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Risk Factor Analysis for C5 Palsy after Double-Door Laminoplasty for Cervical Spondylotic Myelopathy
Satoshi Baba,Ko Ikuta,Hiroko Ikeuchi,Makoto Shiraki,Norihiro Komiya,Takahiro Kitamura,Hideyuki Senba,Satoshi Shidahara 대한척추외과학회 2016 Asian Spine Journal Vol.10 No.2
Study Design: A retrospective comparative study. Purpose: To clarify the risk factors related to the development of postoperative C5 palsy through radiological studies after cervical double-door laminoplasty (DDL). Overview of Literature: Although postoperative C5 palsy is generally considered to be the result of damage to the nerve root or segmental spinal cord, the associated pathology remains controversial. Methods: A consecutive case series of 47 patients with cervical spondylotic myelopathy treated by DDL at our institution between April 2008 and April 2015 were reviewed. Postoperative C5 palsy occurred in 5 of 47 cases after DDL. We investigated 9 radiologic factors that have been reported to be risk factors for C5 palsy in various studies, and statistically examined these between the two groups of palsy and the non-palsy patients. Results: We found a significant difference between patients with and without postoperative C5 palsy with regards to the posterior shift of spinal cord at C4/5 (p =0.008). The logistic regression analyses revealed posterior shift of the spinal cord at C4/5 (odds ratio, 12.066; p =0.029; 95% confidence interval, 1.295–112.378). For the other radiologic factors, there were no statistically significant differences between the two groups. Conclusions: In the present study, we showed a significant difference in the posterior shift of the spinal cord at C4/5 between the palsy and the non-palsy groups, indicating that the “tethering phenomenon” was likely a greater risk factor for postoperative C5 palsy.
Kazuya Kitamura,Narihito Nagoshi,Osahiko Tsuji,Satoshi Suzuki,Satoshi Nori,Eijiro Okada,Mitsuru Yagi,Morio Matsumoto,Masaya Nakamura,Kota Watanabe 대한척추신경외과학회 2022 Neurospine Vol.19 No.1
Objective: The purpose of our study was to investigate the risk factors of remnant tumor growth after incomplete resection (IR) of cervical dumbbell-shaped schwannomas (DS). Methods: Twenty-one patients with IR of cervical DS with at least 2 years of follow-up were included and were divided into 2 groups: the remnant tumor growth (G) (n = 10) and no growth (NG) (n = 11) groups. The tumor location in the axial plane according to Toyama classification, the location of the remnant tumor margin, and the tumor growth rate (MIB1 index) index were compared. Results: No significant differences in Toyama classification and MIB-1 index were found. Age was significantly higher in the G group (61.4 years vs. 47.6 years; p = 0.030), but univariate logistic regression analysis revealed little correlation to the growth (odds ratio [OR], 1.08; 95% confidence interval [CI], 1.001–1.166; p = 0.047). Seventeen patients (9 in the G and 8 in the NG group) underwent the posterior one-way approach, and significant differences in the location of the remnant tumor margin were confirmed: within the spinal canal in 1 and 0 case, at the entrance of the intervertebral foramen in 7 and 1 cases, and in the foramen distal from the entrance in 1 and 7 cases, in the G and NG groups, respectively (p = 0.007). The proximal margin was identified as a significant predictor of the growth (OR, 56.0; 95% CI, 2.93–1,072; p = 0.008). Conclusion: Remnant tumors with margins distally away from the entrance of the foramen were less likely to grow after IR of cervical DS.
Kimura, Satoshi,Nakayama, Kei,Wada, Masahisa,Kim, Ung-Jin,Azumi, Kaoru,Ojima, Takao,Nozawa, Akino,Kitamura, Shin-Ichi,Hirose, Euichi Inter-Research 2015 Diseases of aquatic organisms Vol.116 No.2
<P>Soft tunic syndrome is a fatal disease in the edible ascidian Halocynthia roretzi, causing serious damage to ascidian aquaculture in Korea and Japan. In diseased individuals, the tunic, an integumentary extracellular matrix of ascidians, softens and eventually tears. This is an infectious disease caused by the kinetoplastid flagellate Azumiobodo hoyamushi. However, the mechanism of tunic softening remains unknown. Because cellulose fibrils are the main component of the tunic, we compared the contents and structures of cellulose in healthy and diseased tunics by means of biochemical quantification and X-ray diffractometry. Unexpectedly, the cellulose contents and structures of cellulose microfibrils were almost the same regardless of the presence or absence of the disease. Therefore, it is unlikely that thinning of the microfibrils occurred in the softened tunic, because digestion should have resulted in decreases in crystallinity index and crystallite size. Moreover, cellulase was not detected in pure cultures of A. hoyamushi in biochemical and expressed sequence tag analyses. These results indicate that cellulose degradation does not occur in the softened tunic.</P>
Development and growth of the temporal fascia: a histological study using human fetuses
Kei Kitamura,Satoshi Ishizuka,Ji Hyun Kim,Hitoshi Yamamoto,Gen Murakami,Jose Francisco Rodríguez-Vázquez,Shin-ichi Abe 대한해부학회 2024 Anatomy & Cell Biology Vol.57 No.2
The temporal fascia is a double lamina sandwiching a thick fat layer above the zygomatic bony arch. To characterize each lamina, their developmental processes were examined in fetuses. We observed histological sections from 22 half-heads of 10 mid-term fetuses at 14–18 weeks (crown-rump length, 95–150 mm) and 12 near-term fetuses at 26–40 weeks (crown-rump length, 215–334 mm). The superficial lamina of the temporal fascia was not evident at mid-term. Instead, a loose subcutaneous tissue was attached to the thin, deep lamina of the temporal fascia covering the temporalis muscle. At near-term, the deep lamina became thick, while the superficial lamina appeared and exhibited several variations: i) a mono layered thick membrane (5 specimens); ii) a multi-layered membranous structure (6) and; iii) a cluster of independent thick fasciae each of which were separated by fatty tissues (1). In the second and third patterns, fatty tissue between the two laminae was likely to contain longitudinal fibrous bands in parallel with the deep lamina. Varying proportions of the multi-layered superficial lamina were not attached to the zygomatic arch, but extended below the bony arch. Whether or not lobulation or septation of fatty tissues was evident was not dependent on age. The deep lamina seemed to develop from the temporalis muscle depending on the muscle contraction. In contrast, the superficial lamina developed from subcutaneous collagenous bundles continuous to the cheek. Therein, a difference in development was clearly seen between two categories of the fasciae.
