| ○種別 (必須): | □ | 学術論文 (審査論文)
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| ○言語 (必須): | □ | 英語
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| ○著者 (必須): | 1. | 阿部 光伸
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| 2. | 髙田 洋一郎
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| 3. | 東野 恒作
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| 4. | 酒井 紀典 ([徳島大学.病院.中央診療施設等.高度先進整形外科診療部])
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| 5. | 松浦 哲也 ([徳島大学.病院.中央診療施設等.リハビリテーション部])
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| 6. | 鈴江 直人
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| 7. | 浜田 大輔 ([徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.運動機能外科学]/[徳島大学.病院.診療科.感覚·皮膚·運動機能科.整形外科])
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| 8. | 後東 知宏
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| 9. | 西庄 俊彦 ([徳島大学.大学院医歯薬学研究部.医学域.連携研究部門(医学域).寄附講座系(医学域).脊椎関節機能再建外科学])
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| 10. | 合田 有一郎
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| 11. | 筒井 貴彦
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| 12. | 殿谷 一朗
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| 13. | 宮城 亮
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| 14. | (英) Morimoto Masatoshi (日) (読)
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| 15. | (英) Mineta Kazuaki (日) (読)
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| 16. | (英) Kimura Tetsuya (日) (読)
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| 17. | (英) Nitta Akihiro (日) (読)
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| 18. | (英) Hama Shingo (日) (読)
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| 19. | (英) Higuchi Tadahiro (日) (読)
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| 20. | (英) C Jha Subash (日) (読)
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| 21. | (英) Takahashi Rui (日) (読)
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| 22. | 福田 昇司
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| 23. | 西良 浩一 ([徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.運動機能外科学])
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| ○題名 (必須): | □ | (英) Foraminoplastic transforaminal percutaneous endoscopic discectomy at the lumbosacral junction under local anesthesia in an elite rugby player. (日)
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| ○要約 (任意): | □ | (英) Percutaneous endoscopic discectomy (PED) is the least invasive disc surgery available at present. The procedure can be performed under local anesthesia and requires only an 8 mm skin incision. Furthermore, damage to the back muscle is considered minimal, which is particularly important for disc surgery in athletes. However, employing the transforaminal (TF) PED approach at the lumbosacral junction can be challenging due to anatomical constraints imposed by the iliac crest. In such cases, foraminoplasty is required in addition to the standard TF procedure. A 28-year-old man who was a very active rugby player visited us complaining of lower back and left leg pain. His visual analog scale (VAS) score for pain was 8/10 and 3/10, respectively. MRI revealed a herniated nucleus pulposus at L5-S level. TF-PED was planned; however, the anatomy of the iliac crest was later found to prevent access to the herniated mass. Foraminoplasty was therefore performed to enlarge the foramen, thereby allowing a cannula to be passed through the foramen into the canal without causing exiting nerve injury. The herniated mass was then successfully removed via the TF-PED procedure. Pain resolved after surgery, and his VAS score decreased to 0/10 for both back and leg pain. The patient returned to full rugby activity 8 weeks after surgery. In conclusion, even with an intracanalicular herniated mass at the lumbosacral junction, a TF-PED procedure is possible if additional foraminoplasty is adequately performed to enlarge the foramen. J. Med. Invest. 62: 238-241, August, 2015. (日)
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| ○キーワード (推奨): |
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| ○誌名 (必須): | □ | The Journal of Medical Investigation : JMI ([徳島大学.医学部])
(pISSN: 1343-1420, eISSN: 1349-6867)
| ○ISSN (任意): | □ | 1349-6867
ISSN: 1343-1420
(pISSN: 1343-1420, eISSN: 1349-6867) Title: The journal of medical investigation : JMITitle(ISO): J Med InvestSupplier: 徳島大学Publisher: University of Tokushima (NLM Catalog)
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(医中誌Web)
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(Scopus)
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(Scopus information is found. [need login]) | [継承] |
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| ○巻 (必須): | □ | 62
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| ○号 (必須): | □ | 3-4
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| ○頁 (必須): | □ | 238 241
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| ○年月日 (必須): | □ | 西暦 2015年 0月 初日 (平成 27年 0月 初日)
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| ○URL (任意): |
| ○DOI (任意): | □ | 10.2152/jmi.62.238 (→Scopusで検索)
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| ○PMID (任意): | □ | 26399355 (→Scopusで検索)
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| ○Scopus (任意): | □ | 2-s2.0-84942011242
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| ○機関リポジトリ : | □ | 111291
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| ○備考 (任意): | 1. | (英) PublicationType: Journal Article (日)
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