Clinical and Radiographic Characteristics of Upper Lumbar Disc Herniation : Ten-Year Microsurgical Experience
スポンサーリンク
概要
- 論文の詳細を見る
Upper and lower lumbar disc herniation apparently have different background, symptoms, and operative results. This retrospective study reviewed the clinical records of 403 patients (409 discs) who underwent lumbar microdiscectomy performed by different surgeons at our institute between 1999 and 2009. The 290 male (72.0%) and 113 female (28.0%) patients were aged from 19 to 77 years (mean 44 years). Demographics, symptoms, and static and dynamic radiographic and magnetic resonance images obtained at the L1-2, L2-3, L3-4, L4-5, and L5-S1 intervertebral levels were analyzed. Of the 409 herniations, 3 were at L1-2, 9 at L2-3, 21 at L3-4, 166 at L4-5, and 210 at L5-S1. The mean age at herniation at L1-2 and L2-3 levels was 55.7 years. Patients with herniation of discs at L3-4 or above were significantly older than patients who suffered herniation at L4-5 or below (p < 0.0001), and the incidence of urinary disturbance was significantly higher in patients with herniation at L1-2 and L2-3 levels (p = 0.0013). The incidence of degenerative scoliosis was significantly higher in patients with herniation at L1-2 and L2-3 than in those with herniated discs at L3-4 or below (p < 0.0001). Patients with upper lumbar disc herniation were older and manifested a higher incidence of urinary disturbance. A high incidence of degenerative scoliosis was noted in the course of prolonged degenerative processes.
- 2011-06-15
著者
-
飛騨 一利
北海道大学医学部神経外科
-
Yano Shunsuke
Department Of Neurosurgery Hokkaido University Graduate School Of Medicine
-
Aoyama Takeshi
Department Of Cardiology Kansai Denryoku Hospital
-
Hida Kazutoshi
北海道大学 医学研究科神経外科
-
Hida Kazutoshi
Department Of Neurosurgery Hokkaido University Graduate School Of Medicine
-
飛弾 一利
北海道大学医学部脳神経外科
-
Hida Kazutoshi
Department Of Neurosurgery Hokkaido University Graduate School Of Medicine Sapporo And The Chemo-ser
-
飛騨 一利
北海道大学大学院医学研究科脳神経外科
-
AKINO Minoru
Sapporo Azabu Neurosurgical Hospital
-
Saito Hisatoshi
Sapporo Azabu Neurosurgery Hospital
-
Iwasaki Y
Miyagi National Hospital
-
IWASAKI Motoyuki
Sapporo Azabu Neurosurgical Hospital
-
Yano Shunsuke
Sapporo Azabu Neurosurgical Hospital
-
IWASAKI Yoshinobu
Sapporo Azabu Neurosurgical Hospital
-
Iwasaki Yoshinobu
Department Of Neurosurgery Sapporo Azabu Neurosurgical Hospital
-
IWASAKI Motoyuki
Department of Neurosurgery, Hokkaido University Graduate School of Medicine
-
Aoyama Takeshi
Department of Neurosurgery, Hokkaido University Graduate School of Medicine
関連論文
- 3.各タイプ別脊髄動静脈奇形に対する集学的治療(PS1-2 脳・脊髄血管奇形の最善の治療,プレナリーセッション,手術再考,第30回日本脳神経外科コングレス総会)
- Functional analysis of an α-helical antimicrobial peptide derived from a novel mouse defensin-like gene
- The Human Polyoma JC Virus Agnoprotein Acts as a Viroporin
- Transcellular transport of West Nile virus-like particles across human endothelial cells depends on residues 156 and 159 of envelope protein
- Detection of Residual Disc Hernia Material and Confirmation of Nerve Root Decompression at Lumbar Disc Herniation Surgery by Intraoperative Ultrasound
- Spinal Intradural Granuloma as a Complication of an Infected Cerebrospinal Fluid Drainage Tube Fragment : Case Report
- 下垂体部に発生した異所性唾液腺の1症例
- 遺伝性出血性毛細血管拡張症(HHT)に合併したhigh-flow AVFの3例(第23回日本脊髄外科学会推薦演題抄録)
- 脊髄くも膜嚢胞の臨床的検討
- 頚椎転移をきたしたhemangiopericytomaの1例
- 4. 頚椎症に対する前方アプローチ術中のコツとピットフォール(1)若手脳神経外科医の経験したい手術アプローチ,PS2-5 プレナリーナイトビデオセッション,プレナリーセッション,テクノロジーの進歩と脳神経外科の未来,第29回日本脳神経外科コングレス総会)
- 脊髄腫瘍の知識と看護 (特集 脊椎・脊髄疾患の知識と看護)
- 頸椎前方アプローチの適応と実際(PA-11 脊椎変性疾患の外科治療, 第25回 日本脳神経外科コングレス総会)
- 第2回日本脊髄外科サテライトカンフェランスを終えて : 症例に学ぶ脊椎脊髄外科のスタンダード
- 第一回脊髄外科サテライトカンファレンスを終えて
- The 53rd Anniversary International Symposium に出席して
- 14th Annual Meeting of Joint Section of the Spine and Peripheral Nerves
- 放射線照射にて消失し,6年後に脳室内腫瘍にて再発したGerminomaの1例
- 6)Chiari奇形を伴う脊髄空洞症の外科的治療
- 頸椎症に対する前方アプローチ : 現時点でのスタンダード(頸椎)
- 保存的治療とその限界 (あゆみ 頸椎症--その考え方と治療の現在) -- (頸椎症性根症の手術適応と術式)
