2024/01/31 更新

写真a

ナカジマ　タカオ
中嶋　隆夫
Nakajima Takao
所属
千葉北総病院 整形外科 病院講師
職名
病院講師
外部リンク

論文

  • Cine MRI Is Useful for the Diagnosis of Intradural Arachnoid Cyst with Spinal Arachnoid Web: A Case Report. 国際誌

    Hiroshi Kawaguchi, Koichiro Ono, Naoya Takabayashi, Toshihiko Ito, Kazuhiro Harada, Yoshihiro Sudo, Yong Kim, Takao Nakajima, Masabumi Miyamoto, Tokifumi Majima

    JBJS case connector   12 ( 3 )   2022年7月

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    記述言語：英語   掲載種別：研究論文（学術雑誌）  

    CASE: A 28-year-old woman developed gait disturbance due to lower limb weakness 3 years before presentation. Conventional magnetic resonance imaging (MRI) findings were inconclusive; therefore, we performed cine MRI, which confirmed the presence of a pulsatile cyst on the posterior thoracic spinal cord. The cyst compressed the spinal cord, and its pulsations synchronized with the patient's heartbeats. We resected the intradural arachnoid cyst and thickened arachnoid membrane. The gait disturbance improved after surgery. CONCLUSIONS: Cine MRI can be used to identify a pulsating arachnoid cyst that cannot be visualized with a conventional MRI. Cine MRI is useful in patients with unexplained spinal symptoms.

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  • インプラントの前後軸と後顆軸のなす角度を応用した非対称型脛骨インプラントの回旋アライメント計測法の信頼性についての検討

    片岡 達紀, 飯澤 典茂, 明石 裕貴, 若宮 みあり, 春日 勇輝, 大久保 敦, 渡部 寛, 大島 康史, 中嶋 隆夫, 眞島 任史

    日本整形外科学会雑誌   96 ( 2 )   S148 - S148   2022年3月

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    記述言語：日本語   出版者・発行元：(公社)日本整形外科学会  

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  • The Relationship between Perivertebral Venous Cement Embolism and Balloon Expansion Pressure in Balloon Kyphoplasty.

    Yusuke Tabata, Shuhei Matsui, Masabumi Miyamoto, Takao Nakajima, Tokifumi Majima

    JMA journal   4 ( 4 )   367 - 373   2021年10月

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    記述言語：英語   掲載種別：研究論文（学術雑誌）  

    INTRODUCTION: Osteoporotic vertebral compression fractures (OVCFs) are common fractures in the elderly suffering osteoporosis. Most patients have bone fusion with deformity of vertebral collapse; however, some patients suffer nonunion and persistent pain at the fracture site. Due to the limitations of conservative treatment, balloon kyphoplasty (BKP) has been recently performed for OVCFs. This study aimed to investigate the relationship between cement embolization and balloon expansion pressure (BEP) in patients who underwent BKP. METHODS: We investigated 62 patients who underwent BKP for cement embolization into the perivertebral veins among the 155 patients admitted to our hospital due to thoracolumbar vertebral compression fractures between April 1, 2019, and March 31, 2020. Surgery was indicated for patients who had severe back or low back pain and whose daily life was severely impaired, and in whom the shape of the vertebral body was clearly changed on functional X-ray. RESULTS: Intraoperative X-ray and postoperative CT revealed cement embolization into the perivertebral veins in three cases (4.83%). The BEP was significantly higher in the group with cement embolism than in the group without cement embolism (P < 0.001). Pulmonary cement embolism (PCE) and infection were not observed. One case of cement leakage into the spinal canal was observed (1.61%). CONCLUSIONS: While the surgical intervention of BKP can contribute to the treatment of OVCFs, careful attention should be paid to the prevention of complications, including cement embolization into the perivertebral veins, and such complications should be appropriately managed.

    DOI： 10.31662/jmaj.2021-0065

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  • Reverse Z-effect phenomenon in a basicervical femoral fracture using cephalomedullary nail with two superior antirotation screws: A case report and procedure evaluation. 国際誌

    Yusuke Tabata, Shuhei Matsui, Masabumi Miyamoto, Takao Nakajima, Tokifumi Majima

    Trauma case reports   31   100384 - 100384   2021年2月

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    記述言語：英語  

    We present a case of reverse Z-effect phenomenon in a basicervical femoral fracture using a cephalomedullary nail together with two superior antirotation screws and evaluate the procedure. An 86-year-old woman fell in her home and could not stand due to right hip joint pain. X-ray and CT imaging showed a right basicervical femoral fracture (AO/OTA classification; 31B3), and open reduction and internal fixation (OR/IF) was performed with a cephalomedullary nail and two superior antirotation screws (TES Nail, HOMS, Tokyo, Japan). Two months later, X-ray showed penetration of the femoral head by the inferior lag screw with lateral migration of the two superior antirotation screws; the so-called "reverse Z-effect"; without any trauma. We performed the exchange of a shorter inferior lag screw for the longer one, and replaced the sliding type end cap with one of rocking type. The reverse Z-effect has been reported in cases with two lag screws, i.e. one inferior and one superior, in the past; however, to our knowledge, there has been no case reported in the literature using two superior antirotation screws together with one inferior lag screw.

