The 25th Annual Meeting of Japan Socity for the
Study of Surgical Technique for Spine andSpinal Nerves（JPSTSS）◦Program◦
14～15 September 2018

14 September（Fri.）
Main Hall1: Shinano（1F）
7：30 Registration
7：50〜7：55〜Opening Remarks〜
President Makoto TANIGUCHI, M.D.

8：00〜10：00（120min.）…

Main Theme 2 Debate Session<Challenging diﬃcult cases>

Chairpersons Toshiyuki TAKAHASHI, M.D., Naohiro KAWAMURA, M.D.

MT2-1

Case 1: phased spinal intervention… ………………………………………… 177
Manabu MINAMI, M.D., et al.

MT2-2Case 1: 2 staged surgery for radiculopathy and scoliokyphosis… ………… 178
Nobuhiro HARA, M.D.

（Spinal…Disorders…Center,…Fujieda…Heisei…Memorial…Hospital,…Fujieda,…Shizuoka）（Dept.of…Orthopaedics,…Musashino…Red…Cross…Hospital,…Musashino,…Tokyo）

62

Case 1: Lumbar radiculopathy caused by spondylotic scoliosis with179
MT2-3 Parkinson disease………………………………………………………………
Hisaaki UCHIKADO, M.D.

（Uchikado…Neuro-Spine…Clinic,…Fukuoka,…Fukuoka）

Case 2: Posterior C1-2 fixation for retroodontoid pseudotumor associated180
MT2-4 with DISH… ……………………………………………………………………
Nobuyuki SHIMOKAWA, M.D.

（Department…of…Neurosurgery,Tsukazaki…hospital,…Himeji,…Hyogo）（Department…of…Neurological…Surgery,…Aichi…Medical…University,…Nagakute,…Aichi）

Case 2: Laminectomy with external cervical orthosis for aged patients withretro-odontoid mass… ………………………………………………………… 182
MT2-6
Takao YASUHARA, M.D., et al.

（Department…of…Neurological…Surgery,…Okayama…University…Graduate…School…of…Medicine,…
Okayama,…Okayama）

Case 3: Surgical selection of cervical nerve sheath tumor localized in theneural foramen: From the viewpoint of
183
MT2-7 posterior cervical unilateral resection…………………………………………
Toshihiro TAKAMI, M.D.

（Department…of…Neurosurgery,…Osaka…City…University…Graduate…School…of…Medicine,…
Osaka,…Osaka）

Case 3: A posterolateral intermuscular approach for cervical functionally184
MT2-8 relevant nerve sheath tumors… ………………………………………………
Toshihiko INUI, M.D., et al.

（Spine…center,…Department…of…Neurosurgery,Tominaga…Hospital,…Osaka,…Osaka）

Case 4: The treatment option for spastic paraparesis due to ossification of
the yellow ligament at thoracic spine… ……………………………………… 185
MT2-9
Byoung Hun Lee, M.D.

（Department…of…Neurosurgery,…Hangang…Sacred…Heart…Hospital…of…
Hallym…University…Medical…Center,…Seoul,…Korea）

MT2-10Case 4: Posterior decompression and fusion with rigid instrumentation…… 186
Naohiro KAWAMURA, M.D.

（Japanese…Red…Cross…Medical…Center,…Shibuya,…Tokyo）

63（ Fri.
） Main Hall 1
14 Sep.

Case 2: Laminectomy with external cervical orthosis for aged patients with181
MT2-5 retro-odontoid mass… …………………………………………………………
Masahiro AOYAMA, M.D., et al.

10：00〜10：05…

Break

10：05〜11：05（60min.）…

Spine Leader's Lecture 1（Postgraduate Lecture of JOA）
10：05〜10：35（30min.）Chairperson Keisuke TAKAI, M.D.

SLL1-1

Keisuke…TAKAI,…M.D.（…Tokyo…Metropolitan…Neurological…Hospital,…Fuchu,…Tokyo）

Outcomes of patients with misdiagnosis of spinal dural arteriovenous
fistulas… …………………………………………………………………… 119（MEDICALINE CORPORATION）

10：35〜11：05（30min.）Chairperson Shunji Asamoto, M.D.

SLL1-2

Takashi…ITABASHI,…M.D.（…Japanese…red…cross…Narita…hosp.…Narita,…Japan）

Surgical strategy for spinal dural arteriovenous fistula…………………… 121（DAIICHI SANKYO CO.,LTD.）

11：05〜11：20…

Break

11：20〜12：20（60min.）…

Luncheon Seminar 1（Postgraduate Lecture of JOA）
Chairperson Toshitaka YOSHII, M.D.

LS1

Steven…GILL（…University…of…Bristol…and…Southmead…Hospital,…Bristol,…UK）

Cervical arthroplasty: what we have achieved andthe challenges ahead………………………………………………………… 157（Medtronic Sofamor Danek Co., Ltd.）

12：20〜12：30…

Break

12：30〜14：15（45min.）…

Symposium１ Artificial cervical disc
Chairperson Masakazu TAKAYASU, M.D., Masashi NEO, M.D.

S1-1

Cervical Arthroplasty: State of the Art in Europe… ………………………… 101
Bernhard MEYER, M.D.

（Department…of…Neurosurgery,…Technical…University…of…Munich,…Munich,…Germany）

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S1-2

S1-3

Mobility preserving spinal stabilization: Is it better than fusion……………… 103
Mehmet ZILELI, M.D.

（Neurosurgery…Department…in…Ege…University,…Izmir,…Turkey）

Pathology and short term operative result of our cases of artificial discreplacement… ………………………………………………………………… 105
Masahito HARA, M.D.

（Neurosurgery…Department,…Inazawa…Munincipal…Hospital,…Inazawa,…Aichi）

Cervical artificial disc -starting clinical use in Japan-………………………… 107
Toshitaka YOSHII, M.D.

（Tokyo…Medical…and…Dental…University,…Bunkyo,…Tokyo）

14：15〜14：30（15min.）…

General Assembly
President Makoto TANIGUCHI, M.D.

Announcement of President-electMasashi NEO, M.D.
(Department…of…Orthopedic…Surgery,…Osaka…Medical…College,…Osaka)

14：30〜14：45…

Topics from poster sessions today

15：45〜16：45（60min.）…

Spine Leader's Lecture 3（Postgraduate Lecture of JOA）
Chairperson Takashi TOMITA, M.D.

15：45〜16：15（30min.）
SLL3-1

Yujiro…TAKESHITA,…M.D.（…D epartment… of… Orthopaedic… and… Spine… Surgery,… Yokohama…
Rosai…Hospital,…Kanagawai）

Spine surgery for pediatric and congenital disorder cases… …………… 127（Japan Medical Dynamic Marketing, INC）
16：15〜16：45（30min.）
SLL3-2

Seiji…OTSUKA,…M.D.（…Spine…Surgery and… Department…of…Orthopedic…Surgery,…Toyokawa…
City…Hospital,…Toyokawa,…Aichi）

Pros and cons of Cortical bone trajectory: further
modification and devises… ………………………………………………… 129（Japan Medical Dynamic Marketing, INC）
16：45〜16：50…

Break
65

（ Fri.
） Main Hall 1
14 Sep.

S1-4

16：50〜18：20（30min.）…

Main Theme １

Adult spinal deformities

Chairpersons Masafumi MACHIDA, M.D.,Kei MIYAMOTO, M.D.

MT1-1

Problems and solutions in geriatric spine surgery…………………………… 170
Mehmet ZILELI, M.D.

（Neurosurgery…Department…in…Ege…University,…Izmir,…Turkey）

Adult spinal deformity: how agressive should we be in treating
171
MT1-2 the aged spine… ………………………………………………………………
Bernhard MEYER, M.D.

（Department…of…Neurosurgery,…Technical…University…of…Munich,…Munich,…Germany）

MT1-3

A new methos of assessing sagittal balance………………………………… 172
Aiden DEVITT, M.D.

MT1-4

Minimum 5 year follow up results of PSO for adult spinal deformity………… 173
Yusuke NAKAO, M.D., et al.

（Galway…University…Hospitals,…Galway,…Ireland）（Orthopedic…Department,…Sanraku…Hospital,…Chiyoda,…Tokyo）

Oblique lumbar interbody fusion combined with minimally invasive
174
MT1-5 percutaneous posterior instrumentation for adult spinal deformity… ………
Kenji FUKAYA, M.D.

（Dept.of…Neurosurgery,…Ayabe…renaiss…hospital,…Ayabe,…Kyoto）

Radiological improvements in lumbar lordosis and indirect decompression
after combined XLIF and PPS surgeries with additional anterior column
MT1-6 realignment procedure ACR…………………………………………………… 175
Yoichi TANI, M.D., et al.

（Orthopedic…Surgery,…Kansai…Medical…University,…Hirakata,…Osaka）

MT1-7

Consideration of adult spinal deformity with OLIF and PPS… ……………… 176
Mamoru MATSUO, M.D., et al.

