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Development of new treatment for lumbar spinal canal stenosis by prevention for hypertroph ic fl avum

Research Project

Project/Area Number 22791393
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeSingle-year Grants
Research Field Orthopaedic surgery
Research InstitutionOsaka City University

Principal Investigator

EGUTI Yoshitaka  大阪市立大学, 大学院・医学研究科, 客員研究医 (60567824)

Project Period (FY) 2010 – 2011
Project Status Completed (Fiscal Year 2011)
Budget Amount *help
¥3,380,000 (Direct Cost: ¥2,600,000、Indirect Cost: ¥780,000)
Fiscal Year 2011: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Fiscal Year 2010: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywords腰部脊柱管狭窄症 / 黄色靭帯肥厚 / 軟骨化生 / 黄色靭帯 / 腰椎
Research Abstract

The purpose of this study is to establish the animal model of ligamentum flavum hypertrophy which caused lumbar spinal canal stenosis(LSCS), to elucidate the mechanism of hypertrophic flavum, and to develop the prevention method for hypertrophic flavum. We made the rabbit model that mechanical stress was concentrated on L3/4 with plate fixation at L2/3 and L. 115, and harvested the flavum of L3/4 level at scheduled time point. Histological findings showed the rupture of elastic fiber after postoperative 8 weeks. Furthermore, metachromasia in toluidine blue staining and the immuno-positive cells for collagen type 2 were found at the site of rupture. The result of quantitative PCR showed that the expression of collagen type 2 was significantly increased in the flavum on which the mechanical stress was concentrated. These findings suggested that mechanical stress cause the degeneration and the chondrogenesis in flavum, and they were consistent with the histological changes found in the human hypertrophic flavum of lumbar spinal stenosis patients. Thus, we considered that his animal model is valid and useful for the study of the ligamnetum flavum hypertrophy.

Report

(3 results)
  • 2011 Annual Research Report   Final Research Report ( PDF )
  • 2010 Annual Research Report
  • Research Products

    (23 results)

All 2011 2010

All Journal Article (7 results) (of which Peer Reviewed: 2 results) Presentation (16 results)

  • [Journal Article] 大腿骨頭すべり症たり角の測定精度比較2011

    • Author(s)
      江口佳孝・佐々木康介・中川敬介・北野利夫
    • Journal Title

      日本小児整形外科学会雑誌

      Volume: 20 Pages: 362-365

    • Related Report
      2011 Final Research Report
  • [Journal Article] An injectable composite material containing bone morphogenetic protein-2 shortens the period of distraction osteogenesis in vivo2011

    • Author(s)
      Eguchi Y, Wakitani S, Naka Y, Nakamura H, Takaoka K
    • Journal Title

      Journal of Orthopaedic Research

      Volume: 29 Pages: 452-456

    • Related Report
      2011 Final Research Report
  • [Journal Article] 小児上腕骨穎上骨折垂直牽引法の治療成績2010

    • Author(s)
      江口佳孝, 高山真一郎
    • Journal Title

      日本小児整形外科学会雑誌

      Volume: 19 Pages: 317-320

    • Related Report
      2011 Final Research Report
  • [Journal Article] 急性リンパ性白血病治療中にステロイド性大腿骨頭壊死を生じた1例2010

    • Author(s)
      江口佳孝・橋本祐介・中村博亮, 北野利夫
    • Journal Title

      近畿小児整形外科

      Volume: 23 Pages: 7-10

    • Related Report
      2011 Final Research Report
  • [Journal Article] Anti tumor necrotic factor agent promotes BMP-2-induced ectopic bone formation2010

    • Author(s)
      Eguchi Y, Wakitani S, Naka Y, Nakamura H, Takaoka K
    • Journal Title

      Journal of Bone and Mineral Metabolism

      Volume: 28 Pages: 157-164

    • NAID

      10027207128

    • Related Report
      2011 Final Research Report
  • [Journal Article] Anti-tumor necrotic factor agent promotes BMP-2-induced ectopic bone formation2010

    • Author(s)
      Eguchi Y,
    • Journal Title

      Journal of Bone and Mineral Metabolism

      Volume: 28 Pages: 157-164

    • NAID

      10027207128

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 小児上腕骨顆上骨折垂直牽引法の治療成績2010

    • Author(s)
      江口佳孝
    • Journal Title

      日本小児整形外科学会雑誌

      Volume: 19 Pages: 317-320

    • NAID

      10029267821

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Presentation] 小児骨髄炎と診断に至らなかった症例の検討2011

    • Author(s)
      江口佳孝、北野利夫、中川敬介、森田光明、和田麻由子、中村博亮
    • Organizer
      第22回日本小児整形外科学会
    • Place of Presentation
      京都府京都市
    • Year and Date
      2011-12-08
    • Related Report
      2011 Final Research Report
  • [Presentation] 診断に難渋した下腿筋肉内血管腫の検討2011

    • Author(s)
      江口佳孝、北野利夫、青野勝成
    • Organizer
      第117回中部日本整形外科災害外科学会
    • Place of Presentation
      山口県宇部市
    • Year and Date
      2011-10-29
    • Related Report
      2011 Final Research Report
  • [Presentation] BMP-2と骨再生促進2011

