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      • First-order electroweak phase transition powered by additional F-term loop effects in an extended supersymmetric Higgs sector

        Kanemura, S.,Senaha, E.,Shindou, T. North-Holland Pub. Co 2011 Physics letters: B Vol.706 No.1

        We investigate the one-loop effect of new charged scalar bosons on the Higgs potential at finite temperatures in the supersymmetric standard model with four Higgs doublet chiral superfields as well as a pair of charged singlet chiral superfields. In this model, the mass of the lightest Higgs boson h is determined only by the D-term in the Higgs potential at the tree-level, while the triple Higgs boson coupling for hhh can receive a significant radiative correction due to nondecoupling one-loop contributions of the additional charged scalar bosons. We find that the same nondecoupling mechanism can also contribute to realize stronger first order electroweak phase transition than that in the minimal supersymmetric standard model, which is definitely required for a successful scenario of electroweak baryogenesis. Therefore, this model can be a new candidate for a model in which the baryon asymmetry of the Universe is explained at the electroweak scale.

      • Single and double production of the Higgs boson at hadron and lepton colliders in minimal composite Higgs models

        Kanemura, Shinya,Kaneta, Kunio,Machida, Naoki,Odori, Shinya,Shindou, Tetsuo American Physical Society 2016 Physical Review D Vol.94 No.1

        <P>In the composite Higgs models, originally proposed by Georgi and Kaplan, the Higgs boson is a pseudo Nambu-Goldstone boson (pNGB) of spontaneous breaking of a global symmetry. In the minimal version of such models, global SO(5) symmetry is spontaneously broken to SO(4), and the pNGBs form an isospin doublet field, which corresponds to the Higgs doublet in the Standard Model (SM). Predicted coupling constants of the Higgs boson can in general deviate from the SM predictions, depending on the compositeness parameter. The deviation pattern is determined also by the detail of the matter sector. We comprehensively study how the model can be tested via measuring single and double production processes of the Higgs boson at the LHC and future electron-positron colliders. The possibility to distinguish the matter sector among the minimal composite Higgs models is also discussed. In addition, we point out differences in the cross section of double Higgs boson production from the prediction in other new physics models.</P>

      • SCISCIESCOPUS

        Discriminative phenomenological features of scale invariant models for electroweak symmetry breaking

        Hashino, K.,Kanemura, S.,Orikasa, Y. North-Holland Pub. Co 2016 Physics letters. Section B Vol.752 No.-

        <P>Classical scale invariance (CSI) may be one of the solutions for the hierarchy problem. Realistic models for electroweak symmetry breaking based on CSI require extended scalar sectors without mass terms, and the electroweak symmetry is broken dynamically at the quantum level by the Coleman-Weinberg mechanism. We discuss discriminative features of these models. First, using the experimental value of the mass of the discovered Higgs boson h(125), we obtain an upper bound on the mass of the lightest additional scalar boson (similar or equal to 543 GeV), which does not depend on its isospin and hypercharge. Second, a discriminative prediction on the Higgs-photon-photon coupling is given as a function of the number of charged scalar bosons, by which we can narrow down possible models using current and future data for the di-photon decay of h(125). Finally, for the triple Higgs boson coupling a large deviation (similar to+70%) from the SM prediction is universally predicted, which is independent of masses, quantum numbers and even the number of additional scalars. These models based on CSI can be well tested at LHC Run II and at future lepton colliders. (C) 2015 The Authors. Published by Elsevier B.V.</P>

      • KCI등재

        Indirect Decompression Using Lateral Lumbar Interbody Fusion for Restenosis after an Initial Decompression Surgery

        Nakashima Hiroaki,Kanemura Tokumi,Satake Kotaro,Ito Kenyu,Ishikawa Yoshimoto,Ouchida Jun,Segi Naoki,Yamaguchi Hidetoshi,Imagama Shiro 대한척추외과학회 2020 Asian Spine Journal Vol.14 No.3

        Study Design: Retrospective comparative study.Purpose: We compared clinical and radiographical outcomes after lumbar decompression revision surgery for restenosis by lateral lumbar interbody fusion (LLIF) and posterior lumbar interbody fusion (PLIF).Overview of Literature: Indirect lumbar decompression with LLIF was used to treat degenerative lumbar diseases requiring neural decompression. However, only a few studies have focused on the effectiveness of this technique for restenosis after lumbar decompression.Methods: We retrospectively investigated 52 cases involving lumbar interbody fusions for restenosis with spondylolisthesis after lumbar decompressions; these cases consisted of 15 patients who underwent indirect decompression with LLIF and posterior fixation and 37 patients who underwent the same procedure with PLIF. We compared Japanese Orthopaedic Association (JOA) scores and perioperative complications between groups. The cross-sectional areas of the thecal sac on magnetic resonance imaging were measured before, immediately after, and 2 years after surgery. We conducted statistical analyses using unpaired t -test and Fisher’s exact tests, and a <i>p</i> -value <0.05 was considered statistically significant.Results: The operative time was significantly shorter in the LLIF group than in the PLIF group (115.3±33.6 min vs. 186.2±34.2 min, respectively; <i>p</i> <0.001). In addition, the intraoperative blood loss was significantly lower in the LLIF group than in the PLIF group (58.2±32.7 mL vs. 303.2±140.1 mL, respectively; <i>p</i> <0.001). We found two cases of transient lateral thigh weakness (13.3%) in the LLIF group and five cases of incidental durotomy, one case of deep infection, and one case of neurological deterioration in the PLIF group—resulting in a higher complication incidence (18.9%), although it did not reach (<i>p</i> =0.63). The JOA scores improved significantly in both groups.Conclusions: Indirect decompression using LLIF provided acceptable clinical and radiographical outcomes in patients with restenosis with spondylolisthesis after lumbar decompression; no revision-surgery-specific complications were found. Our results suggest that LLIF is a safe and minimally invasive procedure for revision surgery.