18：20〜18：25…

（Neurosergery…Department,…Inazawa…Municipal…Hospital,…Inazawa,…Aichi）

Break

18：25〜19：25（60min.）…

Spine Leader's Lecture 5（Postgraduate Lecture of JOA）
18：25〜18：55（30min.）Chairpersons Hisanori MIHARA, M.D.

66

SLL5-1

Masao…KODA,…M.D.（…Department…of…Orthopedic…Surgery,…University…of…Tsukuba,…Tsukuba,…
Ibaraki）

Risk management for surgical complications of anterior cervical spine
surgery… …………………………………………………………………… 135（Stryker Japan K.K.）
18：55〜19：25（30min.）Chairperson

Yukoh…OHARA（…Shin-Yurigaoka…general…hospital,…Kawasaki,…Kanagawa）

What’s happen after dural injury, and what can we do for it?… ………… 137（Teijin Pharma Limited）

67（ Fri.
） Main Hall 1
14 Sep.

SLL5-2

Shigeo SANO, M.D.

14 September（Fri.）
Main Hall 2： Kiso
7：30 Registration
8：00〜9：00（60min.）…

Free Papers 1
Adult spinal deformities, Lumber fixation

Chairpersons Satoru SHIMIZU, M.D., Kenichi WATANABE, M.D.

F1-1

F1-2

Dynamization system in long fusion for prevention of proximal junctional
kyphosis and failure… ………………………………………………………… 201
Nozomu OHTOMO, M.D., et al.

（Department…of…Spine…and…Orthopaedic…Surgery,…Japanese…Red…Cross…Medical…Center,…
Shibuya,…Tokyo）

The effect of new method named 'Cross-band stabilization' to prevent
proximal junctional failure……………………………………………………… 202
Fumihiko OGUCHI, M.D., et al.

（Department…of…Spine/Spinal…Cord…Center,…Sanraku…Hospital,…Chiyoda,…Tokyo）

F1-3

Free hand insertion technique of novel iliac screw trajectory for lumbosacral
fixation： Medial Iliac Screw… ………………………………………………… 203
Koji ISHIKAWA, M.D., et al.

（Sanraku…Hospital,…Spine…and…Spinal…Cord…Center,…Chiyoda,…Tokyo）

F1-4

Clinical reports of Tritanium PL cage for posterior lumbar interbody fusion at
L5 / S…………………………………………………………………………… 204
Sho AKAHORI, M.D., et al.

（Neurosurgery…Department,Inazawa…Munincipal…Hospital,…Inazawa,…Aichi）

F1-5

Preoperative imaging for adult spinal deformity surgery using rod trajectoryplotting method………………………………………………………………… 205
Sei TERAYAMA, M.D., et al.

（Orthopedic…Department,…Shunyokai…Central…Hospital,…Kimotsuki,…Kagoshima）

F1-6

F1-7

Lumbosacral Fixation using Dual LSIT Low profile S1-iliac trajectory… …… 206
Kiyohiro NAKAMICHI, M.D., et al.

（Keiyu…Orthopedic…Hospital…Keiyu…Spine…Center,…Tatebayashi,…Gunma）

Lumbar Lordosis LL of Preoperative Fulcrum Backward Bending
Approximates Prone Position LL After Lateral Interbody Fusion LIF in Adult
Spinal Deformity ASD Patients………………………………………………… 207
Takashi HASHIMOTO, M.D., et al.

（Sangubashi…Spine…Surgery…Hospital,…Chiyoda,…Tokyo）

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9：00〜10：00（60min.）…

Free Papers 2Complications after thoracic/lumber fixation
Chairpersons Masahito HARA, M.D., Hhitoshi KONO, M.D.

F2-1

（Sanraku…Hospital,Department…of…Orthopedics…,…Chiyoda,…Tokyo）

Surgical management for delayed neurological symptom after spinal
compression fracture…………………………………………………………… 209
Youhei YOKOYAMA, M.D., et al.

（Department…of…Spinal…Surgery,…Kameda…Medical…Center,…Kamogawa,…Chiba）

F2-3

Residual kyphotic deformity after posterior short fusion for neurologicaldeficits following osteoporotic vertebral collapse… ………………………… 210
Atsushi NAKANO, M.D. et al.

（Dept.…of…Orthop.…Surg.…Osaka…Medical…College,…Takatsuki,…Osaka）

F2-4

Vertebral body reconstruction from posterior approach by posterior insertionof an HA spacer for delayed paralysis due toosteoporotic vertebral fracture……………………………………………… 211
Toshikatsu MAMADA, M.D., et al.

（Dept.…of…Spine…Surg.,…JCHO…Tokyo…Yamate…Medical…Center,…Shinjuku,…Tokyo）

F2-6

A case of lumbar facet cyst in intervertebral foramen due to adjacentsegmental disease after posterior spinal fusion……………………………… 212
Yasuhiro CHIBA, M.D., et al.

（Neurosurgery…Department,…Hokkaido…Neurosurgical…Memorial…Hospital,…Sapporo,…Hokkaido）

F2-7

Accuracy of O-arm Navigation guided pedicle screw for the patients who
underwent posterior fusion surgery…………………………………………… 213
Hidenori MATSUOKA, M.D., et al.

（Center…for…Minimally…Invasive…Spinal…Surgery,…Shinyurigaoka…General…Hospital,…Kawasaki,…
Kanagawa）

10：00〜10：05…

Break

10：05〜11：05（60min.）…

Spine Leader's Lecture 2（Postgraduate Lecture of JOA）
10：05〜10：35（30min.）Chairperson Motoo KUBOTA, M.D.

69

（ Fri.
） Main Hall 2
14 Sep.

F2-2

Investigation of pathology of thoracic myelopathy in adult spinal deformity…… 208
Kazuhiro KOHATA, M.D., et al.

SLL2-1

Hirokazu IWAMURO, M.D.（…Department… of… Research… and… Therapeutics… for… Movement…

Disorders,…Juntendo…University…Graduate…School…of…Medicine…
Bunkyo,…Tokyo）

Spinal problems in Parkinson’s disease from the viewpoint ofpathophysiology……………………………………………………………… 123（Medtronic Japan Co.Ltd.）
10：35〜11：05（30min.）Chairperson Akiyoshi YAMAZAKI, M.D.

SLL2-2

Kei…WATANABE,…M.D.（…Department… of… Orthopaedic… Surgery,… Niigata… University… Medical…
and…Dental…Hospital…Niigata,…Niigata）

Surgical treatment strategy for spinal deformity related to Parkinson's
disease： Role for orthopaedic spine surgeons… ………………………… 125（United Biomech Japan Inc.）
11：05〜11：20…

Break

11：20〜12：20（60min.）…

Luncheon Seminar 2（Postgraduate Lecture of JOA）
Chairpersons Katsushi TAKESHITA, M.D.

LS2

Weishi…LI（…Orthopaedic…department,…Peking…University…Third…Hospital,…China）

The strategy of sagittal alignment reconstruction in patients with lumbar
degenerative scoliosis： Is LL= PI ± 9°suitable for Asian patients and what
are our correction targets ?………………………………………………… 159（Johnson and Johnson K.K. DePuy Synthes）

12：20〜12：30…

Break

12：30〜13：20（50min.）…

Free Papers 3
Craniocervical junction, Cervical spine, Thoracic spine
Chairpersons Eiichiro HONDA, M.D., Hiroshi MIYAMOTO, M.D.

F3-1

Historical course of surgical treatment to 3 patients with myelopathy due toathetosis………………………………………………………………………… 214
Eiichiro HONDA, M.D., et al.

（Department…of…Neurospinal…surgery,…Shiroishikyoritsu…hospital,…Kishima-gun,…Saga）

70

F3-2

What is precise surgical intervention in 3 cases with myelopathy due to headdrop syndrome associated with cervical spondylosis………………………… 215
Eiichiro HONDA, M.D., et al.

（Department…of…Neurospinal…surgery,…Shiroishikyoritsu…hospital,…Kishima-gun,…Saga）

F3-3

Reconstruction of the C1 lateral mass with an expandable titanium cageafter resection of metastatic spinal tumor withvertebral artery preservation… ……………………………………………… 216
Toshihiro INUI, M.D., et al.

（Spine…center,…Department…of…Neurosurgery,…Tominaga…Hospital,…Osaka,…Osaka）（Department…of…Neurosurgery,…Tsukazaki…Hospital,…Himeji,…Hyogo）

F3-5

Posterior Reduction Arthrodesis of Irreducible Pediatric Atlantoaxial
Subluxation using Spinal Instrumentation… ………………………………… 218
Toru YAMAGATA, M.D., et al.

（Department…of…Neurosurgery,…Osaka…City…General…Hospital,…Osaka,…Osaka）

F3-6

Anterior surgery by a trans-sternoclavicular approach for the treatment ofpyogenic discitis of the upper spine following posterior throracic fixation; Acase report……………………………………………………………………… 219
YuichiI KONDO, M.D., et al.