    DOI： 10.1016/j.tcr.2020.100384

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  • A Case with Rapid Progression of Anemia Due to an Intravertebral Body Pseudoaneurysm with a 3-Column Osteoporotic Vertebral Fracture from Ankylosing Spinal Disorder.

    Takeshi Sainoh, Sumihisa Orita, Manato Horii, Jiro Hirayama, Miyako Suzuki, Kazuhide Inage, Yasuhiro Shiga, Yoshihiro Sakuma, Go Kubota, Yasuhiro Oikawa, Jun Sato, Kazuki Fujimoto, Yasuchika Aoki, Yawara Eguchi, Takao Nakajima, Hiroshi Takahashi, Masao Koda, Tsutomu Akazawa, Satoshi Maki, Takeo Furuya, Seiji Ohtori

    Spine surgery and related research   5 ( 4 )   313 - 316   2021年

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    記述言語：英語   掲載種別：研究論文（学術雑誌）  

    DOI： 10.22603/ssrr.2020-0099

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  • Technical and Conceptual Review on the L5-S1 Oblique Lateral Interbody Fusion Surgery (OLIF51).

    Sumihisa Orita, Yasuhiro Shiga, Kazuhide Inage, Yawara Eguchi, Satoshi Maki, Takeo Furuya, Yasuchika Aoki, Masahiro Inoue, Richard A Hynes, Masao Koda, Hiroshi Takahashi, Tsutomu Akazawa, Junichi Nakamura, Shigeo Hagiwara, Gen Inoue, Masayuki Miyagi, Shunsuke Fujibayashi, Takahiro Iida, Yoshihisa Kotani, Masato Tanaka, Takao Nakajima, Seiji Ohtori

    Spine surgery and related research   5 ( 1 )   1 - 9   2021年

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    記述言語：英語   掲載種別：研究論文（学術雑誌）  

    Lumbar lateral interbody fusion (LLIF) has been gaining popularity among the spine surgeons dealing with degenerative spinal diseases while LLIF on L5-S1 is still challenging for its technical and anatomical difficulty. OLIF51 procedure achieves effective anterior interbody fusion based on less invasive anterior interbody fusion via bifurcation of great vessels using specially designed retractors. The technique also achieves seamless anterior interbody fusion when combined with OLIF25. A thorough understanding of the procedures and anatomical features is mandatory to avoid perioperative complications.

    DOI： 10.22603/ssrr.2020-0086

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  • 共同腱温存後方アプローチによる人工骨頭置換術の術後成績と下肢長差に関する検討

    渡部 寛, 橋口 宏, 中嶋 隆夫, 片岡 達紀, 園木 謙太郎, 山岡 卓司, 植松 卓哉, 角田 隆, 河路 秀巳, 眞島 任史, 高井 信朗

    日本整形外科学会雑誌   93 ( 3 )   S731 - S731   2019年3月

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    記述言語：日本語   出版者・発行元：(公社)日本整形外科学会  

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  • 母指CM関節症に対する橈側手根屈筋半裁腱を用いた靱帯再建腱球移植術の治療成績

    園木 謙太郎, 橋口 宏, 山岡 卓司, 片岡 達紀, 渡部 寛, 中嶋 隆夫, 南野 光彦, 高井 信朗

    日本整形外科学会雑誌   93 ( 3 )   S762 - S762   2019年3月

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    記述言語：日本語   出版者・発行元：(公社)日本整形外科学会  

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  • Salvage Strategy for Failed Spinal Fusion Surgery Using Lumbar Lateral Interbody Fusion technique: A Technical Note.

    Sumihisa Orita, Takao Nakajima, Kenta Konno, Kazuhide Inage, Takeshi Sainoh, Kazuki Fujimoto, Jun Sato, Yasuhiro Shiga, Hirohito Kanamoto, Koki Abe, Masahiro Inoue, Hideyuki Kinoshita, Masaki Norimoto, Tomotaka Umimura, Yasuchika Aoki, Junichi Nakamura, Yusuke Matsuura, Go Kubota, Yawara Eguchi, Richard A Hynes, Tsutomu Akazawa, Miyako Suzuki, Kazuhisa Takahashi, Seiji Ohtori

    Spine surgery and related research   2 ( 1 )   86 - 92   2018年

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    記述言語：英語   掲載種別：研究論文（学術雑誌）  

