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Study for elucidation of the mechanism of the chronic lumbago caused by the structure mutation of the synsacrum

Research Project

Project/Area Number 25670675
Research Category

Grant-in-Aid for Challenging Exploratory Research

Allocation TypeMulti-year Fund
Research Field Anesthesiology
Research InstitutionTokyo Medical University

Principal Investigator

Fukui Hidekimi  東京医科大学, 医学部, 講師 (90349499)

Co-Investigator(Kenkyū-buntansha) 岩瀬 直人  東京医科大学, 医学部, 助教 (40408141)
西山 隆久  東京医科大学, 医学部, 臨床講師 (50317880)
Co-Investigator(Renkei-kenkyūsha) Oseto Kiyoshige  東京医科大学, 医学部, 教授 (90109166)
Project Period (FY) 2013-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Fiscal Year 2015: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2014: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2013: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
KeywordsBertolotti症候群 / Bertolotti 症候群 / 上殿皮神経
Outline of Final Research Achievements

Approximately 80% of the lumbago belongs to non-specific one. Bertolotti syndrome is included as a chronic pain due to narrowing between 5th lumbar vertebral processus transversus and the sacral vertebra diagnosed by X-ray fluoroscopy. In our department, there was tenderness and reproducible pain under fluoroscopy, and the ratio of Bertolotti syndrome was 2.6% of whole nonspecific lumbago. We have discovered the possibility that spinal cord dorsal ramus lateral branch was involved in the cause of pain due to dissection of the formalin fixated cadaver. As a result of combination method of both radiofrequency thermocoagulation(RFTC)with electrical stimulation and fluoroscopy, it showed the prominent reduction of the pain. RFTC for spinal cord dorsal ramus lateral branch showed the efficacy to reduce nonspecific lumbago due to Bertolotti syndrome.

Report

(5 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • 2014 Research-status Report
  • 2013 Research-status Report
  • Research Products

    (6 results)

All 2017 2016 2014

All Presentation (6 results)

  • [Presentation] Bertolotti症候群様疼痛による腰痛患者への透視下神経ブロックによる改善効果の検討2017

    • Author(s)
      山田梨香子、福井秀公、西山遼太、臼田美穂、矢数芳英、大瀬戸清茂
    • Organizer
      日本麻酔科学会 第64回学術集会
    • Place of Presentation
      神戸ポートピアホテル
    • Related Report
      2016 Annual Research Report
  • [Presentation] 慢性痛における脊髄後枝内側枝高周波熱凝固法2016

    • Author(s)
      福井秀公
    • Organizer
      第45回日本慢性疼痛学会
    • Place of Presentation
      佐賀市文化会館
    • Year and Date
      2016-02-26
    • Related Report
      2015 Research-status Report
  • [Presentation] 第5腰椎横突起・仙骨癒合椎部の痛みに対し、高周波熱凝固法が効果的であった3症例2016

    • Author(s)
      西山隆久
    • Organizer
      第45回日本慢性疼痛学会
    • Place of Presentation
      佐賀市文化会館
    • Year and Date
      2016-02-26
    • Related Report
      2015 Research-status Report
  • [Presentation] 非特異的腰痛患者におけるBertolotti症候群についての検討2014

    • Author(s)
      岩瀬 直人
    • Organizer
      日本ペインクリニック学会 第48回大会
    • Place of Presentation
      京王プラザホテル
    • Year and Date
      2014-07-24 – 2014-07-26
    • Related Report
      2014 Research-status Report
  • [Presentation] ペインクリニックにおける腰痛治療 解剖から見た神経ブロックによる腰痛の治療(第5腰椎横突起・仙骨癒合部の神経の走行を中心に)2014

    • Author(s)
      西山隆久
    • Organizer
      日本ペインクリニック学会 第48回大会
    • Place of Presentation
      京王プラザホテル
    • Year and Date
      2014-07-24 – 2014-07-26
    • Related Report
      2014 Research-status Report
  • [Presentation] ホルマリン固定とThiel法固定遺体を組み合わせて行った,超音波ガイド下上臀皮神経ブロックの開発2014

    • Author(s)
      西山 隆久
    • Organizer
      日本麻酔科学会第61回学術集会
    • Place of Presentation
      パシフィコ横浜
    • Related Report
      2013 Research-status Report

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Published: 2014-07-25   Modified: 2019-07-29  

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