（Department…of…Orthopaedic…Surgery,…Gifu…Municipal…Hospital,…Gifu,…Gifu）

13：20〜14：15（55min.）…

Free Papers 4
Minimally invasive surgeries

Chairpersons Izumi KOYANAGI, M.D., Koji SATO, M.D.

F4-1

Factors affecting technical difficulties in PED Percutaneous Endoscopic
Discectomy surgery and measures for the safe andeffective procedure… ………………………………………………………… 220
Kuniyoshi TSUCHIYA, M.D., et al.

（Dept.…of…Orthopaedics,…JCHO…Kyushu…Hospital,…Kitakyushu,…Fukuoka）

F4-2

Intra- and post-operative complications of full-endoscopic
lumbar surgery… ……………………………………………………………… 221
Koichiro ONO, M.D., et al.

（Center…for…Spinal…Surgery,…Nippon…Koukan…Hospital…,…Kawasaki,…Kanagawa）

F4-3

Intra- and post-operative bleeding control with FLOSEAL R… ……………… 222
Junichi UKAI, M.D., et al.

（Orthopedic…Department,…Japanese…Red…Cross…Nagoya…Daini…Hospital,…Nagoya,…Aichi）

71（ Fri.
） Main Hall 2
14 Sep.

F3-4

The novel technique of screw insertion at craniocervical junction withvertebral artery anomaly… …………………………………………………… 217
Nobuyuki SHIMOKAWA, M.D., et al.

F4-4

800 cases of Microsurgical anterior cervical foraminotomy MacF for
cervical radiculopathy… ……………………………………………………… 223
Naoto TSUCHIYA, M.D., et al.

（Department…of…Spine…Surgery,…Shinagawa…Shisyokai…Hospital,…Shinagawa-ku,…Tokyo）

F4-5

Results of minimal cervical laminectomy MicCeL for
cervical myelopathy… ………………………………………………………… 224
Masahiro OZAKI, M.D., et al.

（Keiyu…Orthopedic…Hospital…Keiyu…Spine…Center,…Tatebayashi,…Gunma）

F4-6

Good clinical outcomes and fusion rate of less invasive facet fusion with
CBT screw for degenerative lumbar spondylolisthesis… …………………… 225
Tomohiro MIYASHITA, M.D., et al.

（Spine…Center,…Matsudo…City…General…Hospital,…Matsudo,…Chiba）

F4-7

Assessment of the cement leakage in the treatment of osteoporotic
vertebral fractures with balloon kyphoplasty… ……………………………… 226
Yu YAMAMOTO, M.D., et al.

（Department…of…Neurosurgery,…Inazawa…municipal…hospital,…Inazawa,…Aichi）

15：45〜16：45（60min.）…

Spine Leader's Lecture 4（Postgraduate Lecture of JOA）
15：45〜16：15（30min.）Chairperson Shigeto EBATA, M.D.

SLL4-1Masahito…HARA,…M.D.（…Neurosurgery…Department,…Inazawa…Munincipal…Hospital,…Inazawa,…
Aichi）

Multi-level corrective fixation surgery using OLIF and L5/S PLIF………… 131（Stryker Japan K.K.）
16：15〜16：45（30min.）Chairperson Tomoaki TOYONE, M.D.

SLL4-2

Eiji…ABE,…M.D.（…Dept.…of…Orthopedic…Surgery,…Akita…Kousei…Medical…Center,…Akita,…Akita）

Decision making about fusion level for surgical correction of adult spinal
deformity……………………………………………………………………… 133（MIZUHO Corporation）

16：45〜16：50…

Break

72

16：50〜17：32（42min.）…

Free Papers 5 Debate Session

Chairpersons Motoo KUBOTA, M.D., Masatoshi SUMI, M.D.

F5-1

Case2： Surgical intervention to achieve stability and neural decompressionof the cranio-vertebral junction………………………………………………… 227
Muneyoshi YASUDA, M.D.

F5-2

Case2： I will do C1 decompressive laminectomy before neurologic
deterioration.…………………………………………………………………… 228
Tack Geun CHO, M.D.

（Department…of…Neurosurgery,…Hallym…University…Kangnam…Sacred…Heart…Hospital,…Seoul,…
Korea）

Case2： Surgical treatment of retroodontoid pseudotumor with diffuse
idiopathic skeletal hyperostosis… …………………………………………… 229
HisaakiI UCHIKADO, M.D.

（Uchikado…Neuro-Spine…Clinic,…Fukuoka,…Fukuoka）

F5-4

Case2： Surgical strategy for retro-odontoid pseudotumors without
rheumatoid arthritis… ………………………………………………………… 230
Shinji YAMAMOTO, M.D., et al.

（Department…of…Neurosurgery,…Ohnishi…Neurological…Center,Akahi,…Hyogo）

F5-5

F5-6

Case3： Cervical root enlargement： Tumorous lesion oriented approach…… 231
Moo Sung KANG, M.D.

（Department…of…Neurosurgery,…Catholic…Kwandong…University,…College…of…Medicine,…
International…St.…Mary's…Hospital,…Korea）

Case4： Decompression alone surgery for OLF… …………………………… 232
Yasuhiro NAKAJIMA, M.D., et al.

（Department…of…Neurosurgery,Daido…Hospital…Nagoya,…Aichi）

17：32〜18：21（49min.）…

Free Papers 6
Spinal tumors, Spinal vascular lesions

Chairpersons Toshihiro TAKAMI, M.D., Keisuke TAKAI, M.D.

F6-1

en bloc resection of gigantic cervical chrdoma; a case report ……………… 233
Yoshitaka MATSUBAYASHI, M.D., et al.

（Departmento…of…orthopaedic…surgery,…University…of…Tokyo,…Bunkyo,…Tokyo）

73（ Fri.
） Main Hall 2
14 Sep.

F5-3（Department…of…Neurological…Surgery,…Ichinomiya-Nishi…Hospital
Ichinomiya,…Aichi）

F6-2

The surgical strategy of the foramen magnum meningioma… ……………… 234
Masahiro AOYAMA, M.D., et al.

F6-3

Surgical outcome of intramedullary spinal cord ependymomas … ………… 235
Minoru HOSHIMARU, M.D., et al.

F6-4

Usefulness of intraoperative ultrasound in spinal tumor surgery… ………… 236
Daichi KAWAMURA, M.D., et al.

F6-5（Department…of…Neurological…Surgery,…Aichi…Medical…University,…Nagakute,…Aichi）（Shin-aikai…Spine…Center,…Katano,…Osaka）（Departmento…of…Neurosurgery,…Jikei…University…School…of…Medicine,…Minato,…Tokyo）

ICG-guided surgery for spinal intramedullary tumors： from intraoperative
assessment of vascular flow dynamics topredicting functional outcomes………………………………………………… 237
Toshihiro TAKAMI, M.D., et al.

（Department…of…Neurosurgery,…Osaka…City…University…Graduate…School…of…
Medicine,…Osaka,…Osaka）

F6-6

IMicrosurgical and endovascular treatments of spinal extraduralarteriovenous fistulas… ……………………………………………………… 238
Keisuke TAKAI, M.D., et al.

（Department…of…Neurosurgery,…Tokyo…Metropolitan…Neurological…Hospital,…Fuchu,…Tokyo）

F6-7

Surgical management of craniocervical junction artetiovenous fistula……… 239
Hiroki KURITA, M.D., et al.

（Department…of…Cerebrovascular…Surgery,…International…Medical…Center,…Saitama…Medical…
University,…Hidaka,…Saitama）

18：21〜18：25…

Break

18：25〜19：25（60min.）…

Spine Leader's Lecture 6（Postgraduate Lecture of JOA）
18：25〜18：55（30min.）Chairperson Etsuro YORIMITSU, M.D.

SLL6-1

Yuichi TAKANO, M.D.（…D epartment… of… Orthopaedics,… Iwai… Orthopaedic… Medical…
Hospital,Edogawa,…Tokyo）

Significance of preoperative assessment and drug treatment forosteoporosis patients requiring spinal surgery… ………………………… 139（Asahi Kasei Pharma Corporation）
18：55〜19：25（30min.）Chairperson Koji SATO, M.D.

74

SLL6-2

Takanori SAITO, M.D.（…Dept.…of…Orthopedic…surgeon…Kansai…Medical…University,…Hirakata,…
Osaka）A new method in percutaneous pedicle screw insercion in MISt surgery.?
for shortening of X-ray exposure time?… ………………………………… 141（Teijin Nakashima Medical Co., Ltd.）（ Fri.
） Main Hall 2
14 Sep.

75

14 September（Fri.）
Poster Session Room Hotaka/Rokko（3F）
14：45〜15：45（60min.）…

Poster Session 1-1
Craniocervical junction and cervical spine
Chairperson Nobuyuki SHIMOKAWA, M.D.

P1-1-1 Anterolateral approach to the retroodontoid lesion… ……………………… 264
Tsuyoshi WATANABE,M.D., et al.