      • KCI등재

        Unplanned Second-Stage Decompression for Neurological Deterioration Caused by Central Canal Stenosis after Indirect Lumbar Decompression Surgery

        Hiroaki Nakashima,Tokumi Kanemura,Kotaro Satake,Yoshimoto Ishikawa,Jun Ouchida,Naoki Segi,Hidetoshi Yamaguchi,Shiro Imagama 대한척추외과학회 2019 Asian Spine Journal Vol.13 No.4

        Study Design: Prospective cohort study. Purpose: This study aimed to identify risk factors for unplanned second-stage decompression for postoperative neurological deficit after indirect decompression using lateral lumbar interbody fusion (LLIF) with posterior fixation. Overview of Literature: Indirect lumbar decompression with LLIF has been used as a minimally invasive alternative to direct decompression to treat degenerative lumbar diseases requiring neural decompression. However, evidence on the prevalence of neurological deficits caused by spinal canal stenosis after indirect decompression is limited. Methods: This study included 158 patients (mean age, 71.13±7.98 years; male/female ratio, 67/91) who underwent indirect decompression with LLIF and posterior fixation. Indirect decompression was performed at 271 levels (mean level, 1.71±0.97). Logistic regression analysis was used to identify the risk factors for postoperative neurological deficits. The variables included were age, sex, body mass index, presence of primary diseases, diabetes mellitus, preoperative motor deficit, levels operated on, preoperative severity of lumbar stenosis, and preoperative Japanese Orthopedic Association (JOA) score. Results: Postoperative neurological deficit due to spinal canal stenosis occurred in three patients (1.9%). Spinal stenosis due to hemodialysis (p<0.001), ligament ossification (p<0.001), presence of preoperative motor paralysis (p<0.001), low JOA score (p=0.004), and severe canal stenosis (p=0.02) were significantly more frequent in the paralysis group. Conclusions: Severe preoperative canal stenosis and neurological deficit were identified as risk factors for postoperative neurological deterioration caused by spinal canal stenosis. Additionally, uncommon diseases, such as spinal stenosis due to hemodialysis and ligament ossification, increased the risk of postoperative neurological deficit; therefore, in such cases, indirect decompression is contraindicated.

      • KCI등재

        Predisposing Factors for Intraoperative Endplate Injury of Extreme Lateral Interbody Fusion

        Kotaro Satake,Tokumi Kanemura,Hidetoshi Yamaguchi,Naoki Segi,Jun Ouchida 대한척추외과학회 2016 Asian Spine Journal Vol.10 No.5

        Study Design: Retrospective study. Purpose: To compare intraoperative endplate injury cases and no injury cases in consecutive series and to identify predisposing factors for intraoperative endplate injury. Overview of Literature: Unintended endplate violation and subsequent cage subsidence is an intraoperative complication of extreme lateral interbody fusion (XLIF). It is still unknown whether it is derived from inexperienced surgical technique or patients’ inherent problems. Methods: Consecutive patients (n=102; mean age, 69.0±0.8 years) underwent XLIF at 201 levels at a single institute. Preoperative and immediately postoperative radiographs were compared and cases with intraoperative endplate injury were identified. Various parameters were reviewed in each patient and compared between the injury and no injury groups. Results: Twenty one levels (10.4%) had signs of intraoperative endplate injury. The injury group had a significantly higher rate of females (p =0.002), lower bone mineral density (BMD) (p =0.02), higher rate of polyetheretherketone as cage material (p =0.04), and taller cage height (p =0.03) compared with the no injury group. Multivariate analysis indicated that a T-score of BMD as a negative (odds ratio, 0.52; 95% confidence interval, 0.27–0.93; p =0.03) and cage height as a positive (odds ratio, 1.84; 95% confidence interval, 1.01–3.17; p =0.03) were predisposing factors for intraoperative endplate injury. Conclusions: Intraoperative endplate injury is correlated significantly with reduced BMD and taller cage height. Precise evaluation of bone quality and treatment for osteoporosis might be important and care should be taken not to choose excessively taller cage.

