整形外科と災害外科
Online ISSN : 1349-4333
Print ISSN : 0037-1033
ISSN-L : 0037-1033
30 巻, 1 号
選択された号の論文の58件中51~58を表示しています
  • 山口 芳英, 服部 奨, 河合 伸也, 千束 福司, 小谷 博信, 池畑 孝次郎, 早川 宏
    1981 年 30 巻 1 号 p. 218-221
    発行日: 1981/06/25
    公開日: 2010/02/25
    ジャーナル フリー
    In 1979, the investigation of scoliosis by mass-screening examination was carried out on 15117 school children in Ube city. 137 (43 boys, 94 girls) of 15117 children were scoliosis with 15°C degree or more by the Cobb's method. 67 (0.7%) of them were elementary school children and 70 (1.4%) were junior high school children. Idiopathic scoliosis was found in 131 children, congenital in 4, neurofibromatosis in 1 and paralytic in 1. The curve patterns were thoracic types in fourty nine, thoracolumbar types in sixty, lumbar types in three and double curves in twenty five. 16 children (2 boys, 14 girls) of scoliosis with the range of 20-30 degree were treated by Milwaukee brace only at night, 11 children (only girls) were treated by Milwaukee brace at night and by short brace in the day time.
  • 高松 徹, 矢野 禎二, 山中 健輔, 田平 史郎, 中村 雅史
    1981 年 30 巻 1 号 p. 222-227
    発行日: 1981/06/25
    公開日: 2010/02/25
    ジャーナル フリー
    Moiré topography was employed for observation of idiopathic scoliosis and the range of asymmetry of the moiré pattern was compared with X-ray and clinical findings in 55 cases.
    The cases were classified into the following three groups according to the forms of curve:
    1) single thoracic and thoracolumbar (25 cases)
    2) combined thoracic and double primary (25 cases)
    3) lumbar (5 cases)
    In the first group, 7 cases were not found fringe interval, and their Cobb's angle was on an average of 9.9 degrees.
    In the second group, no correlation was found between Cobb's angle and asymmetry of of moiré fringes.
    In the third group, significant correlation was found between Cobb's angle of structural curve and asymmetry of moiré fringes.
  • 川上 俊文, 南 幸博, 根津 勝, 前山 巌, 那須 吉郎, 新宮 彦助
    1981 年 30 巻 1 号 p. 228-230
    発行日: 1981/06/25
    公開日: 2010/02/25
    ジャーナル フリー
    24 patients with idiopathic scoliosis were analyzed through the use of medical then mography.
    The result were as follows;
    1) The thermogram showed symmetrical distribution in the most cases along the scoliotic spinal column. But there was concave side hyperthermia in two cases.
    2) In the idiopathic scoliosis, relatively hypothermic segment in the thoracolumbar area between relatively hyperthermic area in the shoulder and lumbar area was mostly common appearence.
    3) In the severe scoliosis, hypothermic segment in the theracolumbar area was widespread.
  • 大迫 敏史, 酒匂 崇, 押領司 光雄, 川崎 哲郎, 赤嶺 卓哉, 藤善 卓朗, 武富 栄二, 梅津 龍哉
    1981 年 30 巻 1 号 p. 231-235
    発行日: 1981/06/25
    公開日: 2010/02/25
    ジャーナル フリー
    We attempted to use computer tomography (CT) for evaluating the vertebral rotation in scoliosis. Thirty curvatures of twenty-two patients were subjected to the examination. After the apical vertebrae were scanned, roentgenogram was taken in supine position. The computer tomogram taken was traced on the paper. We defined the the vertebral rotation as the angle forming between the long axis of the vertebral body passing through the middle point of the posterior longitudinal ligament and the sagittal plane. The results of our observation in CT were a little different from those that Nash and Moe studied.
  • 森 愛樹, 熊野 潔, 田中 豊孝, 下出 真法, 石田 明允, 今井 祥二, 鈴木 章二
    1981 年 30 巻 1 号 p. 236-237
    発行日: 1981/06/25
    公開日: 2010/02/25
    ジャーナル フリー
    We propose a new apploach for representing trunk deformity which is thought to be related to axial rotational deformity of scoliosis by measurement and feature extraction of transectional contour of the scoliotic body. The new device was constructed for the purpose of describing the full transectional contour of trunk without touching the measuring tool with the body. The deformity of transectional contour figure is estimated quantitatively by three parameters which are calculated automatically with mini-computor. The meaning of those three parameters is presented.
  • 肋骨椎体角による検討
    佐々木 邦雄, 角田 信昭, 原川 博文, 黒瀬 真之輔, 谷村 俊次, 王 亨弘, 福岡 善平, 佐竹 孝之
    1981 年 30 巻 1 号 p. 238-242
    発行日: 1981/06/25
    公開日: 2010/02/25
    ジャーナル フリー
    We considered the thoracic scoliosis was not only the spinal deformity but also the deformity of the thorax. In this paper, we studied the function and role of ribs in the thoracic scoliosis by measuring the rib vertebral angle.
    Method of measurement was described in this paper. Difference of the rib vertebral angle in the apex (R. V. A. D.), difference of the rib vertebral angle around the apex (tR. V. A. D) was used to review the curve types, degree of the curves, deformity in the sagittal plane and course of the curves.
    Result: R. V. A. D in the group above 20 degrees differ from that below 20 degrees, this fact imply the necessity of positive brace treatment above 20 degrees. Value of
    tR. V. A. D was increased along with increasing of the curve angle. Value of tR. V. A. D was more increased in cases with not kyphotic or lordotic in the sagittal plane than kyphotic one. In follow up cases, value of tR. V. A. D was more increased in progressed cases than improved and non changed cases.
    We proposed that when we treat scoliosis in thoracic region, we should investigate the balance between ribs and vertebrae.
  • 河合 伸也, 服部 奨, 斎木 勝彦, 山口 芳英, 今釜 哲男, 西嶋 雋嘉, 土井 一輝
    1981 年 30 巻 1 号 p. 243-246
    発行日: 1981/06/25
    公開日: 2010/02/25
    ジャーナル フリー
    Six cases with moderate or severe kyphosis of the cervical spine have been treated surgically in our clinic. There are one male and five females, ranging in age from 11 to 65. Post-laminectomy kyphosis is in 4 cases, cerebral palsy in one and unknown cause in one case.
    In fresh kyphosis (3 cases), reduction and anterior fusion were easily obtained, whereas in fixed kyphosis it was difficult to get good alignment before surgery, and it must be stressed that rigid bone grafting is necessary at the time of operation and rigid external fixation is also necessary until fusion is accomplished.
  • 森永 秀和, 渡辺 英夫, 北川 敏夫, 外間 祥介, 星子 亘
    1981 年 30 巻 1 号 p. 247-250
    発行日: 1981/06/25
    公開日: 2010/02/25
    ジャーナル フリー
    Twenty five patients with idiopathic scoliosis were treated by corrective cast. The localizer cast was applied to the twenty patients and the E. D. F. cast was applied to the five patients. The Cotrel traction was performed for two weeks in all cases prior to casting.
    Mean corrective rate was about 30% in the patients with curve less than 50 degrees. Good correction of the curve and rib hump was obtained in the cases with younger bone age and the Harrington factor below six. Five cases suffered from pressure sore during the cast treatment which was most important complication of the treatment.
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