The average preoperative total Scoliosis Research Society questionnaire score was 3.0, which significantly improved to 4.4 (P < 0.0001) at the final follow-up. Results. Since overall diagnostic accuracy of FDG-PET/CT was superior to that of MRI, FDG-PET/CT is a useful technique to narrow the surgical field for successful less invasive surgery. The purpose of this study was to identify whether the baseline structure and volume of cancellous bone contributed to the change in cancellous bone strength under cyclic loading. The most significant change seen in RA was decreased levels of mono-galactosyl bi-antennary N-glycans, in agreement with the previous reports regarding IgG. Perioperative complications of spine surgery in patients 80 years of age or older: a multicenter prospective cohort study. Posterior spinal fusion was performed on 26 of the 30 patients. Differences in these factors between fusion and nonfusion procedures for T-OLF were examined. Bone loss secondary to a local inflammatory response initiated by particulate debris from implants is considered the principal feature of the pathogenesis of osteolysis. 200901007853800573; 研究キーワード . A consecutive series of 25 patients with Lenke 1 MT AIS were included. These results suggest that Raman spectroscopy could be a valuable tool for monitoring bone biochemistry in studies of bone diseases such as osteoporosis, including tests of drugs being developed to combat these diseases. Because upregulated production of TNF-alpha as well as RANKL is mainly responsible for estrogen deficiency-induced development of osteoclasts, we examined whether Siglec-15 deficiency affects TNF-alpha-induced osteoclastogenesis in vitro. hMSCs and human amniotic-fluid-derived stem cells (hAFS cells) seeded on scAAV2.5-BMP2-coated three-dimensional porous polymer Poly(epsilon-caprolactone) (PCL) scaffolds also displayed significant increases in BMP2 production compared with controls during 12 weeks of culture, although only hMSC-seeded scaffolds displayed significantly increased mineral formation. Background: The VACTERL association is a typically sporadic, non-random collection of congenital anomalies that includes vertebral defects, anal atresia, cardiac defects, tracheoesophageal fistula with esophageal atresia, renal anomalies, and limb abnormalities. Remarkably, equivalent biomechanical results were obtained with delayed, short treatment from 2 to 6 weeks that did not induce a significant increase in endochondral bone formation and callus volume. Conclusion. Perioperative complications and implant failures were observed in 18.1% and 41.2%, respectively. Yoshihisa Kotani, Kuniyoshi Abumi, Manabu Ito, Hideki Sudo, Masahiko Takahata, Ken Nagahama, Akira Iwata, Akio Minami. A human frozen-tooth and/or a human frozen-bone block were put into the Zirconium oxide (ZrO2) ceramics vessel of the machine, and crushed for 1 min with 20 salineice blocks (1 x 1 x 1 cm(3)/block) at 12000 rpm of ZrO2 blade. Results. In the HA85% group, bone ingrowth was achieved throughout the implanted HAs via interconnecting pores and there was excellent unification between the HA granules and the newly mineralized bone. Introduction: Approximately 3% of osteoporotic vertebral fractures develop osteoporotic vertebral collapse (OVC) with neurological deficits, and such patients are recommended to be treated surgically. The average VAS scores at final follow-up were 2.3 and 4.9 in MP and CL groups (P < 0.05). There were no complications directly related to CPS insertion. This is because the HA85% is superior in terms of integration with the newly formed bone in fusion mass compared to the non-interconnected porous HAs. The levamisole + PPi therapy did not cause osteoporosis, whereas RARγ agonist-treated mice developed osteoporosis. We hypothesized that bone biochemistry, determined by Raman spectroscopy, predicts bone fracture toughness better than BMD. Despite preclinical work demonstrating teriparatide (PTH134) effectiveness in small animals, inconclusive data from clinical trials have raised questions of dose and regimen. CASE PRESENTATION: An 86-year-old man was injured in a car accident and was diagnosed with no fracture or dislocation of the cervical spine by the emergency physician. Tomomaya Yamamoto, Tomoka