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The Journal of Japanese Society of Lumbar Spine Disorders最新文献

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Trend of low back pain assessment in Japan 日本腰痛评估的趋势
The Journal of Japanese Society of Lumbar Spine Disorders Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.12.136
T. Morimoto
{"title":"Trend of low back pain assessment in Japan","authors":"T. Morimoto","doi":"10.3753/YOTSU.12.136","DOIUrl":"https://doi.org/10.3753/YOTSU.12.136","url":null,"abstract":"【緒言】近年の本邦の整形外科における腰痛評価法の動向を調査した. 【対象・方法】2000～2004年に日本脊椎脊髄病学会雑誌に掲載された抄録から, 腰痛関連研究における腰痛評価法を調査した. 対象抄録は手術例と, 病態評価などのそれ以外に分けて調査した. JOAスコア以外の腰痛評価法は, 痛みの評価法, 機能評価法と心理面の評価法で大別した. 【結果】最多評価法は, JOAスコアで73.6%であった. ついで, 痛みの評価法が45%であり, 機能評価法は8.4%, 精神心理学的評価法は3.0%であった. 高橋らの1989～1998年での検討ではJOAスコアが97.6%と大部分を占め, VASが1.0%であった. 【考察】JOAスコア以外の多彩な腰痛評価法の使用が増加してきていた. その中身は多面的な評価の増加および患者からの評価の増加である. 多面的評価の中身は, 痛みの評価自体の多面化, 機能評価・心理的評価の増加である.","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":"124581078","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}
引用次数: 1
Low back pain: Comparison of pain sites between with and without pain provocation 腰痛:有和无疼痛刺激的疼痛部位比较
The Journal of Japanese Society of Lumbar Spine Disorders Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.13.186
H. Kanno
{"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}
引用次数: 0
A case of an invasive schwannoma developing at gibbus due to an old tuberculous spine 一个侵袭性神经鞘瘤的发展，在gibbus由于一个老结核脊柱
The Journal of Japanese Society of Lumbar Spine Disorders Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.11.102
Y. Aota, A. Honda, T. Yamashita, N. Baba, Tomoyuki Saito
{"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}
引用次数: 1
Percutaneous transpedicular vertebroplasty with polymethylmethacrylate in the treatment of osteoporotic fractures 聚甲基丙烯酸甲酯经皮椎体成形术治疗骨质疏松性骨折
The Journal of Japanese Society of Lumbar Spine Disorders Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.13.171
K. Anabuki
{"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}
引用次数: 0
Basic science of lumbar facet joint as a source of low back pain 腰椎小关节作为腰痛来源的基础科学
The Journal of Japanese Society of Lumbar Spine Disorders Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.13.24
T. Yamashita
{"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}
引用次数: 0
Cell transplantation therapy using activated nucleus pulposus cells for intervertebral disc degeneration-Present status and future perspectives- 活化髓核细胞的细胞移植治疗椎间盘退变-现状和未来展望
The Journal of Japanese Society of Lumbar Spine Disorders Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.14.63
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
{"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}
引用次数: 1
Dual lumbar continuous passive motion device works effectively for prevention of low back pain after prolonged sitting 双腰椎连续被动运动装置，有效预防久坐后腰痛
The Journal of Japanese Society of Lumbar Spine Disorders Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.13.71
Y. Aota, Haruhiko Iduka, M. Uesugi, N. Ozeki, Kanichiro Kaneko, Tomoyuki Saito
{"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}
引用次数: 0
Investigation of donor site pain after iliac crest bone graft 髂骨移植术后供区疼痛的研究
The Journal of Japanese Society of Lumbar Spine Disorders Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.13.150
Tsuyoshi Ara
{"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}
引用次数: 0
最近の脊椎カリエスにおけるDoctor's delayの検討 最近Doctor's delay在脊椎卡里埃斯的研究
The Journal of Japanese Society of Lumbar Spine Disorders Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.15.173
倫浩 高, 洋一 青田, 昌章 上杉, 慎也 加藤, 洋 國谷, 知行 齋藤
{"title":"最近の脊椎カリエスにおけるDoctor's delayの検討","authors":"倫浩 高, 洋一 青田, 昌章 上杉, 慎也 加藤, 洋 國谷, 知行 齋藤","doi":"10.3753/YOTSU.15.173","DOIUrl":"https://doi.org/10.3753/YOTSU.15.173","url":null,"abstract":"近年の脊椎カリエスのDoctor's delayの原因と傾向を調査するために，平成17年以降の4年間に当科で脊椎カリエスの治療を行った17例を検討した．Doctor's delay 群は7例あり，すべて結核の既往がなかった．また，他の疾患の診断のもと治療が行われていたものが多く，診断名は，骨粗鬆性圧迫骨折が4例，腰部脊柱管狭窄症が1例，腫瘍が1例，精巣上体炎が1例あった．これらの診断ですでに手術されていたものが5例あり，術前診断は圧迫骨折が4例，腰部脊柱管狭窄症が1例であった．Doctor's delay例では骨粗鬆性圧迫骨折の診断で手術が施行された症例が多かったが，術前の画像所見は典型的な骨粗鬆性圧迫骨折ではなかった．近年，圧迫骨折に対する手術が積極的に施行されるようになってきたが，術前に脊椎カリエスを鑑別することの重要性を再認識すべきである．","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"26 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":"126057042","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}
引用次数: 1
Straight Leg Raising test（SLRテスト）の定義の文献的検討 Straight Leg Raising test (SLR测试)定义的文献探讨
The Journal of Japanese Society of Lumbar Spine Disorders Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.14.96
忠嗣 森本
{"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}
引用次数: 1
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