    • Author(s)
      江口佳孝、高岡邦夫、中村博亮
    • Organizer
      第26回日本整形外科学会基礎学術集会
    • Place of Presentation
      群馬県前橋市
    • Year and Date
      2011-10-20
    • Related Report
      2011 Final Research Report
  • [Presentation] 運動部所属学生に発症したA群溶連薗感染性恥骨骨髄炎の一例2011

    • Author(s)
      江口佳孝、北野利夫、中川敬介、天羽清子、中村嘉子
    • Organizer
      第48回近畿小児整形外科懇話会
    • Place of Presentation
      大阪府大阪市
    • Year and Date
      2011-08-06
    • Related Report
      2011 Final Research Report
  • [Presentation] 小児大腿骨頭すべり症の重傷度を正確に評価するための検討2011

    • Author(s)
      江口佳孝、北野利夫、中川敬介、森田光明、和田麻由子、中村博亮
    • Organizer
      第84回日本整形外科学会学術集会
    • Place of Presentation
      日神奈川県横浜市
    • Year and Date
      2011-05-12
    • Related Report
      2011 Final Research Report
  • [Presentation] 骨新生を大幅に促進するための検討一注入可能なBMP-2ペーストは骨新生を更に促進するか-2011

    • Author(s)
      江口佳孝、高岡邦夫、中村博亮
    • Organizer
      第116回中部整形外科災害外科学会
    • Place of Presentation
      高知県高知市
    • Year and Date
      2011-04-07
    • Related Report
      2011 Final Research Report
  • [Presentation] 注射で骨新生は促進するか?-BMP-2担体複合体の開発と実験的検討2011

    • Author(s)
      江口佳孝、北野利夫、中村博亮
    • Organizer
      第24回日本創外固定学会
    • Place of Presentation
      北海道札幌市
    • Year and Date
      2011-02-11
    • Related Report
      2011 Final Research Report
  • [Presentation] 小児大腿骨骨幹部骨折術前に上腸問膜動脈症候群が疑われた一例2011

    • Author(s)
      江口佳孝、高松聖仁、中村博亮
    • Organizer
      第47回近畿小児整形外科懇話会
    • Place of Presentation
      大阪府大阪市
    • Year and Date
      2011-01-29
    • Related Report
      2011 Final Research Report
  • [Presentation] 大腿骨頭すへり症辻り角を正確に評価するための検討2010

    • Author(s)
      江口佳孝、北野利夫、中川敬介、森田光明、和田麻由子、中村博亮
    • Organizer
      第21回日本小児整形外科学会
    • Place of Presentation
      徳島県徳島市
    • Year and Date
      2010-11-27
    • Related Report
      2011 Final Research Report
  • [Presentation] 注入可能なBMP-2担体複合体を併用した骨移動術における骨新生加速は、骨幹部骨欠損修復を促進する2010

    • Author(s)
      江口佳孝、脇谷滋之、仲哲史、中村博亮、高岡邦夫
    • Organizer
      第45回日本整形外科学会基礎学術集会
    • Place of Presentation
      京都府京都市
    • Year and Date
      2010-10-15
    • Related Report
      2011 Final Research Report
  • [Presentation] 点状軟骨異形成症に合併した足部変形2010

    • Author(s)
      江口佳孝、北野利夫、中村博亮
    • Organizer
      第46回近畿小児整形外科懇話会
    • Place of Presentation
      京都府京都市
    • Year and Date
      2010-08-07
    • Related Report
      2011 Final Research Report
  • [Presentation] 歩容異常を主訴とする患児における円板状半月の頻度2010

    • Author(s)
      江口佳孝、橋本祐介、北野利夫、中川敬介、森田光明、和田麻由子、中村博亮
    • Organizer
      第83回日本整形外科学会学術集会
    • Place of Presentation
      東京都千代田区
    • Year and Date
      2010-05-30
    • Related Report
      2011 Final Research Report
  • [Presentation] 急性リンパ性白血病治療中にステロイド性大腿骨顆部壊死を生じた一例2010

    • Author(s)
      江口佳孝、北野利夫、中村博亮
    • Organizer
      第45回近畿小児整形外科懇話会
    • Place of Presentation
      大阪府大阪市
    • Year and Date
      2010-02-13
    • Related Report
      2011 Final Research Report
  • [Presentation] BMP2/βTCP/PEG局所注入ペーストによる実験的骨新生加速の検討2010

    • Author(s)
      江口佳孝、高岡邦夫、中村博亮
    • Organizer
      第23回旧本創外固定学会
    • Place of Presentation
      東京都千代田区
    • Year and Date
      2010-01-14
    • Related Report
      2011 Final Research Report
  • [Presentation] Anti Tumor-Necrotic Factor Agent Promotes BMP-2 Induced Ectopic Bone Formation2010

    • Author(s)
      Y. Eguchi, S. Wakitani, Y. Imai, Y. Naka, Y. Hashimoto, K. Takaoka
    • Organizer
      56th Annual Meeting of the Orthopaedic Researcj Society
    • Place of Presentation
      アメリカニューオリンズ
    • Related Report
      2011 Final Research Report
  • [Presentation] Elbow Flexion Impairment After Elevated Straight-Arm Traction in Children with Supracondylar Humeral Fracture2010

    • Author(s)
      Yoshitaka Eguchi,
    • Organizer
      The 5th IFPOS
    • Place of Presentation
      New Orleans USA
    • Related Report
      2010 Annual Research Report

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Published: 2010-11-30   Modified: 2016-04-21  

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