Hasegawa, Muneteru Sasaki, Hiromi Hongo, Kanako Tsuboi, Tomohiro Shimizu, Masahiro Ota, Mai Haraguchi, Masahiko Takahata, Kimimitsu Oda, Paulo Henrique Luiz de Freitas, Aya Takakura, Ryoko Takao-Kawabata, Yukihiro Isogai, Norio Amizuka. Three months after surgery, he recovered to 46 points on the upper extremity ASIA motor score, and blood flow in the left vertebral artery was resumed. Sialic acid-binding immunoglobulin-like lectin 15 (Siglec-15) is an immunoreceptor that regulates osteoclast development and bone resorption in association with an immunoreceptor tyrosine-based activation motif (ITAM) adaptor protein, DNAX-activating protein 12 kDa (DAP12). Results: Sixty-three patients (15.6%) suffered PJFr during the follow-up (mean 45.7 months). In total, 26 patients with PD (mean age, 76 years; 3 men and 23 women) with thoracolumbar OVF who underwent spinal fusion with a minimum of 2 years of follow-up were included (PD group). Bone parameters were evaluated using microCT, histomorphometry, and strength determination in 8-month-old male mouse offspring subjected to PS on gestational days 16 and 17, lifetime Pb exposure (100 p.p.m. These responses to compressive loading were all significantly inhibited by caspase 3 siRNA. 1997-1998: 北海道大学病院整形外科医員: 1998-2004: 関連病院研修: 2003年3月: 北海道大学大学院医学研究科卒業 学位(医学博士)を取得: 2004-2005: 北海道大学病院整形外科医員: 2005-2006: 北海道大学大学院医学研究科整形外科助手(脊柱班) 2006-2007: 北海 … Medications commenced at 24 weeks of age and continued for 4 weeks. All 32 patients were followed up for a minimum of 2 years (average, 3.6 yr). Moreover, in addition to its effect on cell fusion, DC-STAMP dynamically regulates cell signaling during osteoclastogenesis. The animals received subcutaneous administration of vehicle (daily) or ALN in LDHF dosage regimen (LDHF-ALN: 0.05 mg/kg/day) or HDLF dosage regimen (HDLF-ALN: 0.70 mg/kg/2 weeks). The symptoms of myelopathy were treated successfully by laminectomy and laminoplasty with OLF resection in both cases. RESULTS: Postoperative complications occurred in 57 patients (14.1%), and the most common complication was delirium (5.7%). Masahiko Takahata, Manabu Ito, Kuniyoshi Abumi, Yoshihisa Kotani, Hideki Sudo, Akio Minami. Our findings indicate that Siglec-15 plays an important role in physiologic bone remodeling by modulating RANKL signaling, especially in the secondary spongiosa. Thus, spine surgery can be safely performed in elderly patients 80 years of age or older. To further analyse N-glycans in disease, we show N-glycan profiling from whole serum employing reversed phase high performance liquid chromatography/negative-ion mode by sonic spray ionization ion trap mass spectrometry with pyridylamination. In order to determine whether osteoclastic bone resorption is restarted after withdrawn of bisphosphonates, we conducted histological examinations on murine osteoclasts, osteoblasts and osteocytes after discontinuation of a daily regimen of alendronate (ALN) with a dosage of 1 mg/kg/day for 10 days. Copyright © MEDIA FUSION Co.,Ltd. For group 4, thrombin was followed by PGS and fibrin spray. A two-way ANOVA model reveals statistically significant spectral differences as influenced by glucocorticoid treatment and mouse type. Consistent with the in vitro results, more osteoclasts were activated in PDP-HAp than in HAp, indicating that the former was absorbed through the stimulation of osteoclastic activity. Sato Dai, Takahata Masahiko, Ota Masahiro, Fukuda Chie, Tsuda Eisuke, Shimizu Tomohiro, Hamano Hiroki, Hiratsuka Sigeto, Okada Akiko, Fujita Ryo, Amizuka Norio, Hasegawa Tomoka, Iwasaki Nrimasa, Kimura-Suda Hiromi, Ito Teppei, Takahata Masahiko, Shimizu Tomohiro, Nakamura Fumiya, Ota Masahiro, Masahiko Takahata, Katsuhisa Yamada, Iwata Akira, Tsutomu Endo, Hideki Sudo, Hidetoki Yokoyama, Norimasa Iwasaki. Japanese Orthopaedic Association recovery was statistically equivalent between the two groups. In the in vivo model of compressive Loading-induced IVD degeneration, a single Localinjection of caspase 3 siRNA significantly inhibited IVD degeneration by magnetic resonance imaging, histological findings, IHC, and TUNEL assay. We also confirmed that TPD therapy promoted ossification of spinal ligaments. A control group of 296 non-PD patients (non-PD group) matched for age, sex, distribution of