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ID 109606
タイトルヨミ
ヨウツウ チリョウ ノ サイゼンセン
タイトル別表記
State-of-the-art of low back pain
著者
西良, 浩一 帝京大学医学部附属溝口病院整形外科 徳島大学 教育研究者総覧 KAKEN研究者をさがす
キーワード
Spondylolysis
Jack-knife stretch
MRI
herniated nucleus pulposus
percutaneous endoscopic discectomy
one day surgery
資料タイプ
学術雑誌論文
抄録
It has been reported that more than 80% of the entire population in Japan would have low
back pain in their life at least once. However, the cause of the pain is different among ages. In children and adolescents, the lumbar spondylolysis is the most popular disease, and the apophyseal bony ring fracture is the specific disease which would be only seen in such young generation. For each disease, prevention is important. Tightness of the hamstrings is closely related to the low back pain. We proposed the effective active stretching exercise called “Jack-knife stretching” for young generation, so that they can be flexible soon, and prevent the low back pain. For adults, herniated nucleus pulposus (HNP) and spinal canal stenosis would be popular. To treat these diseases, endoscopic surgery is the state-of-the-art technique. Especially for HNP, percutaneous endoscopy was introduced with local anesthesia. The technique made the disc surgery possible to be “one-day surgery” because of its minimal invasiveness. For the elderly people, compression fracture based on the fragile spine with osteoporosis is popular. Recently, very effective drugs to increase the bone mineral density have been utilized. For the compression fracture, less invasive technique to reduce the low back pain by the fracture is induced called “balloon kyphoplasty”. In this review article, the state-of-the-art of the low back pain was presented.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
69
1-2
開始ページ
7
終了ページ
16
並び順
7
発行日
2013-04-25
フルテキストファイル
言語
jpn
著者版フラグ
出版社版
部局
医学系