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All Journal Neurologico Spinale Medico Chirurgico
Yasuhiro Nakajima
Unknown Affiliation
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience

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Our Surgical Strategy for Thoracic Outlet Syndrome Yasuhiro Nakajima
Neurologico Spinale Medico Chirurgico Supplementary Issue - Conference Abstracts
Publisher : Indoscholar

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Abstract

Surgical treatment for thoracic outlet syndrome (TOS) is a very controversial surgery because objective diagnosis, such as image and electrophysiological examination, is very difficult. Clinical provocation tests including brachial plexus compression tests, such as Morley and Roos, and vascular compression tests, such as Wright and Eden, are not high in specificity and are likely to be positive even in healthy persons and patients with carpal tunnel syndrome. We place emphasis on the laterality of latency and amplitude in the sensory neural action potential (SNAP) of the medial antebrachial cutaneous nerve and ulnar nerve. After enough stretching exercises of scapular stabilizers and brachial plexus block, we always select surgery. In this presentation, I would like to show our diagnosis method and treatment strategy including surgery.
Our Surgical Strategy for Adult Spine Deformity with Osteoporosis Yasuhiro Nakajima
Neurologico Spinale Medico Chirurgico Supplementary Issue - Conference Abstracts
Publisher : Indoscholar

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Abstract

Osteoporosis is a major social problem in Japan, which is becoming a super-ageing society. Spinal deformity in the elderly causes various symptoms such as neurological deficits, pain, gastroesophageal reflux disease, etc., which impair QOL of the patients. Osteoporosis is one of major etiologies for elderly spinal deformity. At the same time, osteoporosis often causes serious problems in surgical treatment for elderly spinal deformity including instrumentation failure, proximal and distal junctional kyphosis, etc. This presentation will summarize our surgical strategy for prevention of instrument failure, including our original surgical techniques and osteoporosis treatments.
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