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      • KCI등재

        Comparisons on Efficacy of Elcatonin and Limaprost Alfadex in Patients with Lumbar Spinal Stenosis and Concurrent Osteoporosis: A Preliminary Study Using a Crossover Design

        Tsukasa Kanchiku,Yasuaki Imajo,Hidenori Suzuki,Yuichiro Yoshida,Toshihiko Taguchi,Toshikatsu Tominaga,Koichiro Toyoda 대한척추외과학회 2014 Asian Spine Journal Vol.8 No.4

        Study Design: Multicenter prospective study with a crossover design. Purpose: The objective of this study is to compare the efficacy of limaprost alfadex (LP) and elcatonin (EL) for lumbar spinal stenosis (LSS) patients with concurrent osteoporosis. Overview of Literature: It has been increasingly important to improve quality of life by establishing appropriate conservative treatments for LSS patients with concurrent osteoporosis who will presumably continue to increase due to the percentage of the aging elevations, however there is no prospective study. Methods: A total of 19 patients with LSS and concurrent osteoporosis were enrolled in this study. The patients were divided into two groups and compared using a crossover design. The Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) and short-form (SF)-8 health survey scale were used for clinical evaluations. Results: There was a significant improvement of buttock-leg pain and numbness in the EL group. A significant improvement of impaired walking function was noted for the LP group according to the JOABPEQ while the rest of the items in the JOABPEQ showed no significant differences. The SF-8 health survey revealed that somatic pains and physical summary scores in the EL group and physical functioning and physical summary scores in the LP group tended to improve but not to any statistically significant extents. Conclusions: Concomitant uses of EL may be useful in patients who do not respond satisfactorily to the treatments of LP for 6–8 weeks.

      • KCI등재

        Normal Values of Diffusion Tensor Magnetic Resonance Imaging Parameters in the Cervical Spinal Cord

        Kazuki Chagawa,Shunka Nishijima,Tsukasa Kanchiku,Yasuaki Imajo,Hidenori Suzuki,Yuichiro Yoshida,Toshihiko Taguchi 대한척추외과학회 2015 Asian Spine Journal Vol.9 No.4

        Study Design: Prospective study. Purpose: We evaluated the usefulness of diffusion tensor imaging (DTI) in diagnosing patients with cervical myelopathy by determining the accuracy of normal DTI parameter values. Overview of Literature: DTI can visualize white matter tracts in vivo and quantify anisotropy. DTI is known to be more sensitive than conventional magnetic resonance imaging (MRI) in detecting subtle pathological changes of the spinal cord. Methods: A total of 31 normal subjects (13 men and 18 women; age, 23–87 years; mean age, 46.0 years) were included in this study. The patients had no symptoms of myelopathy or radiculopathy. A Philips Achieva 3-Tesla MRI with SE-type Single Shot EPI was used to obtain diffusion tensor images. Apparent diffusion coefficient (ADC) and fractional anisotropy (FA) values were measured as DTI parameters on axial sections of several cervical levels. Subjects were divided into two groups: >40 years (n=16) and ≤40 years (n=15). A paired t-test was used to compare significant differences between the groups. ADC and FA values were most stable on axial sections. Results: For all subjects, mean ADC and FA values were 1.06±0.09×10−3 mm2/sec and 0.68±0.05, respectively. ADC was significantly higher in subjects >40 years of age than in those ≤40 years. There was no significant difference in FA values between the two groups. The mean ADC value was significantly higher in normal subjects >40 years of age than in those ≤40 years. Conclusions: It is important to consider age when evaluating cervical myelopathy by DTI.

      • KCI등재

        Tenoscopy for Acute Septic Digital Flexor Tenosynovitis Treatment in 13 Thoroughbred Horses

        서종필,Fumiki kato,Tsukasa Suzuki,Takashi Yamaga,Masaaki Tagami 한국임상수의학회 2016 한국임상수의학회지 Vol.33 No.1

        Septic tenosynovitis of the digital flexor tendon sheath (DFTS) is a potentially career-ending and lifethreatening problem in horses. This study aimed to describe the outcomes of tenoscopy for the treatment of acute septic digital flexor tenosynovitis in horses. Tenoscopy was performed on 13 Thoroughbred horses with acute septic tenosynovitis of the DFTS. Surgical time was 56-148 min (mean 85.6 min, median 84.0 min). In the synovial fluid analysis, mean white blood cell count, mean neutrophil proportion, and mean total protein were 42.9 × 103 cells/μl (range, 7.2-109.5 cells/μl), 89.5% (range, 68-97%), and 4.0 g/dl (range, 2.5-5.2 g/dl), respectively. Microbial growth in the synovial fluid culture was detected in 2 of 11 horses. All horses survived and returned to their intended use without complications. The present study demonstrated that the tenoscopy is useful for treating acute septic tenosynovitis of the DFTS in horses.

      • KCI등재

        Arthroscopy for Treating Osteochondroma of Distal Radius in 68 Thoroughbred Horses

        송민근,Masaaki Tagami,Fumiki kato,Tsukasa Suzuki,Takashi Yamaga,강태영,서종필 한국임상수의학회 2018 한국임상수의학회지 Vol.35 No.3

        Osteochondroma (OC) is a cartilage-capped exostosis. In horses, OC commonly develops on the caudaldistal metaphysis of the radius (CDMR). The purpose of study was to describe the outcomes of arthroscopy for thetreatment of OC on CDMR. Diagnosis was based on clinical signs (lameness and distention of carpal sheath),radiography (location and size of OC), and ultrasonography (location of OC, torn deep digital flexor tendon, fibrin,and effusion of carpal sheath). Arthroscopy was performed on 68 Thoroughbred horses with OC on CDMR. Sixtyof the 68 cases showed deep digital flexor tendinitis as a result of sharp protuberances of the OC. All horses survived,and 62 of the 68 cases returned to athletic function (racing) after arthroscopy. The present study demonstrated thatarthroscopy is useful for treating OC of CDMR in horses.

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