Publications by authors named "Tetsutaro Mizuno"

Article Synopsis
  • The study investigates how axial compressive loads affect the fixation properties of pedicle screws in spinal fusion surgery, specifically looking at the stress and strain experienced by the spinal instrumentation.
  • Results showed that bending stress in the fixation rod was significantly higher than the compression stress when only axial loads were applied, indicating a tendency for stress to concentrate on a single rod and lead to kyphotic deformation.
  • The findings provide essential data for creating numerical simulations to better understand and predict the failure mechanisms of spinal implants in order to improve surgical outcomes.
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Study Design: Cross-sectional study.

Purpose: To report the prevalence and relationship of developmental cervical and lumbar spinal stenosis (DCSS and DLSS) with the bone parameters of the skull and extremities.

Overview Of Literature: DCSS and DLSS are found occasionally in daily practice.

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Case-control studies by examining the lumbar spine computed tomography (CT) findings focusing on the spinous processes."Passing spine" was defined as a lumbar degenerative change observed on CT images. In contrast, kissing spine, which is also an image finding, has been acknowledged as an established clinical condition.

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Study Design: An in vitro biomechanical study.

Objective: The purpose of this study is to discuss whether pedicle screw systems can control spinal rotational instability in a functional spinal unit of lumbar spine on human cadaver.

Summary Of Background Data: Rotational experiments using deer lumbar cadaveric models showed that rotational range of motion (ROM) of the model fixed by a pedicle screw system with crosslinking after total facetectomy for both the sides was larger than that in the intact model, and stated that spinal rotational instability could not be controlled using a pedicle screw system.

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Article Synopsis
  • The study aimed to evaluate biomechanical issues associated with pedicle screw systems using deer spinal units.
  • Various models (intact, damaged, PS, and crosslink) were tested for range of motion (ROM) during bending and rotation, revealing different stability levels.
  • Findings suggest that PS systems exhibit excessive bending rigidity and rotational instability, potentially leading to adjacent segment disease and instrumentation failure.
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Objective: Workplace violence in hospitals is recently becoming a major global concern in many countries. However, in Myanmar, we have felt that patients and their families have rarely made unreasonable complaints in hospitals, and then, the purpose of this study is to report the current state of workplace violence in hospitals in Myanmar. Participants are 196 physicians (108 males and 88 females) in hospitals in Myanmar.

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BACKGROUND Surgery with pedicle screw instrumentation does not provide sufficient torsional stability. This leads to pseudoarthrosis, loosening of the pedicle screws, and, ultimately, implant failure. MATERIAL AND METHODS Functional spinal units from 18 deer were evaluated using a 6-axis material testing machine.

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Article Synopsis
  • The study investigates the trajectory of the instantaneous axis of rotation (IAR) in both healthy and damaged spines of deer, focusing on lumbar segments.
  • The methodology involved testing various spinal models—normal, damaged, and fixed with pedicle screws—through bending and rotation tests to observe IAR movement.
  • Findings revealed that the IAR in the damaged model showed greater displacement and scattering compared to the normal model, while the IAR in the fixed (PS) model remained stable, indicating differing mechanical loads on the surrounding structures.
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Background: Tumoral calcinosis is rarely located in spine. A 55-year-old Japanese woman with cervical tumoral calcinosis is presented, along with a review of the literature relating to tumoral calcinosis in the spine. We discussed the etiology, diagnosis, and management of this condition.

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Background: It is reported that persons with high Lie score (L score) of a personality test are aggressively self-confident and are also related to depression or schizophrenia In this study, we examined the characteristics of patients with high L scores on the Maudsley Personality Inventory (MPI) and examined the significance of the L score.

Materials And Methods: We collected the data of 10789 subjects and examined the relationship between L score or the number of characteristic biased persons and the parameters of age, sex, education level, occupation, and degree of pain. Furthermore, we examined the changes in extraversion-introversion (E score), neuroticism (N score), and L scores at approximately 1 year after surgery in 1711 patients who underwent surgery at our university hospital or affiliated hospitals.

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Introduction: It is well-known that many patients will have adverse reactions such as headache and nausea after undergoing myelography, but we have often seen cases where symptoms such as lower back pain and leg pain were alleviated following myelography. To the best of our knowledge, such clinical cases of post-myelographic alleviation have not been reported.

Materials And Methods: A total of 325 patients with a degenerative lumbar spinal disorder who underwent myelography were prospectively investigated at four hospitals from April 2012 to March 2014 to survey the post-myelographic alleviation of lower back and leg pain prospectively.

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Background: In regard to the fixation using a pedicle screw (PS) and rod system, the mechanism from the onset of the clear zone up to the development of loosening of the pedicle screw is not completely clarified. The purpose of this study is to determine the cause of the pedicle screw loosening by performing a biomechanical study with three-dimensional movie analysis.

Methods: Ten PS fixation model of the lumbar spines (L3-4) of boar cadavers were used.

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