surgical procedures, number of fused segments, and follow-up period were used for comparison. Although high-grade compressive-extension injuries are usually repaired using a combined anterior-posterior approach, repair is possible with a posterior approach alone with reliable anchors, such as pedicle screws or multiple lateral mass screws. Since this fracture causes multidirectional instability between C1 and C2 and is expected to have poor healing potential due to bone erosion and inadequate blood supply, posterior spinal arthrodesis surgery is indicated upon identification of the fracture to prevent myelopathy. The percent deep muscle area on MRI demonstrated a significant atrophy in CL group compared to that in MP group (56% vs 88%; P < 0.01). The current study demonstrated that the HA porous characteristics had an effect on the histological outcomes in a rabbit PLF model. The outcomes of fusion surgery for T-OPLL were favorable. Conclusions. Segmental kyphotic angle at the instrumented level was significantly improved from an average preoperative kyphosis of 22.8-14.7 at a final follow-up. The LBP group consisted of 71% of non-union and 48% of union cases. Yuichiro Abe, Masahiko Takahata, Manabu Ito, Kazuharu Irie, Kunlyoshi Abumi, Akio Minami. Although much progress has been made in understanding the molecular responses of macrophages to implant particles, the pathways/signals that initiate osteolysis remain poorly characterized. However, in histological and radiological analyses, both bone ingrowth rate and direct bone bonding rate in the HA85% group were significantly higher than those in the HA15% and HA50% groups, despite the similar value of bone volume rate in fusion mass among the three HA groups. Using CT images, vertebral rotation, pedicle axes as measured to anteroposterior sacral axis and vertebral axis, and insertion angle error were measured. Percent-predicted values of forced vital capacity and forced expiratory volume in 1 second were decreased in this cohort; however, no patient had complaints related to pulmonary function. Recently, Raman spectroscopy has been utilized to exploit biochemical differences between osteoporotic and normal bones in order to predict fracture risk. Female Sprague-Dawley rats (n = 100) were ovariectomized or sham-operated, and randomized into four groups: Sham (sham-operated + vehicle), Ovx (ovariectomy + vehicle), Ovx-Rlx (ovariectomy+raloxifene, 1 mg/kg/day), and Ovx-Aln (ovariectomy+alendronate, 0.01 mg/kg/day). Flow cytometric analysis also demonstrated that exogenous sialidase effectively removed alpha (2,6)-linked-sialic acid, but only slightly changed the alpha (2,3)-linked-sialic acid content, suggesting that alpha (2,6)-linked-sialic acid might be involved in osteoclast differentiation. Ten years change in post-fracture care for hip fracture patients. Risk Factors of Nonunion After Acute Osteoporotic Vertebral Fractures: A Prospective Multicenter Cohort Study. BP inhibited endochondral ossification and graft bone resorption, but induced the growth of a larger, denser fusion mass compared to Ovx by strongly suppressing osteoclastic activity. Risk factor analysis shows that multiple level circumferential decompression of 5 or more vertebral levels to be associated with unfavorable surgical outcome. Gene enrichment analysis suggested that stimulated macrophages elicited common gene expression signatures for inflammation and rheumatoid arthritis. M. Ota, M. Takahata, T. Shimizu, Y. Kanehira, H. Kimura-Suda, Y. Kameda, H. Hamano, S. Hiratsuka, D. Sato, N. Iwasaki. MSC-enriched CD45(-) cells from TNF-Tg mice formed significantly decreased numbers of fibroblast and ALP(+) colonies and had a decreased expression of osteoblast marker genes. Next, to characterize a mechanism of glucocorticoid effect on bone, prednisolone was implanted subcutaneously (controlled-release pellet, 5mg center dot kg(-1) per day) in 5-month-old mice that decreased osteoblastic activity and increased sclerostin and leptin levels. Based on the results of this study, intermittent injection of hPTH(1-34) might be an efficient adjuvant intervention in spinal arthrodesis surgery and all other skeletal reconstruction surgeries requiring bone grafts.

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