- 53 頚椎OPLLに対するIn situ distraction deviceを用いた前方固定術(北日本脳神経外科連合会第28回学術集会)
- 頸椎症に対する前方到達法 : 手術のポイント
- 64 L5/S1腰部椎間板ヘルニアの診断と手術(北日本脳神経外科連合会第27回学術集会)
- 62 乳児脊髄に発生したfibrous hamartoma of infancyの1例(北日本脳神経外科連合会第27回学術集会)
- Chiari奇形を伴った脊髄空洞症における疼痛の検討
- Pneumaticimpactdeviceを用いたマウスの脊髄損傷モデル
- 骨髄間質細胞を用いた損傷脊髄の再生(再生医療-脊髄移植の現状と課題-,第44回日本リハビリテーション医学会学術集会/神戸)
- 脊髄外科手術での術中超音波画像診断によるモニタリング
- 3.骨髄間質細胞を用いた損傷脊髄の再生(再生医療:脊髄移植の現状と課題,パネルディスカッション3,特別企画,実学としてのリハビリテーションの継承と発展,第44回日本リハビリテーション医学会学術集会)
- Adult Chiari Type I Malformation Presenting as Dysphagia. - A Case Report -
- 髄内出血により発症した spinal hemangioblastoma の 1 症例
- Anterior Approach for Dumbbell Type Cervical Neurinoma
- Diffuse idiopathic skeletal hyperostosis (DISH) に伴う前縦靭帯骨化症により嚥下障害をきたした 2 症例
- 頸椎2〜3椎間障害に対する前方アプローチ : 特にinstrumentation不要の立場から
- 各タイプ別脊髄動静脈奇形に対する集学的治療(脳脊髄動静脈奇形の診断・治療の進歩)
- PE-447 Fluvastatin Improves Regional Left Ventricular Diastolic Function in Patients with Metabolic Syndrome(Echo/Doppler-6 (I) PE75,Poster Session (English),The 70th Anniversary Annual Scientific Meeting of the Japanese Circulation Society)
- Diagnosis of Coronary Vasospasm by Detection of Ischemic Regional Left Ventricular Delayed Relaxation Following Hyperventilation Test with Color Kinesis(Echo/Doppler 1 (I), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Candesartan Improves Regional Left Ventricular Diastolic Function in Mildly Hypertensive Patients without Hypertrophy(Echo/Doppler 12 (I), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- OJ-390 Noninvasive Diagnosis of Acute Coronary Syndrome by Echocardiographic Detection of Postischemic Regional Left Ventricular Delayed Relaxation Using Color Kinesis(Echo/Doppler 13 (I) : OJ47)(Oral Presentation (Japanese))
- Detection of Coronary Artery Stenosis by Post Ischemic Diastolic Asynchrony with Treadmill Exercise Color Kinesis : Comparison with Exercise Thallium-201 SPECT
- Calbindin D immunoreactivity and chronic lesions of rat cerebella in methylmercury chloride intoxication
- Multiple Dural Arteriovenous Fistulas
- Anti-Hu paraneoplastic syndrome presenting with brainstem-cerebellar symptoms and Lambert-Eaton myasthenic syndrome
- HHV8-negative primary effusion lymphoma of the peritoneal cavity presenting with a distinct immunohistochemical phenotype
- Expression of amyloid precursor protein mRNA in vascular smooth muscle cells of the human brain
- Fibrin matrix provides a suitable scaffold for bone marrow stromal cells transplanted into injured spinal cord : A novel material for CNS tissue engineering
- Graded model of diffuse axonal injury for studying head injury-induced cognitive dysfunction in rats
- Cervical Epidural Arteriovenous Fistula With Radiculopathy Mimicking Cervical Spondylosis
- Edaravone (MCI-186) Scavenges Reactive Oxygen Species and Ameliorates Tissue Damage in the Murine Spinal Cord Injury Model
- Long-Term Follow-Up Results in Patients With Cervical Disk Disease Treated by Cervical Anterior Fusion Using Titanium Cage Implants
- Cervical Perimedullary Arteriovenous Fistula in an Infant Presenting With Subarachnoid Hemorrhage
- Surgical Treatment of Cervical Spondylosis in the Elderly : Surgical Outcomes, Risk Factors, and Complications
- Radiculopathy Caused by Lumbar Epidural Venous Varix
- Nonsuture dural repair using polyglycolic acid mesh and fibrin glue: clinical application to spinal surgery
- Pathology of pure hippocampal sclerosis in a patient with dementia and Hodgkin's disease : the Ophelia syndrome
- Ligamentum Flavum Hematoma in the Lumbar Spine : Case Report
- Intraoperative Color Doppler Sonography in the Surgical Treatment of Perimedullary Arteriovenous Fistula : Case Report
- Migration and differentiation of nuclear fluorescence-labeled bone marrow stromal cells after transplantation into cerebral infarct and spinal cord injury in mice
- Multiple Vertebral Metastases from Malignant Cardiac Pheochromocytoma
- Focal fractionated radiotherapy for intramedullary spinal arteriovenous malformations: 10-year experience.