ADVANTAGES OF THE AKARI FIR ALL-SKY MAPS
YASUO DOI,SATOSHI TAKITA,TAKAFUMI OOTSUBO,KO ARIMATSU,MASAHIRO TANAKA,TAKAHIRO MORISHIMA,MITSUNOBU KAWADA,SHUJI MATSUURA,YOSHIMI KITAMURA,MAKOTO HATTORI,TAKAO NAKAGAWA,GLENN WHITE,NORIO IKEDA 한국천문학회 2017 天文學論叢 Vol.32 No.1
We present the {\it AKARI} far-infrared (FIR) all-sky maps and describe its characteristics, calibration accuracy and scientific capabilities. The {\it AKARI} FIR survey has covered 97\% of the whole sky in four photometric bands, which cover continuously 50--180 micron with band central wavelengths of 65, 90, 140, and 160 microns. The data have been publicly released in 2014 \citep{2015PASJ...67...50D} with improved data quality that have been achieved since the last internal data release \citep{2012PKAS...27..111D}. The accuracy of the absolute intensity is $\leq10$\% for the brighter regions. Quantitative analysis of the relative intensity accuracy and its dependence upon spatial scan numbers has been carried out. The data for the first time reveal the whole sky distribution ofinterstellar matter with arcminute-scale spatial resolutions at the peakof dust continuum emission, enabling us to investigate large-scaledistribution of interstellar medium in great detail. The filamentarystructure covering the whole sky is well traced by the all-sky maps. We describe advantages of the AKARI FIR all-sky maps for the study of interstellar matter comparing to other observational data.
Fumiya Tsutsui,Keiichi Kitamura,Satoshi Nonaka 한국항공우주학회 2022 International Journal of Aeronautical and Space Sc Vol.23 No.4
A slender-bodied vehicle with asymmetrically arranged protuberance generates strong side force due to asymmetric vortices, even at a low angle-of-attack. We investigated effects of the well-known RANS turbulence models [SA-R (Crot = 0.0, 1.0, and 2.0), SST, and SST-2003] by comparing the numerically obtained side force values on supersonic slender-body, along with the flow structure. As a result, all the SA-R models showed good agreement with the experiment regardless of the Crot (which controls the degree of modification from the original SA model), although a separation point on the protuberance side slightly changed depending on the Crot value. On the other hand, as for the SST models, when the vorticity was used to evaluate eddy viscosity (original SST) the side force exhibit 44% deviation from the experiment, whereas SST-2003, in which the strain rate was employed instead, significantly reduced the discrepancy to 0.7%.
Ko Ikuta,Takahiro Kitamura,Keigo Masuda,Kensuke Hotta,Hideyuki Senba,Satoshi Shidahara 대한척추외과학회 2018 Asian Spine Journal Vol.12 No.2
Study Design: Retrospective study. Purpose: This study aimed to evaluate the efficacy of minimally invasive transtubular endoscopic decompression for the treatment of lumbosacral extraforaminal lesion (LSEFL). Overview of Literature: Conventional procedures for surgical decompression for the treatment of LSEFL involve certain technical challenges because the lumbosacral extraforaminal region has unique anatomical features. Moreover, the efficacy of minimally invasive procedures performed via the posterolateral approach for LSEFL has been reported. Methods: Twenty-five patients who had undergone minimally invasive transtubular endoscopic decompression for the treatment of LSEFL and could be followed up for at least 1 year postoperatively were enrolled. Five of these patients had a history of lumbar surgery, and seven had concomitant adjacent-level spinal stenosis. The clinical outcomes were evaluated using the Japanese Orthopaedic Association (JOA) lumbar score, numeric rating scale (NRS), and the JOA Back Pain Evaluation Questionnaire (JOABPEQ). The mean postoperative follow-up (FU) duration was 3.8 years. Results: All procedures could be completed without any severe surgical complications, and all patients could resume their previous activity level within 1 month postoperatively. The JOA score significantly increased from 14.1±4.0 at baseline to 23.1±3.7 at the 1-year FU and 22.1±3.8 at the last FU. Similarly, there were significant improvements in the postoperative NRS and JOABPEQ scores. An additional surgery was performed in two patients (8%) during the FU period. Patients with degenerative scoliosis exhibited significantly poorer outcomes compared with those without this condition. Conclusions: Transtubular endoscopic decompression can overcome certain technical challenges involved in the conventional procedures for LSEFL treatment; therefore, it can be recommended as a useful procedure for treating LSEFL. This procedure can provide some benefits to LSEFL patients and offer a well-illuminated surgical field and high surgical safety for the surgeon. However, the procedure should be carefully adapted for LSEFL patients with concomitant degenerative scoliosis.