒合率の低下を認めた．移植骨に局所骨を使用した群は採骨した群よりも骨癒合率が低かった．PLF固定椎間数別の骨癒合率は2椎間固定群は1椎間固定群に比較し骨癒合率の低下を認めた．本術式は手術時間が短く低侵襲に行える点で有利であると考えられる．","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"14 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":"115072665","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":"Pathogenesis and treatment of low back pain due to zygapophyseal joints","authors":"T. Taguchi","doi":"10.3753/YOTSU.13.31","DOIUrl":"https://doi.org/10.3753/YOTSU.13.31","url":null,"abstract":"","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"13 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":"129109428","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":"Duration of sciatica for contained and noncontained lumbar disc herniation","authors":"T. Tachibana","doi":"10.3753/YOTSU.13.161","DOIUrl":"https://doi.org/10.3753/YOTSU.13.161","url":null,"abstract":"腰椎椎間板ヘルニア手術症例における罹病期間，すなわち発症から手術までの期間と手術成績との関係を検討した．さらに罹病期間と術中に確認した脱出形態についても検討した．対象は過去5年間当科で手術を行い1年以上経過観察できた32例である．下肢痛の罹病期間と術前，術後のJOAスコアは関連がなかった．罹病期間が長い例で有意に後縦靱帯を穿破していないcontainedが多かった．また後縦靱帯を穿破したnoncontainedの方が罹病期間は短い傾向にあり，術前のJOAスコアもnoncontainedの方が有意に低く症状は強かった．術後1年でのJOAスコアは両群とも変わりなく改善した．罹病期間と手術成績は関係がなかったが，noncontainedは重い臨床症状を伴い早期に手術される傾向があり，containedの臨床症状は軽いが，改善しない場合長期の経過で手術が行われる傾向にあった．","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"304 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":"126342721","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":"International management of the work-related low back pain and the present state in Japan","authors":"Kazuhisa Takahashi","doi":"10.3753/YOTSU.12.29","DOIUrl":"https://doi.org/10.3753/YOTSU.12.29","url":null,"abstract":"作業関連性腰痛 (職業性腰痛) は, 欧米のみならずわが国においても, 就業者個人および社会にとって重大問題である. 多くの研究により, その発症には身体的因子のみでなく, 心理社会的因子が関与することが示されている. 本症に対しては, 腰痛発症のメカニズムの解明, 腰痛予防のための作業環境の整備, 作業内容やスケジュールの調整, 就労者の心理社会的面を考慮した腰痛の重症化や慢性化の予防, 慢性腰痛に対する有効な治療法の開発などが大切である.","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"23 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":"121210684","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":"Vertebroplasty by using HA Block for osteoporptic spine fracture","authors":"H. Matsuzaki","doi":"10.3753/YOTSU.12.99","DOIUrl":"https://doi.org/10.3753/YOTSU.12.99","url":null,"abstract":"骨粗鬆性脊椎骨折に対して充填材料にHA Blockを用いて椎体形成術を施行した. 手術法は開発したツールを用いて経椎弓根的に骨折部を整復してインサーターを介してHAブロックを充填することにより骨折部を整復固定した. 術後2カ月で14%に矯正損失が発生したが, 除痛効果は著明であった. HAブロックが椎体外に逸脱した例があったが問題は認められなかった. 肺梗塞や脊柱管への流出がなく極めて安全な充填材料であった. 本法の適応は圧迫骨折と扁平破裂骨折に有効である. 技術的には, 椎体の前壁に海綿骨でしっかりした壁を作ることが重要である. 本術式は小侵襲であり, 骨粗鬆症性骨折に適応されるべきものであることを強調したい.","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"81 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":"131755079","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":"Medication for low back pain","authors":"Kazuhisa Takahashi","doi":"10.3753/YOTSU.14.11","DOIUrl":"https://doi.org/10.3753/YOTSU.14.11","url":null,"abstract":"腰痛疾患に対する薬物療法は保存的治療の基本であり，中心的な薬剤は非ステロイド性抗炎症薬(NSAIDs）である．この他，筋緊張の強い患者には筋弛緩薬，心因性の要素の認められる患者には精神安定薬，抗うつ薬などを使用することもある．薬物の使用にあたっては，その作用·副作用，などの特徴を理解するとともに個々の患者の病態，愁訴，年齢，疼痛の程度，全身状態などを考慮することが大切である．本稿では，腰痛に使用される薬物および今後の展望について概説した．","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"41 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":"114810895","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":"Diagnosis of bone fragments at lumber articular process","authors":"K. Akiyama","doi":"10.3753/YOTSU.15.165","DOIUrl":"https://doi.org/10.3753/YOTSU.15.165","url":null,"abstract":"腰椎椎間関節部骨折は，関節突起部にも稀に生ず．当院スポーツ外来にて腰痛の原因を知る目的で行った腰椎レントゲンやCT検査で，椎間関節内骨変化を確認した患者の臨床経過や画像所見について後ろ向きに調査し，意義を検討した．下関節突起に骨片がみられた例は8例であった．6例は臨床所見と一致したが，2例では該当椎間関節部に症状を呈していなかった．上関節突起に骨片がみられたのは6例であった．このうち3例は，圧痛やKemp兆候が見られず，骨化障害の可能性も考えられた．椎間関節内骨折は，CTのみで所見が得られる場合があるため，症状の程度によってはＣＴ検査を検討すべきである．ただし，ＣＴのみで骨片を確認できる例の経過はおおむね良好であった．","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"13 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":"115075058","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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