（Department…of…Neurosurgery,…Shonan…Kamakura…General…Hospital,…Kamakura,…Kanagawa）

P1-1-2 Occipito-cervical fusion for pediatric craniocervical junction injury… ……… 265
HIROAKI KIMURA, M.D., et al.

（Orthopedic…Department,…Hyogo…Prefectural…Amagasaki…General…Medical…Center、
Amagasaki,…Hyogo）

P1-1-3 2 Case reports of familial os odontoideum… ………………………………… 266
Hidetoshi SATO, M.D., et al.

（Department…of…Neurosurgery,…Tsukazaki…Hospital,…Himeji,…Hyogo）

P1-1-4 Anterior decompression and fusion with complete removal of the Luschka
joint for C8 radiculopathy……………………………………………………… 267
Kazunobu KIDA, M.D., et al.

（Department…of…Orthopedic…Surgery,…Kubokawa…Hospital,…Takaoka,…Kochi）

P1-1-5 Anterior cervical foraminotomy for C4 cervical radiculopathy ……………… 268
Tetsuryu MITSUYAMA, M.D., et al.

（Shinagawa…Shishoukai…Hospital,…Shinagawa,…Tokyo）

P1-1-6 One stage laminoplasty and posterior herniotomy for the treatment ofcervical canal stenosis and cervical disc herniation… ……………………… 269
Yoshifumi KAWANABE M.D., et al.

（Department…of…Neurosurgery,…Shizuoka…General…Hospital,…Shizuoka,……Shizuoka）

P1-1-7 Anterior cervical disectomy and fusion with dynamic plate for elderly CSM
with Cervical anterolisthesis…………………………………………………… 270
Ryo KADOTA, M.D., et al.

（Orthopedic…Department,…Numazu…City…Hospital,…Numazu,…Shizuoka）

76

P1-1-8 Comparison of segmental mobility between after cervical laminoplasty andlaminectomy… ………………………………………………………………… 271
Yoh KUMANO, M.D., et al.

（Department…of…Orthopaedic…Surgery,…Sagamihara…Hospital,…National…Hospital…Organization,…
Sagamihara,…Kanagawa）

Poster Sessio 1-2
Cervical Spine 1

Chairperson Akiro HIGASHIKAWA, M.D.

（Orthopedic…Department,…Kanto…Rosai…Hosital,…Kawasaki,…Kanagawa）

P1-2-2 Anterior cervical discectomy and fusion using a rectangular titanium-coated
PEEK stand-alone cage: Preliminary image analysis of cage subsidence…… 273
Yuta NAKANISHI, M.D., et al.

（Department…of…Neurosurgery,…Osaka…City…University…Hospital,…Osaka,…Osaka）

P1-2-3 Decreased Subsidence Occurs in Titanium Coated PEEK Cage than Full Body
Titanium Cage… ……………………………………………………………… 274
Motoyuki IWASAKI, et al.

（Department…of…Neurosurgery,…Otaru…General…Hospital,Otaru,…Hokkaido）

P1-2-4 A Study on Hinge Fracture in Open-door Cervical Laminoplasty… ………… 275
Masanori AOKI, M.D.

（Spine…Center,…Yukioka…Hospital,…Osaka,…Osaka）

P1-2-5 The Effect of Hyaluronic Acid Based Hydrogels in the Treatment ofAnnular Defects of the Intervertebral Disc in an In- vivo Rat-Tail Model ofDegeneration…………………………………………………………………… 276
David TIERNAN M.D., et al.

（Curam,…Centre…for…Research…in…Medical…Devices,…National…University…of…Ireland,…Galway,…
Ireland）

P1-2-6 Investigation of Preoperative Marker Use in Anterior Decompression and
Fusion…………………………………………………………………………… 277
Ryohei ANNEN, M.D., et al.

（Orthopdeic…Department,…Japanese…Red…Cross…Medical…Cente,…Shibuya,…Tokyo）

P1-2-7 Minimally Invasive Percutaneous Pedicle Screw Placement using an
Illuminated Retractor for Decreasing the Risks Radiation Exposure………… 278
Takeshi OHKI, M.D., et al.

（Orthopedic…Department,…Yuki…Hospital,Yuki,…Ibaraki）

77（ Fri.
） Poster Session Room
14 Sep.

P1-2-1 Unidirectional porous hydroxyapatite UDPHAp cervical laminoplasty spacer
REGENOS is fragile … ………………………………………………………… 272
Akiro HIGASHIKAWA, M.D., et al.

P1-2-8 Usefulness of the postero-lateral approach for osteosynthesis in Hangman
fracture… ……………………………………………………………………… 279
Yoshiaki ODA, M.D., et al.

（Orthopedic…Department,…Kouchi…Health…Science…Center,…Kouchi,…Kouchi）

Poster Session 1-3
Thoracic spine
Chairperson Ikuo AITA, M.D.

P1-3-1 A case report of thoracic spinal cord herniation repaired with absorbabledural substrate… ……………………………………………………………… 280
Ryosuke TSUCHIYA, M.D., et al.

（Neurosurgery…Department,…Toranomon…Hospital,…Minato,Tokyo）

P1-3-2 A surgical tips for idiopathic spinal cord herniation:a technical case report………………………………………………………… 281
Yasuhiro TAKESHIMA, M.D., et al.

（Department…of…Neurosurgery,…Nara…Medical…University,…Kashihara,…Nara）

P1-3-3 A case of intradural disc herniation that intraoperative ultrasonography was
useful for diagnosis… ………………………………………………………… 282
Yoshiharu NAKAYA, M.D., et al.

（Department…of…Orthopedic…Surgery,…Osaka…Medical…College,…Takatsuki,…Osaka）

P1-3-4 Giant thoracic disc herniation surgery method and monitoring andnavigation… …………………………………………………………………… 283
Isao KITAHARA, M.D., et al.

（The…Department…of…Neurosurgery,…Chiba…Tokushukai…Hospital,…Funabashi,…Chiba）

P1-3-5 Two cases of lumbar extradural cystic lesion diagnosed as ligamentum
flavum cyst……………………………………………………………………… 284
Yasuomi NONAKA, M.D., et al.

（Department…Neurosurgery…Spinal…Surgery,…Heiwa…Hospital…Yokohama,…Kanagawa）

P1-3-6 A case of abdominal pain and ileus following spinal cord stimulator
implantation… ………………………………………………………………… 285
Naoki HIGASHIYAMA, M.D., et al.

（Department…of…spinal…surgery,…Research…institute…for…brain…and…blood…vessels…Akita,…Akita）

P1-3-7 Thoracic burst fracture presenting hemothorax just after operation by
percutaneous pedicle screw - a case report -………………………………… 286
Kento TAKEBAYASHI, M.D., et al.

（Department…of…Spinal…Surgery,…Kameda…Medical…Center,…Kamogawa,…Chiba）

78

P1-3-8 A case of multiple abscesses in whole body after
injection into posterior neck…………………………………………………… 287
Yuichi YOSHIDA, M.D., et al.

（Orthopedic…Department,…Musashino…Red…Cross…Hspital,…Musashino,Tokyo）

Poster Session 1-4
Lumbar spine 1

Chairperson Kei MIYAMOTO, M.D., et al.

（Spine…Center,…Department…of…Orthopaedic…Surgery,…Niigata…Central…Hospital,…Niigata,…Niigata）

P1-4-2 The effectiveness of stabilization and surgical results of dynamic stabilization
with SSCS for unstable degenerative lumbar spinal disease - minimum 3
years follow up… ……………………………………………………………… 289
Shuntaro TSUCHIDA, M.D., et al.

（Spine…center,…Fuji…Toranomon…Orthopaedic…Hospital,…Gotemba,…Shizuoka）

P1-4-3 Clinical results of Anteroposterior combined surgery for osteoporotic
vertebral fractures using X-core2… ………………………………………… 290
Yoshifumi KUDO, M.D., et al.

（Dept…of…Orthop…Surg,…Showa…Univ.,…Shinagawa,…Tokyo）

P1-4-4 The spinal fusion with PPS and hook by mini incision for thoracolumbar burst
fractures………………………………………………………………………… 291
Takeshi OHKI, M.D., et al.

（Orthopedic…Department,…Yuki…Hospital,…Yuki,…Ibaraki）

P1-4-5 Unilateral versus Bilateral Pedicle Screw fixation in LLIF for degenerative
spondylolisthesis… …………………………………………………………… 292
Takahiro HAYASHI, M.D., et al.

（Orthopedic…Department,…Kure…Kyosai…Hospital,…Kure,…Hiroshima）

P1-4-6 Surgical results of lateral decubitus position OLIF & PPS simultaneous
fixation by the O-arm navigation… …………………………………………… 293
Yoshihiro FUJIWARA, M.D., et al.

