著者
西川 節 金 安明 正村 清弥 井上 剛 中西 愛彦 生野 弘道
出版者
日本脊髄外科学会
雑誌
脊髄外科 (ISSN:09146024)
巻号頁・発行日
vol.26, no.2, pp.221-226, 2012 (Released:2017-05-11)
参考文献数
31
被引用文献数
1 1

Object : To study long-term outcomes of anterior decompression and fusion (ADF) and expansive laminoplasty (ELP).   Materials and Methods : Our study included 120 patients who underwent iliac bone grafting via the modified trans-unco-discal approach (TUD) or ELP with spinous process or ceramic spacers over 5 years ; the neurological symptoms and Japanese Orthopedics Association (JOA) scores of these patients were reviewed.  Results : Neurological symptoms and JOA scores improved in 111 out of the 120 patients (93%), and worsened in 9 patients (8%). There was no significant difference in the rate of improvement of neurological symptoms, and JOA scores in all groups. There was no significant difference in the improvement rates of neurological symptoms and JOA scores between all groups.  Conclusions : ADF and ELP showed comparable rates of improvement in neurological symptoms and JOA scores. It is important to choose the appropriate methods according to the pathophysiological conditions. ADF should be performed only for the appropriate lesions, since the problems pertinent to the adjacent lesions may ensue.
著者
西川 節行
出版者
プール学院大学
雑誌
プール学院大学研究紀要 (ISSN:13426028)
巻号頁・発行日
vol.41, pp.125-138, 2001-12-31

The Sakai region, which consists of Sakai City, a city of 800,000 people and several surrounding local communities, forms a core industrial area of the southern part of the Mega-Kei-Hanshin Industrial Belt, and is also famous for its golden days in the middle ages as a prosperous international trading port. Sakai needs a vital activation plan of the regional economy along with the recent economic trends of globalization. This is a proposal for the region to activate its regional economy by inviting direct foreign investment to the region.