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ID 109914
タイトルヨミ
スポーツ センシュ ノ ヨウツウ ト テイシンシュウ シュジュツ : ナゾ ノ ヨウツウ オ トキアカス
タイトル別表記
Sports Related Lumbar Spine Disorders and Minimally Invasive Endoscopic Surgery
著者
西良, 浩一 徳島大学大学院医歯薬学研究部運動機能外科学分野 徳島大学 教育研究者総覧 KAKEN研究者をさがす
キーワード
atheltes
low back pain
endoscopic surgery
資料タイプ
学術雑誌論文
抄録
Low back pain is commonly occurred among athletes. There are some pathologies causing the pain, and most of the pathology would be based on the overuse of the spine during the sports performance. Thus, the clue to obtain the exact diagnosis of the back pain is the lumbar motion causing the pain. Roughly, the pathology is classified into two ; i.e., flexion pain and extension pain. In flexion, anterior component of the spine such as intervertebral disc and endplate is loaded. Thus, disorders causing flexion pain would be disc herniation, discogenic pain, type 1 Modic endplate inflammation and so on. During the lumbar extension motion, posterior element including the facet joints and lamina is loaded. Based on this phenomenon, the lumbar spondylolysis and facet joint arthritis would be the main pathology causing the extension pain. Once the exact diagnosis can be obtained, pin-point intervention is possible including the block therapy and endoscopic surgery. The state of the art minimally invasive disc surgery is the endoscopic surgery. The technique is called the percutaneous endoscopic discectomy (PED). It only requires 8 mm for the skin incision, and it can be done under the local anesthesia. With utilizing the PED system, we have been treating the athletes with disc herniation and discogenic pain minimally invasively.
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
71
1-2
開始ページ
9
終了ページ
16
並び順
9
発行日
2015-04-25
EDB ID
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