      • KCI등재

        The Prevalence and Risk Factors for S2 Alar-Iliac Screw Loosening with a Minimum 2-Year Follow-up

        Hiroaki Nakashima,Tokumi Kanemura,Kotaro Satake,Kenyu Ito,Yoshimoto Ishikawa,Jun Ouchida,Naoki Segi,Hidetoshi Yamaguchi,Shiro Imagama 대한척추외과학회 2020 Asian Spine Journal Vol.14 No.2

        Study Design: A retrospective cohort study. Purpose: The purpose of this study was to investigate the prevalence and risk factors for S2 alar-iliac (SAI) screw loosening following lumbosacral fixation, with a minimum 2-year follow-up. Overview of Literature: Although SAI screws allow surgeons to perform lumbosacral fixation with a low profile and enhanced biomechanical strength, screw loosening following surgery can occur in some cases. However, few studies have investigated the prevalence and risk factors for SAI screw loosening. Methods: This retrospective study included 35 patients (mean age, 72.8±8.0 years; male, 10; female, 25) who underwent lumbosacral fixation using SAI screws with at least 2 years of follow-up. SAI screw loosening and L5–S bony fusion were assessed using computed tomography. The period for which the screws appeared loose and the risk factors for SAI screw loosening were investigated 2 years after surgery. Results: A total of 70 SAI screws and 70 S1 pedicle screws were inserted. Loosening was observed 0.5, 1, and 2 years after surgery in 17 (24.3%), 35 (50.0%), and 35 (50.0%) SAI screws, respectively. Bony fusion rate at L5–S was significantly lower in patients with SAI screw loosening than in those without screw loosening (65.0% vs. 93.3%, p=0.048). The score for SAI screw contact with the iliac cortical bone and the bony fusion rate at L5–S were significantly lower in the loosening group than in the non-loosening group (1.8±0.5 vs. 2.2±0.3, p<0.001, respectively). Postoperative pelvic incidence–lumbar lordosis was significantly higher in the loosening group than in the non-loosening group (7.9°±15.4° vs. 0.5°±8.7°, p=0.02, respectively). Conclusions: SAI screw loosening is closely correlated with pseudoarthrosis at L5–S. Appropriate screw insertion and optimal lumbar lordosis restoration are important to prevent postoperative complications related to SAI screws.

      • KCI등재

        Changes in Sagittal Alignment Following Short-Level Lumbar Interbody Fusion: Comparison between Posterior and Lateral Lumbar Interbody Fusions

        Hiroaki Nakashima,Tokumi Kanemura,Kotaro Satake,Yoshimoto Ishikawa,Jun Ouchida,Naoki Segi,Hidetoshi Yamaguchi,Shiro Imagama 대한척추외과학회 2019 Asian Spine Journal Vol.13 No.6

        Study Design: Retrospective case-control study. Purpose: We aimed to compare radiologic outcomes between posterior (PLIF) and lateral lumbar interbody fusion (LLIF) in short-level spinal fusion surgeries. Overview of Literature: Although LLIF enables surgeons to insert large lordotic cages, it is unknown whether LLIF more effectively corrects local and global sagittal alignments compared with PLIF in short-level spinal fusion surgeries. Methods: Radiographic data acquired from patients with lumbar interbody fusion (≤3 levels) using PLIF or LLIF for degenerative lumbar diseases were analyzed. The following radiographic parameters were evaluated preoperatively and at 2 years postoperatively: segmental lordotic angle, disk height, lumbar lordosis (LL), pelvic tilt (PT), C7 sagittal vertical axis, and thoracic kyphosis (TK). Results: In total, 144 patients with PLIF (193 fused levels) and 101 with LLIF (159 fused levels) were included. Patients’ backgrounds and preoperative radiographic parameters for any level of fusion did not differ significantly between PLIF and LLIF procedures. The LLIF group exhibited significantly greater changes at 1-level fusion compared to the PLIF group in the parameters of segmental lordotic angle (5.1°±5.8° vs. 2.1°±5.0°, p<0.001), disk height (4.2±2.3 mm vs. 2.2±2.0 mm, p<0.001), LL (7.8°±7.6° vs. 3.9°±8.6°, p=0.004), and PI–LL (−6.9°±6.8° vs. −3.6°±10.1°, p=0.03). While, a similar trend was observed regarding 2-level fusion, significantly greater changes were only observed in LL (12.1°±11.1° vs. 4.2°±9.1°, p=0.047) and PI–LL (−11.2°±11.3° vs. −3.0°±9.3°, p=0.043), PT (−6.4°±4.9° vs. −2.5°±5.3°, p=0.049) and TK (7.8°±11.8° vs. −0.3°±9.7°, p=0.047) in the LLIF group at 3-level fusion. Conclusions: LLIF provides significantly better local sagittal alignment than PLIF in 1- or 2-level fusion cases and improves spinopelvic alignment and local alignment for 3-level fusion cases. Thus, LLIF was demonstrated to be a useful lumbar interbody fusion technique, constituting a powerful tool for achieving sagittal realignment with minimal surgical invasiveness.

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