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RISS 인기검색어
- 검색키워드
- 저자 : Masahito Hara (검색결과 4 건)
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A Morphologically Atypical Case of Atlantoaxial Rotatory Subluxation
Umebayashi, Daisuke,Hara, Masahito,Nishimura, Yusuke,Wakabayashi, Toshihiko The Korean Neurosurgical Society 2014 Journal of Korean neurosurgical society Vol.55 No.5
A rare case of atlantoaxial rotatory subluxation occurred after pediatric cervical spine surgery performed to remove a dumbbell-shaped meningioma at the level of the C1/C2 vertebrae. This case is classified as a post-surgical atlantoaxial rotatory subluxation, but has a very rare morphology that has not previously been reported. Although there are several reports about post-surgical atlantoaxial rotatory subluxation, an important point of this case is that it might be directly related to the spinal cord surgery in C1/C2 level. On day 6 after surgery, the patient presented with the Cock Robin position, and a computed tomography scan revealed a normal type of atlantoaxial rotatory subluxation. Manual reduction was performed followed by external fixation with a neck collar. About 7 months after the first surgery, the subluxation became severe, irreducible, and assumed an atypical form where the anterior tubercle of C1 migrated to a cranial position, and the posterior tubercle of C1 and the occipital bone leaned in a caudal direction. The pathogenic process suggested deformity of the occipital condyle and bilateral C2 superior facets with atlantooccipital subluxation. A second operation for reduction and fixation was performed, and the subluxation was stabilized by posterior fixation. We encountered an unusual case of a refractory subluxation that was associated with an atypical deformity of the upper spine. The case was successfully managed by posterior fixation.
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Biomechanical Analysis of a Pedicle Screw-Rod System with a Novel Cross-Link Configuration
Yasuhiro Nakajima,Masahito Hara,Daisuke Umebayashi,Shoichi Haimoto,Yu Yamamoto,Yusuke Nishimura,Toshihiko Wakabayashi 대한척추외과학회 2016 Asian Spine Journal Vol.10 No.6
Study Design: The strength effects of a pedicle screw-rod system supplemented with a novel cross-link configuration were biomechanically evaluated in porcine spines. Purpose: To assess the biomechanical differences between a conventional cross-link pedicle screw-rod system versus a novel crosslink instrumentation, and to determine the effect of the cross-links. Overview of Literature: Transverse cross-link systems affect torsional rigidity, but are thought to have little impact on the sagittal motion of spinal constructs. We tested the strength effects in pullout and flexion-compression tests of novel cross-link pedicle screw constructs using porcine thoracic and lumbar vertebrae. Methods: Five matched thoracic and lumbar vertebral segments from 15 porcine spines were instrumented with 5.0-mm pedicle screws, which were then connected with 6.0-mm rods after partial corpectomy in the middle vertebral body. The forces required for construct failure in pullout and flexion-compression tests were examined in a randomized manner for three different cross-link configurations: un-cross-link control, conventional cross-link, and cross-link passing through the base of the spinous process. Statistical comparisons of strength data were analyzed using Student’s t -tests. Results: The spinous process group required a significantly greater pullout force for construct failure than the control group (p =0.036). No difference was found between the control and cross-link groups, or the cross-link and spinous process groups in pullout testing. In flexion-compression testing, the spinous processes group required significantly greater forces for construct failure than the control and cross-link groups (p <0.001 and p =0.003, respectively). However, there was no difference between the control and cross-link groups. Conclusions: A novel cross-link configuration that features cross-link devices passing through the base of the spinous processes increased the mechanical resistance in pullout and flexion-compression testing compared to un-cross-link constructs. This configuration provided more resistance to middle-column damage under flexion-compression testing than conventional cross-link configuration.
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Daimon Shiraishi,Yusuke Nishimura,Isaac Aguirre-Carreno,Masahito Hara,Satoshi Yoshikawa,Kaoru Eguchi,Yoshitaka Nagashima,Hiroshi Ito,Shoichi Haimoto,Yu Yamamoto,Howard J. Ginsberg,Masakazu Takayasu,Ry 대한척추신경외과학회 2021 Neurospine Vol.18 No.4
Objective: The purpose of this study is to find the clinical and radiographic characteristics of traumatic craniocervical junction (CCJ) injuries requiring occipitocervical fusion (OC fusion) for early diagnosis and surgical intervention. Methods: We retrospectively reviewed 12 patients with CCJ injuries presenting to St. Michaels Hospital in Toronto who underwent OC fusion and looked into the following variables; (1) initial trauma data on emergency room arrival, (2) associated injuries, (3) imaging characteristics of computed tomography (CT) scan and magnetic resonance imaging (MRI), (4) surgical procedures, surgical complications, and neurological outcome. Results: All patients were treated as acute spinal injuries and underwent OC fusion on an emergency basis. Patients consisted of 10 males and 2 females with an average age of 47 years (range, 18–82 years). All patients sustained high-energy injuries. Three patients out of 6 patients with normal BAI (basion-axial interval) and BDI (basion-dens interval) values showed visible CCJ injuries on CT scans. However, the remaining 3 patients had no clear evidence of occipitoatlantal instability on CT scans. MRI clearly described several findings indicating occipitoatlantal instability. The 8 patients with normal values of ADI (atlanto-dens interval interval) demonstrated atlantoaxial instability on CT scan, however, all MRI more clearly and reliably demonstrated C1/2 facet injury and/or cruciate ligament injury. Conclusion: We advocate measures to help recognize CCJ injury at an early stage in the present study. Occipitoatlantal instability needs to be carefully investigated on MRI in addition to CT scan with special attention to facet joint and ligament integrity.
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Environmentally sustainable applications of agro-based spent mushroom substrate (SMS): an overview
Mohd Hanafi, Fatimah Hafifah,Rezania, Shahabaldin,Mat Taib, Shazwin,Md Din, Mohd Fadhil,Yamauchi, Masahito,Sakamoto, Mariko,Hara, Hirofumi,Park, Junboum,Ebrahimi, Shirin Shafiei Springer-Verlag 2018 Journal of material cycles and waste management Vol.20 No.3
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