（Okayama…Rousai…Hospital,…Okayama,…Okayama）

P1-4-7 Rod repair and sacro-iliac dynamization for rod fracture after deformity
correction for adult spinal deformity ………………………………………………… 294
Kei MIYAMOTO, M.D., et al.

（Orthopedic…Department,…Gifu…Munincipal…Hospital,…Gifu,…Gifu）

79（ Fri.
） Poster Session Room
14 Sep.

P1-4-1 Could gain of local lordosis decrease Adjacent Segment Diseases after
lumbar interbody fusion for single level?……………………………………… 288
Sumito KINJO, M.D., et al.

P1-4-8 3D printed Tubular guides for pedicle screw placement:MySpinetechnology …………………………………………………………………………………… 295
Hiroshi MARUYAMA, M.D., et al.

（Orthopedic…Department,…Showa…University,…Shinagawa,…Tokyo）

P1-4-9 Surgical outcomes of modified microscopic bilateral decompression via a
unilateral approach for lumbar canal stenosis …………………………………… 296
Kazuhiro Yoshimura, M.D., et al.

（Department…of…Neurosurgery,…Osaka…Neurological…Institute,Toyonaka,…Osaka）

Poster Session 1-5
Lumbar spine 1

Chairperson Satoshi OGIHARA, M.D., et al.

P1-5-1 Bilateral vertebral artery injuries in blunt cervical spinal injury withdislocation: a case report ……………………………………………………………… 297
Keitaro TADA, M.D., et al.

（Kochi…Health…Sciences…Center,…Kochi,…Kochi）

P1-5-2 Bilateral positional vertebral artery occlusion PVAO causing cerebellar
infarction; A case report ………………………………………………………………… 298
Kazunori SHIBAMOTO, M.D., et al.

（Spine…center,…Saso…Hospital,…Nisinomiya,…Hyogo）

P1-5-3 A case of bladder and bowel dysfunction after wrong level lumbar
laminoplasty ………………………………………………………………………………… 299
Junya MIYAHARA, M.D., et al.

（Department…of…Spine…and…Orthopaedic…surgery,…Japan…Red…Cross…Medical…Center,…Shibuya,…
Tokyo）

P1-5-4 A Case of Immediate Post-surgical Spinal Cord Herniation ………………… 300
Ryo SUGAWARA, M.D., et al.

（Department…of…Orthopedics,…Jichi…Medical…University,…Shimotsuke,…Tochigi）

P1-5-5 A case of spinal cord herniation after cervical surgery ……………………… 301
Satoru MATSUTANI, M.D., et al.

（Orthopedic…Department,…Japanese…Red…Cross…Musashino…Hospital,…Musashino,…Tokyo）

P1-5-6 Treatment of thorasic dural defect which caused superficial siderosis … 302
Ado TAMIYA, M.D., et al.

（Department…of…Neurological…Surgery,…Chiba…University…Hospital…Graduate…
School…of…Medicine,…Chiba,…Chiba）

P1-5-7 A case of cerebrospinal fluid hypovolemia syndrome with benign course of
cerebral hemorrhage receiving conservative treatment and with malignant
course of cerebral herniation ………………………………………………………… 303
Ryo YAMAMURA, M.D., et al.

（Dept.…of…Orthop.Surg.,…Showa…Univ.…School…of…Medicine,…Shinagawa,…Tokyo）

80

15 September（Sat.）
Main Hall1: Shinano（1F）
7：30 Registration
8：00〜10：00（60min.）…

Symposium 2 Procedure for introducing new
devices from bench to bedside

Chairpersons Makoto TANIGUCHI, M.D. Takashi YAMAZAKI, M.D.

（DPharmaceuticals…and…Medical…Devices…Agency（PMDA）,…Tokyo）

S2-2

S2-3

Background of the new technology introduction……………………………… 111
Katsuhiro GOTO

（Medtronic…Sofamor…Danek,Co,Ltd……Tokyo）

Review process to take a new medical device with both safety and speed into
Japanese clinical sites - a case study from company side…………………… 113
Kiyomi FUJIWARA（Zimmer…Biomet…G.K.,…Tokyo）

S2-4

S2-5

What should a surgeon do to introduce novel technique?…………………… 115
Takashi YAMAZAKI, M.D.

（Department…of…Orthopedic…Surgery,…Musashino…Red…Cross…Hospital,…,…Musashino,…Tokyo）

How can the new administrative regulations efficiently control new medical
technologies?…………………………………………………………………… 117
Yasushi KODAMA, MD, LL.M, PhD（Attorney…at…law,…Visiting…Professor…of…Hitotsubashi…University,…Tokyo）

10：00〜10：05…

Break

10：05〜11：05（60min.）…

Spine Leader's Lecture 7（Postgraduate Lecture of JOA）
10：05〜11：05（30min.）Chairperson Makoto TANIGUCHI, M.D.

81

︵ Sat.
︶ Main…Hall…1
15…Sep.

S2-1

The Process of Introducing Cervical Artificial Disc into Japan : A Regulatory
Perspective… ………………………………………………………………… 109
Yoko KOBAYASHIYasushi…KODAMA,…MD,…LL.M,…PhD（…Attorney…at…law,…Visiting…Professor…of…Hitotsubashi…

SLL7

University,…Tokyo）

Current trend of medical disputes and hospital ethics… ………………… 143
11：05〜11：20…

Break

11：20〜12：20（60min.）…

Luncheon Seminar 3（Postgraduate Lecture of JOA）
Chairperson Yohichi AOTA, M.D.

LS3

Yasuo…OHORI.…M.D.（…Sangubashi…Spine…Surgery…Hospital,Shibuya,…Tokyo）

Development and future expectation on MISt surgery for degenerative
spine… ……………………………………………………………………… 161（Zimmer Biomet G.K.）

12：20〜12：30…

Break

12：30〜12：45…

Topics from poster sessions today

14：00〜15：00（60min.）…

Spine Leader's Lecture 9（Postgraduate Lecture of JOA）
14：00〜14：30（30min.）Chairperson Nobuhiro HARA, M.D.

SLL9-1

Shigeo…SANO,M.D.（…Spine…Center,…Sanraku…Hospital,…Chiyoda,…Tokyo）

How to calculate the accurate correction angle in thoracic PSO andasymmetrical PSO -By using the Sanraku formula-………………………… 149（PETER BREHM JAPAN）

14：30〜15：00（30min.）Chairperson
SLL9-2

Takahiro IIDA, M.D.

Yusuke…NAKAO,…M.D.（…Spine…Center,…Sanraku…Hospital,…Chiyoda,…Tokyo）

Surgical technique of spinal osteotomy for adult spinal deformity… …… 151（KYOCERA Corporation）

82

15：00〜16：00（60min.）…

Tea Time Seminar １（Postgraduate Lecture of JOA）
Chairperson Kiyoshi KUMANO, M.D.

TT1

Takashi…YAMAZAKI,…M.D.

The concept and technique to avoid failure in common surgery… ……… 165（HOYA Technosurgical Corporation）（Ammtec Inc.）

16：00〜16：05…

BreakHands-on Session 1（Postgraduate Lecture of JOA）
HO1

Shigeo…SANO,…M.D.,…Yusuke…NAKAO,…M.D.（…Spine… Center,… Sanraku… Hospital,… Chiyoda,…
Tokyo）PSO at Thoracic, Lumbar, and Sacral levels-For the safe vertebral bodyosteotomy… ………………………………………………………………… 168（NexMed International Co., Ltd..）
17：10〜18：00（50min.）…

Free Papers 9 Minimally invasive surgeries 2

Chairpersons Takamitsu TOKIOKA, M.D. Kenichi WATANABE, M.D.

F9-1

Usefulness and limitation of cortical bone trajectory - retrospective
assessment of mid-term follow up -…………………………………………… 251
Kento TAKEBAYASHI, M.D., et al.

（Department…of…Spinal…surgery,…Kameda…Medical…Center,Kamogawa,…Chiba）

F9-2

Minimally invasive cervical pedicle screw fixation inserted reversely on
supine position… ……………………………………………………………… 252
Takamitsu TOKIOKA, M.D., et al.

（Department…of…Orthopedic…Surgery,…Kochi…Health…Sciences…Center,…Kochi,…Kochi）

F9-3

Evaluation of new technique for inserting S2-Alar-Iliac screws using
technology of Mixed Reality…………………………………………………… 253
Yoh KUMANO, M.D., et al.

（Department…of…Orthopaedic…Surgery,…Sagamihara…Hospital,…National…Hospital…Organization,…
Sagamihara,…Kanagawa）

83（ Sat.
） Main Hall 1
15 Sep.

16：05〜17：05（60min.）…

F9-4

The accuracy of percutaneous pedicle screw placement in the lateral
decubitus position……………………………………………………………… 254
Shinya ARATAKI, M.D., et al.

（Orthopedic…Department,…Kagawa…Rosai…Hospital,…Marugame,…Kagawa）

F9-5

Semi-Circumferential Decompression: Microsurgical Total en-bloc
Ligamentum Flavectomy to Treat Lumbar Spinal Stenosis… ……………… 255
Shigeo UEDA, M.D., et al.