- Dural band pathology in syringomyelia with Chiari type I malformation
- Bone Window Computed Tomography for Detection of Dural Defect Associated with Cervical Ossified Posterior Longitudinal Ligament
- Immunohistochemical analysis of giant cell glioblastoma
- Augmented expression of neuronal nitric oxide synthase in the atria decreases heart rate during acute myocardial infarction in rats
- Activated TGF-β_1-TAK-p38MAPK pathway in non-infarcted region and its relation to ventricular remodeling after myocardial infarction in rats
- Brain Stem Arteriovenous Malformation With Large Venous Varix
- Intraoperative Spinal Sonography in the Cervical Anterior Approach
- Serial Changes in Metabolism and Histology in the Cold-injury Trauma Rat Brain Model : Proton Magnetic Resonance Imaging and Spectroscopy Study
- Oral Administration of Matrix Metalloproteinase (MMP) Inhibitor ONO-4817 Blocks Left Ventricular (LV) Remodeling in Rats with Salt-Sensitive Hypertension
- Extracellular Collagen Matrix Determines Left Ventricular Shape, Function, and Stiffness during the Process of Ventricular Remodeling
- The role of TGF- β_1-TAK-p38MAPK pathway in the ventricular hypertrophy in rat hypertensive model
- 脊髄髄内海綿状血管腫の臨床像と治療方針の検討(第23回日本脊髄外科学会推薦演題抄録)
- 4. 脊髄動静脈奇形の診断と治療(PS1-5 頭蓋頸椎移行部疾患の外科治療, 第27回 日本脳神経外科コングレス総会)
- 脳神経外科医による脊椎・脊髄手術に関する全国統計 : 2004年全国アンケート調査の結果報告
- 非腫瘍髄内性病変の診断と治療(日本脊髄外科学会サテライトカンファレンス)
- 非腫瘍髄内性病変への外科的アプローチ
- 脊椎・脊髄外科のためのニューロイメージング
- 脊髄癒着性クモ膜炎の病態と治療
- 頚椎後縦靭帯骨化症に対する外科治療 : 前方除圧術と後方除圧術の適応(頚椎 OPLL)
- Chiari奇形を伴う脊髄空洞症の成因における頭蓋-頸椎移行部の異常に関する臨床病理学的検討
- 1 Detection of Postischemic Regional Left Ventricular Delayed Relaxation after Exercise-Induced Ischemia in Patients with Effort Angina Using Diastolic Color Kinesis(Advancement of Echocardiography,APSC-JCS Joint Symposium (I),The 70th Anniversary Annual
- 脊髄血管障害治療の最前線 (特集 脊椎・脊髄外科の最近の進歩)
- 2.頸椎変性疾患に対する前方アプローチ : スタンダードと応用(PS-8 頸椎手術の過去・現在・未来,プレナリーセッション,第26回 日本脳神経外科コングレス総会)
- 1.前方到達法:適応と手術のポイント
- Ventrally Located Cervical Intramedullary Cavernous Angioma : Selection of Posterior and Anterior Approaches : Case Report
- Chiari Malformation and Syringomyelia in Monozygotic Twins:Birth Injury as a Possible Cause of Syringomyelia : Case Report
- 頸部脊椎症とヘルニアの外科治療(脊椎・脊髄の外科治療[1])
- 各タイプ別脊髄動静脈奇形に対する集学的治療
- 仙骨部硬膜動静脈瘻の検討
- 治療戦略ミーティング
- Transplanted bone marrow stromal cells improves cognitive dysfunction due to diffuse axonal injury in rats
- Clinical and Radiographic Characteristics of Upper Lumbar Disc Herniation : Ten-Year Microsurgical Experience
- Intramedullary Cavernous Angiomas of the Spinal Cord : Clinical Characteristics of 13 Lesions
- Synergistic effects of bone marrow stromal cells and a Rho kinase (ROCK) inhibitor, Fasudil on axon regeneration in rat spinal cord injury
- 症例報告 多発頚髄硬膜動静脈瘻を伴った頚部巨大傍椎体動静脈シャントの1例
- 頚椎前方固定術における固定隣接椎間障害の画像的因子解析
- Primary Cauda Equina Lymphoma Treated With High-Dose Methotrexate
- Favorable Outcome After Radical Resection and Subsequent Local Irradiation of Malignant Peripheral Nerve Sheath Tumor in the Cervical Spine
- Transformation From Asymptomatic to Symptomatic of Lower Cervical Spinal Dural Arteriovenous Fistula:—Case Report—