    INTRODUCTION: Failed spinal fusion surgery sometimes requires salvage surgery when symptomatic, especially with postsurgical decrease in intervertebral disc height followed by foraminal stenosis. For such cases, an anterior approach to lumbar lateral interbody fusion (LLIF) provides safe, direct access to the pathological disc space and a potential improvement in the fusion rate. One LLIF approach, oblique lateral interbody fusion (OLIF), targets the oblique lateral window of the intervertebral discs to achieve successful lateral interbody fusion. The current technical note describes spinal revision surgery using the OLIF procedure. TECHNICAL NOTE: The subjects were patients with leg pain and/or lower back pain derived from decreased intervertebral height followed by foraminal stenosis due to failed spinal fusion surgery. These patients underwent additional OLIF surgery and posterior fusion with no additional posterior direct decompression. Their outcomes were evaluated using the Japanese Orthopaedic Association (JOA) scores at baseline and final follow-up. Bony union was also evaluated using computed tomography images at final follow-up. Six subjects were evaluated, with two representative cases described in detail. Four patients had an adjacent segment disorder, and the other two patients had pseudarthrosis due to postoperative infection. The mean JOA score improved from 5.7 ± 5.4 to 21.2 ± 2.3, with a mean recovery rate of 65.0%. All cases showed intervertebral bony union. CONCLUSIONS: We introduced a salvage strategy for failed posterior spine fusion surgery cases using the OLIF procedure. Patients effectively achieved recovered intervertebral and foraminal height with no additional posterior direct decompression.

    DOI： 10.22603/ssrr.2017-0035

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  • 脛骨近位骨端線離開3例の治療経験

    渡部 寛, 大久保 敦, 岩下 哲, 中嶋 隆夫, 橋口 宏, 南 和文, 高井 信朗

    関東整形災害外科学会雑誌   45 ( 臨増号外 )   151 - 151   2014年3月

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    記述言語：日本語   出版者・発行元：関東整形災害外科学会  

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  • 鏡視下腱板修復術における斜角筋ブロックの有効性および問題点

    岩下 哲, 橋口 宏, 中嶋 隆夫, 渡部 寛, 大久保 敦, 南 和文, 高井 信朗

    関東整形災害外科学会雑誌   45 ( 臨増号外 )   180 - 180   2014年3月

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    記述言語：日本語   出版者・発行元：関東整形災害外科学会  

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  • Ketamine for acute neuropathic pain in patients with spinal cord injury. 国際誌

    Kyongsong Kim, Masahiro Mishina, Rinko Kokubo, Takao Nakajima, Daijiro Morimoto, Toyohiko Isu, Shiro Kobayashi, Akira Teramoto

    Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia   20 ( 6 )   804 - 7   2013年6月

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    記述言語：英語   掲載種別：研究論文（学術雑誌）  

    Ketamine, an N-methyl-d-aspartic acid (NMDA) receptor antagonist, may be useful for treating neuropathic pain, which is often difficult to control. We report a prospective study of 13 patients with acute neuropathic pain due to spinal cord injury (SCI) treated with ketamine. All underwent a test challenge with 5mg ketamine. Patients with satisfactory responses were then treated intravenously and subsequently perorally with ketamine. Pre- and post-treatment pain was recorded on a visual analogue scale. All 13 patients responded positively to the ketamine test challenge and underwent continued ketamine administration. At the cessation of treatment and alter at final follow up, pain was decreased by 74.7% and 96.8%, respectively. The average administration period was 17.2 days; it was longer (59 days) in one patient treated in the subacute phase. All patients suffered allodynia-type pain and experienced 30% or less of their original pain intensity upon test challenge. Side effects were noted in five patients, although their severity did not require treatment cessation. In patients with SCI, ketamine reduced allodynia. Particularly good results were obtained in patients treated in the acute phase and these patients did not experience post-treatment symptom recurrence. Our results suggest that in patients with SCI, ketamine is useful for treating neuropathic pain in the acute phase.

    DOI： 10.1016/j.jocn.2012.07.009

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MISC

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共同研究・競争的資金等の研究課題

  • 吸収性スクリューによる頚椎椎間関節固定術の生体力学的研究

    研究課題/領域番号：15K10376  2015年4月 - 2019年3月

    日本学術振興会  科学研究費助成事業  基盤研究(C)

    金 景成, 吉田 大蔵, 中嶋 隆夫, 森本 大二郎

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    配分額：4940000円 （ 直接経費：3800000円 、 間接経費：1140000円 ）

    脊椎手術において、脊椎の可動性を制御するために行われる固定術には、高価な金属製インプラントが用いられるのが一般的であるが、医療経済の問題など、様々な問題がある。我々は、頸椎椎間関節固定術を安価な吸収性スクリューを用いて行い良好な成績を報告したが、剛性が劣る吸収性インプラントの頸椎固定術への応用においては生体力学的な研究が望まれる。今回我々は有限要素法を用いて、ヒト頸椎CT情報をもとにコンピューター上でヒト頸椎可動性モデルを作成した。本モデルを用いた吸収性スクリューによる頚椎椎間関節固定術をシミュレーションすることにより、吸収性スクリューが生理的環境下でその剛性は十分であることを明らかにした。

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