（Shin-ai…Spine…Center,…Katano…Hospital,…Katano,…Osaka）

F9-6

Atraumatic technique to limit bleeding and reduce operative time for lessinvasive spinal surgery and development of new forceps… ………………… 256
Masato NOJI, M.D., et al.

（Noji…neurological…SHIBIRE…clinic,…Atsugi,…Kanagawa）

F9-7

Realignment effect of LIF for kyphotic deformity after osteoporotic vertebral
fracture… ……………………………………………………………………… 257
Masayuki ISHIHARA, M.D., et al.

（Orthopedic…Department,…Kansai…Medidal…University…Medical…Center,…Moriguchi,…Osaka）

18：00〜18：15…

Break

18：15〜18：35〜Closing Remarks〜
President Makoto TANIGUCHI, M.D.

84

15 September（Sat.）
Main Hall 2: Kiso
7：30 Registration
8：00〜9：00（60min.）…

Main Theme 3
Minimally invasive surgeries

Chairpersons Yukoh OHARA, M.D. Koichi SAIRYO, M.D.

（Orthopedic…Department,…Tokushima…University,…Tokushima,…Tokushima）

Advantages and problems of bilateral decompression through unilateral
188
MT3-2 approach by four different endoscopes for lumbar spinal canal stenosis……
Fujio ITO, M.D., et al.

（Aichi…Spine…Institute,…Niwa,…Aichi）

MT3-3

Paradigm Shift by Integrated Operation Room… …………………………… 189
Masato TANAKA, M.D., et al.

（Department…of…Orthopaedic…Surgery,…Okayama…Rosai…Hospital,…Okayama,…Okayama）

Minimum invasive spinal surgery for osteoporotic vertebral fracture with
190
MT3-4 neurological dysfunction… ……………………………………………………
Hisaaki UCHIKADO, M.D., et al.

（Uchikado…Neuro-Spine…Clinic,…Fukuoka,…Fukuoka）

Five-year postoperative good outcomes of less invasive facet fusion with
191
MT3-5 percutaneous pedicle screw for degenerative lumbar spondylolisthesis… …
Tomohiro MIYASHITA, M.D., et al.

（Spine…Center,…Matsudo…City…General…Hospital,…Matsudo,…Chiba）

MT3-6

Microendoscopy assisted lumbar lateral interbody fusion: ME-LIF…………… 192
Motohide SHIBAYAMA, M.D., et al.

MT3-7

Relative surgical indications of BKP…………………………………………… 193
Yasuhiro NAKAJIMA, M.D., et al.

（Aichi…Spine…Hospital,…Inuyama,…Aichi）（Department…of…Neurosurgery,…Daido…Hospital,Nagoya,…Aichi）

85︵ Sat.
︶ Main…Hall…2
15…Sep.

Innovative procedure to reduce the invasiveness of lumbar interbody fusion
187
MT3-1 with percutaneous endoscopic lumbar discectomy……………………………
Yoshihiro ISHIHAMA, M.D., et al.

9：00〜10：00（60min.）…

Main Theme 4Countermeasures against complications
Chairpersons Shigeo SANO, M.D. Hideo HOSOE, M.D.

Unexpected reoperation rate within 1 year" is suitable for the quality
194
MT4-1 indicator of spine surgery………………………………………………………
Nobuhiro HARA, M.D., et al.

（Dept.of…Orthopaedics,…Musashino…Red…Cross…Hospital,…Musashino,…Tokyo）

MT4-2

MT4-3

Management of complications in anterior cervical fusion …………………… 195
Izumi KOYANAGI, M.D., et al.

（Department…of…Neurosurgery,…Hokkaido…Neurosurgical…Memorial…Hospital,…Sapporo,…Hokkaido）

Severe intracranial complication due to dural defect………………………… 196
Masahiro HIRAHATA, M.D., et al.

（Department…of…Orthopaedic…Surgery,…Teikyo…University…School…of…Medicine,…Itabashi,…Tokyo）

Risk assessment of lumbar segmental artery on intervertebral disc during
197
MT4-4 lateral interbody fusion…………………………………………………………
Taketoshi KUSHIDA, M.D., et al.

（Department…of…Orthopaedic…Surgery,…Kansai…Medical…University…Hospital,…Hirakata,…Osaka）

Incidence of vertebral artery injuries and herniated disc fragments incervical facet dislocations - prevention of reduction- induced neurologicalMT4-5 deterioration-…………………………………………………………………… 198
Takamitsu TOKIOKA, M.D., et al.

（Dept.…of…Orthopedic…surgery, Kochi…Health…Science…Center,…Kochi、Kochi）

IIn Vitro Evaluation of the Anatomical Shape of the Vertebraefor Avoidance ofWrong-level Thoracic Spine Surgery… ……………………………………… 199
MT4-6
Kiyoshi ITO, M.D., et al.

（Department…of…Neurosurgery…and…Shinshu…University,…School…of…Medicine,…Matsumoto,…
Nagano）

Efficient search of venous thromboembolism in the perioperative period of200
MT4-7 lumbar spine disease……………………………………………………………
Takashi IMURO, M.D., et al.

（Orthopedic…Department,…Atsugi…city…Hospital,…Atsugi,…Kanagawa）

10：00〜10：05…

Break

86

10：05〜11：05（60min.）…

Spine Leader's Lecture 8（Postgraduate Lecture of JOA）
10：05〜10：35（30min.）Chairperson Katsushi TAKESHITA, M.D.

SLL8-1

So KATO, M.D.（…Orthopedic… Department,… Faculty… of… Medicine,… The… University… of… Tokyo…
Bunkyo,…Tokyo）

Clinical practice of spinal surgery in North America… …………………… 145（NexMed International Co., Ltd.）
10：35〜11：05（30min.）Chairperson Shigeo UEDA, M.D.
Motoo KUBOTA, M.D.（…D epartment… of… Spinal… Surgery,… Kameda… Medical… Center,…
Kamogawa,…Chiba）

Biomechanical Analysis using Finite Element Method……………………… 147（Research Center of Computational Mechanics, Inc.）
11：05〜11：20…

Break

11：20〜12：20（60min.）…

Luncheon Seminar 4（Postgraduate Lecture of JOA）
Chairperson Junichi KUNOGI, M.D.

LS4

Hideki OTA, M.D.（…OITA…ORTHOPEDIC…HOSPITAL,…Oita,…Oita）

Usefulness and limitation of non-fusion stabilization for lumbar degenerative
disease with instability……………………………………………………… 163（OHWA TSUSHO CO.,LTD）

12：20〜12：30…

Break

14：00〜15：00（60min.）…

Spine Leader's Lecture 10（Postgraduate Lecture of JOA）
14：00〜14：30（30min.）Chairperson Hisanori MIHARA, M.D.

87

（ Sat.
） Main Hall 2
15 Sep.

SLL8-2

SLL10-1 Kei MIYAMOTO, M.D.（…Gifu…Municipal…Hospital,…Gifu,…Gifu）
Surgical treatment for spinal pathologies at cervico-thoracic junction…… 153（GLOBUS MEDICAL JAPAN, INC.）
14：30〜15：00（30min.）Chairperson Takeshi UMEBAYASHI, M.D.

SLL10-2 Kenichiro SAKAI , M.D.（…Orthopedic…Department,…Saiseikai…Kawaguchi…General…Hospital,…
Kawaguchi,…Saitama）

Surgical choice and ingenuity of anterior and posterior procedures for
cervical degenerative diseases… ………………………………………… 155（B. Braun Aesculap Japan Co., Ltd.）
15：00〜16：00（60min.）…

Tea Time Seminar 2（Postgraduate Lecture of JOA）
Chairperson Takanori SAITO, M.D.

TT2

Yasushi…OSHIMA,…M.D.

Complications in less invasive spine surgery……………………………… 167（NexMed International Co., Ltd.）

16：00〜16：05…

Break

16：05〜17：05（60min.）…

Hands-on Session 2（Postgraduate Lecture of JOA）
HO2

Masashi…NEO,…M.D.（…D epartment… of… Orthopedic… Surgery,… Osaka… Medical… College,…
Takatsuki,…Osaka）

Posterior cervical instrumentation using pre-and intra-operative-CT-basednavigation system…………………………………………………………… 169（Johnson and Johnson K.K. DePuy Synthes）（Brainlab Japan）
17：05〜17：10…

Break

17：10〜18：00（50min.）…

Free Papers 10 Complications
Chairpersons Kiyoshi ITO, M.D. Hitoshi HASE, M.D.

88

F10-1F10-2

Complications and clinical results for rheumatoid lumbar disorders………… 258
Ryo FUKUSHIMA, M.D., et al.

（Orthopedic…Department,…Sagamihara…National…Hospital,…Sagamihara,…Kanagawa）

Airway obstruction after multilevel anterior cervical decompression andfusion surgery… ……………………………………………………………… 259
Atsuomi AIBA, M.D., et al.

（Orthopedic…Department,…Numazu…City…Hospital,…Numazu,…Shizuoka）

F10-3

The influence of anti-platelet and anti-coagulate agent on perioperative
bleeding in lumber laminectomy… …………………………………………… 260
Miyuki FUKUDA, M.D., et al.

（Shin-aikai…Spine…Center,…Katano,…Osaka）

F10-4（NeuroSpinal…Surgery,…Hokkaido…Ohno…Memorial…Hospital,…Sapporo,…Hokkaido）

A case report of delayed onset fungal discitis at proximal junctional level
after MIS-TLIF in non-compromised host……………………………………… 262
Naoki OKAMOTO, M.D., et al.

（Orthopedic…Department,…Misyuku…Hospital,…Meguro,…Tokyo）

F10-6

Vertebroplasty with posterior fixation in case who had vertebral wall defectcaused by oeteoporotic vertebral fracture…………………………………… 263
Toshiyuki TAKAHASHI, M.D., et al.

（Spinal…Disorders…Center,…Fujieda…Heisei…Memorial…Hospital,…Fujieda,…Shizuoka）

89（ Sat.
） Main Hall 2
15 Sep.

F10-5Complication of OLIF-avoidance and treatment for vascular injury… ……… 261
Hitoshi HAYASE, M.D,, et al.

15 September（Sat.）
Main Hall 3: Kirishima
7：30 Registration
8：00〜9：00（60min.）…

Free Papers 7 Surgical techniques

Chairpersons Kazunari KOGURE, M.D. Futoshi SUETSUNA, M.D.

F7-1

Syringo-peritoneal CSF shunt for syringomyelia associated with spinal
adhesive arachnoiditis… ……………………………………………………… 240
Kentaro NAITO, M.D., et al.

F7-2

Usefuness of laminoplasty basket for thoracic spine surgery… …………… 241
Daisuke UMEBAYASHI, M.D., et al.

F7-3（Department…of…Neurosurgery,…Osaka…City…University…Graduate…School…of…Medicine,…Osaka,…
Osaka）（Department…of…Neurosurgery,…Kyoto…Prefectural…University…of…Medicine,…Kyoto,…Kyoto）

The significance of using the titanium spacer in cervical laminoplasty, side
effect… ………………………………………………………………………… 242
Kazunari KOGURE, M.D., et al.

（Department…of…Neurological…surgery,…Nippon…Medical…School,…Tama,…Tokyo）

F7-4

F7-5

F7-6

Wrapping surgery for symptomatic Tarlov cyst……………………………… 243
Taku SUGAWARA, M.D., et al.

（Department…of…Spinal…Surgery…and…Neurosurgery,…Instutute…for…Brain…and…Blood…Vessels,…
Akita,…Akita）

Proper using various type of drill tips for different purpose… ……………… 244
Nobuyuki SHIMOKAWA, M.D., et al.

（Department…of…Neurosurgery,…Tsukazaki…Hospital,…Himeji,…Hyogo）

Usefulness of cervical pedicle marker before cervical pedicle screw insertion
in hybrid operation room… …………………………………………………… 245
Hiroshi MIYAMOTO, M.D., et al.

（Dept.…of…Orthopaedic…Surg.,…Kindai…university…Hospital,…Osakasayama,…Osaka）

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Free Papers 8 Treatment indications

Chairpersons Nobuyuki SHIMOKAWA, M.D. Toshikatsu MAMADA, M.D.

F8-1

Analysis of treatment of osteoporotic vertebral fracture in our hospital Importance of appropriate and early treatment -……………………………… 246
Kento TAKEBAYASHI, M.D., et al.

（Department…of…Spinal…surgery,…Kameda…Medical…Center,…Kamogawa,…Chiba）

F8-2（Orthopedic…Department…Spine…Center,…Niigata…Central…Hospital,…Niigata,…Niigata,
Kawaguchi,Saitama）

Surgical managemetn of infectious spondylitis with acute paraplegia ofupper thoracic spine.Which surgical methods we should choose in case of
emergency……………………………………………………………………… 248
Masanori IZEKI, M.D., et al.

（Orthopedic…Department,…Kansai…Electric…Power…Hospital,…Osaka,…Osaka）

F8-4

Comparison of pelvic incidence angles between 3D-CT and standing lateral
X-ray images… ………………………………………………………………… 249
Taketoshi KUSHIDA, M.D., et al.

（Department…of…Orthopaedic…Surgery,…Kansai…Medical…University,…Hirakata,…Osaka）

F8-5

A case study in which the sacral Alar-iliac screw was fixed by using one sideof the L5/S posterior lumbar interbody fusion………………………………… 250
Taro YAMAUCHI, M.D., et al.

（Orthopedic…Department,…Okayama…Rousai…Hospital,…Okayama,…Okayama）

91（ Sat.
） Main Hall 3
15 Sep.

F8-3Frequency of cervical thoracic cord compression in patients undergoing
operations for lumber spinal canal stenosis………………………………… 247
Tatsuo MAKINO, M.D., et al.

15 September（Sat.）
Poster Session Room Hotaka/Rokko（3F）
12：45〜13：45（60min.）…

Poster Session 2-1
Cervical spine 2

Chairperson Hitoshi KONO, M.D.

P2-1-1 Treatment for two cases with difficulty to gaze forward dropped head
syndrome… …………………………………………………………………… 304
Hideo HOSOE, M.D.

（Orthopedic…Department,…Gifu…Prefectural…General…Medical…Center,…Gifu,…Gifu）

P2-1-2 C7 Posterior Subtraction Osteotomy… ……………………………………… 305
Takeshi UMEBAYASHI, M.D.

（Spine…Suregery,…Shinagawa…Shishokai…Hospital,…Shinagawa,…Tokyo）

P2-1-3 Cervical kyphosis which was treated by two-staged correction surgery
including posterior osteotomy: Case report…………………………………… 306
Yohei YOKOYAMA, M.D., et al.

（Department…of…Spinal…Surgery,…Kameda…Medical…Center,…Kamogawa,…Chiba）

P2-1-4 Breakage of C7 pedicle screws… …………………………………………… 307
Kei MIYAMOTO, M.D., et al.

（Orthopedic…Department,…Gifu…Munincipal…Hospital,…Gifu,…Gifu）

P2-1-5 Tips of the injury case of the artificial intervertebral disk…………………… 308
Isao KITAHARA, M.D., et al.

（The…Department…of…Neurosurgery,…Chiba…Tokushukai…Hospital,…Kamogawa,…Chiba）

P2-1-6 Surgical outcomes of multilevel posterior decompression and fusion using
short mono-cortical mid-cervical anchor screws……………………………… 309
Taito ITABASHI, M.D., et al.

（Orthopedic…Department,…Towada…City…Hospital,…Towada,…Aomori）

P2-1-7 The effectiveness of navigation drill Stealth Midas in fixation of the CervicalThoracic Spine… ……………………………………………………………… 310
Hiroaki MANABE. M.D., et al.

（Spine…center,…Shin-aikai…Hospital,…Katano,…Osaka）

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P2-1-8 A case of posterior fusion surgery for cervical spine metastasis in malebreast cancer…………………………………………………………………… 311
Toma YANO, M.D., et al.

（Department…of…Orthopedic…Surgery,…Osaka…Medical…College,…Takatsuki,…Osaka）

Poster Session 2-2
Spinal tumors, Spinal vascular lesions
Chairperson Minoru HOSHIMARU, M.D.

P2-2-1 Solitary fiburous tumor/hemangiopericytoma in cervical spine……………… 312
Yasufumi OHTAKE, M.D., et al.

（Department…of…neurosurgery/Spine&peripheral…nerve…center,Nakamura…Memorial…
Hospital,Sapporo,…Hokkaido,）（Department…of…Spinal…Surgery,…Kameda…Medical…Center,…Kamogawa,…Chiba）

P2-2-3 A case of neurinoma of the conus medullaris suffering from Th12 vertebral
fracture with Magnetic Resonance-conditional Pacemaker-case report-…… 314
Tomoaki FUJITA, M.D., et al.

（Shin-aikai…Spine…Center,…Katano…Hospital,…Katano,…Osaka）

P2-2-4 A case report of thoracic spinal cord meningioma of the form same asneurinoma… …………………………………………………………………… 315
Tsuyoshi HARAKUNI, M.D.

（Neurosurgery…Department,…Urasoe…Sogo…Hospital,…Urasoe,…Okinawa）

P2-2-5 A case of spinal arteriovenous shunt with difficulty inpreoperative diagnosis………………………………………………………… 316
Susumu UCHIDA, M.D., et al.

（Department…of…Neurosurgery,…Faculty…of…Medicene,…Yufu,…Oita）

P2-2-6 3D MR myelography / CTA fusion image in preoperative planning for atypicalspinal dAVF: a case report… ………………………………………………… 317
Hironori FURUKAWA, M.D., et al.

（Department…of…Neurosurgery,…Hokuto…Hospital,…Obihiro,…Hokkaido）

P2-2-7 Trapping of ruptured posterior spinal artery aneurysm withneurophysiological monitoring: Case report…………………………………… 318
Yohei YOKOYAMA, M.D., et al.

（Department…of…Spinal…Surgery,…Kameda…Medical…Center,…Kamogawa,…Chiba）

93

（ Sat
） Poster Session Room
15 Sep.

P2-2-2 Retroperitoneal approach to Schwannoma in iliopsoas major muscle: Case
report…………………………………………………………………………… 313
Yohei YOKOYAMA, M.D., et al.

P2-2-8 Epigastralgia resulting from dural arteriovenous fistula as a late complicationof T9 vertebral fracture: Case report… ……………………………………… 319
Takafumi INOUE, M.D., et al.

（Dept.of…Spine…and…Spinal…surgery,…Shin-Takeo…Hospital,…Takeo,…Saga）

P2-2-9 Intraoperative angiography for the treatment of the spinal arteriovenous
malformations…………………………………………………………………… 320
Keiichi AKATSUKA, M.D., et al.

（Department…of…Neurosurgery,…Tottori…Municipal…Hospital,…Tottori,…Tottori）

Poster Session 2-3
Lumbar spine 2

Chairperson Tomohiro MIYASHITA , M.D.

P2-3-1 ISurgical management for lumbar degenerative spondylolisthesis… ……… 321
Tomohiro MURAKAMI, M.D., et al.

（Department…of…Neurosurgery,…Hokkaido…Ohno…Memorial…Hospital,…Sapporo,…Hokkaido）

P2-3-2 HA block vertebroplasty; Correlation between block filling rate and change ofvertebral hight and local kyphosis… ………………………………………… 322
Koshi NINOMIYA, M.D., et al.

（Department…of…Neurosurgery,…Saso…Hospital,…Nishinomiya,…Hyogo）

P2-3-3 Early surgical outcome of posterior fixation with percutaneous pedicle screw
and balloon kyphoplasty… …………………………………………………… 323
Kento TAKEBAYASHI, M.D., et al.

（Department…of…Spinal…surgery,…Kameda…Medical…Center,…Kamogawa,…Chiba）

P2-3-4 Usefulness of unilateral insertion of bullet shape cage for single level TLIF…… 324
Tomohiro IZUMI, M.D., et al.

（Spine…Center,…Department…of…Orthopedic…Surgery,…Niigata…Central…Hospital,…Niigata,…Niigata）

P2-3-5 Comparison of postoperative short term outcomes following transforaminal
lumbar interbody fusion using Trabecular Metal cages and PEEK cages…… 325
Takuya YAMANAKA, M.D., et al.

（Orthopedic…Department,…Yuki…Hospital,…Yuki,…Ibaraki）

P2-3-6 Surgical outcome of in-situ PLIF combined PLF for lumbar DSA… ………… 326
Hidemasa UMEKOJI, M.D., et al.

（Dept.…of…Spine…Surgery,…JCHO…Tokyo…Yamate…Medical…Center,…Shinjuku,…Tokyo）

P2-3-7 Investigation on subsidence of cages in the postoperative
course of XLIF… ……………………………………………………………… 327
Fumiko SAIKI, M.D., et al.

（IOrthopaedic…Department,…Yokohama…Rosai…Hospital,Yokohama,…Kanagawa）

94

P2-3-8 Best Practices in the safe and proper placement of OLIF andXLIF retractors… ……………………………………………………………… 328
Tsuyoshi OKUDAIRA（Orthopedic…Department,…Nagasaki…Rosai…Hospital,…Sasebo,…Nagasaki）

P2-3-9 Examination of the clinical courses in cases with using thrombin-gelatin
hemostatic matrix in lumbar spinal surgery…………………………………… 329
Tomoaki FUJITA, et al.

（Shin-aikai…Spine…Center,…Katano…Hospital,…Katano,…Katano,…Osaka）

Poster Session 2-4
Lumbar and sacral spine
Chairperson Sei TERAYAMA, M.D.

（Spine…center,…Fuji…Toranomon…Orthopaedic…Hospital,…Gotemba,…Shizuoka）

P2-4-2 Combined use of Sacral alar-iliac screw and iliac screw using O-arm andnavigation system……………………………………………………………… 331
Osamu MATSUSHIGE, M.D., et al.

（Hachioji…spine…clinic,…Hachioji,…Tokyo）

P2-4-3 Bilateral iliac screw and rod fixation contributes to improvement of ADL in
painful bed-ridden elderly cases of sacral insufficiency fracture… ………… 332
Shinji KUMAMOTO, M.D., et al.

（Department…of…Spinal…Surgery,…Fukuoka…Kinen…Hospital,…Fukuoka,…Fukuoka）

P2-4-4 XLIF trials placed in adjacent discs, utilized as vertebral osteotomy guides in
X-CORE vertebral replacement………………………………………………… 333
Tsuyoshi OKUDAIRA, M.D., et al.

（Orthopedic…Department,…Nagasaki…Rosai…Hospital,…Sasebo,…Nagasaki）

P2-4-5 Anterior and Posterior screwing for lumbar bursting fracture:
Case report…………………………………………………………………… 334
Yohei YOKOYAMA, M.D., et al.

（Department…of…Spinal…Surgery,…Kameda…Medical…Center,…Kamogawa,…Chiba）

P2-4-6 Revision surgery for severe kyphotic thoracic and lumbar spine by twostaged surgery: Case report…………………………………………………… 335
Yohei YOKOYAMA, M.D., et al.

（Department…of…Spinal…Surgery,…Kameda…Medical…Center,…Kamogawa,…Chiba）

95

（ Sat
） Poster Session Room
15 Sep.

P2-4-1 Percutaneous endoscopic lumbar decompression for foraminal stenosis atlumbar and lumbosacral junction… …………………………………………… 330
Shuntaro TSUCHIDA, M.D., et al..

P2-4-7 A case of anaphylactic shock due to vancomycin in revision surgery of adultspinal deformity ………………………………………………………………… 336
Takashi KUNIYA, M.D., et al.

（Department…of…Orthopaedics,…Kanto…Rosai…Hospital,…Kawasaki,…Kanagawa）

P2-4-8 A case study of thoratic epidural empyema treated with percutaneousendoscopic drainage…………………………………………………………… 337
Yasuyoshi MIYAO, M.D., et al.

（Departmnt…of…Neurosurgery,…Suita…Municipal…Hospital,Suita,…Osaka）

P2-4-9 A case of huge medial lumbar disc herniation removed by a transduralapproach………………………………………………………………………… 338
Keishi TSUNODA, M.D., et al.

（Depertment…of…Neurosurgery,…Nagasaki…University…Hospital,…Nagasaki,…Nagasaki）

Poster Session 2-5 Preoperative diagnosis,
Countermeasures against complications
Chairperson Takashi IMURO, M.D.

P2-5-1 Relationship between the self-report questionnaire for Flailty scores and thewalking speed in the elderly patient who undergo spine surgery… ………… 339
Yusuke ITO, M.D., et al.

（Orthopaedic…Department,…Musashino…RedCross…Hospital,…Musashino,…Tokyo）

P2-5-2 Easy to overlook Sacral insufficiency fracture complicated withspondylolisthesis… …………………………………………………………… 340
Taigo KAWAOKA, M.D.

（Kawasaki…Hospital,…Yame,…Fukuoka）

P2-5-3 Usefulness of simultaneous cone-beam CT and root block for Ossification ofyellow ligament on extra foramen: Case report… …………………………… 341
Yohei YOKOYAMA, M.D., et al.

（Department…of…Spinal…Surgery,…Kameda…Medical…Center,…Kamogawa,…Chiba）

P2-5-4 A case of L3/4 foraminal unusual mass causing L3 radiculopathy… ……… 342
Yasuyuki MIYOSHI, M.D., et al.

（Department…of…Neurosurgery,…Kawasaki…Medical…School…General…Medical…Center…,…Okayama,…
Okayama）

P2-5-5 Idiopathic lumbar pedicle fracture……………………………………………… 343
Kyongsong KIM, M.D., et al.

（Department…of…Neurosurgery,…Chiba…Hokuso…Hospital,…Nippon…Medical…School,…Inzai,…Chiba）

P2-5-6 Risk assessment of the deep vein thrombosis in the spinal disorders withcompared to other orthopedic diseases… …………………………………… 344
Ikkuo AITA, M.D., et al.

（Orthopdedic…Department,…Tsukuba…Medical…Center…Hospital,…Tsukuba,…Ibaraki）

96

P2-5-7 A study on 80 cases developed deep surgical site infection SSI following
posterior spinal instrumented fusion surgeries using multicenter SSI
surveillance database… ……………………………………………………… 345
Satoshi OGIHARA, M.D., et al.

（Orthopedic…Department,…Saitama…Medical…Center,…Saitama…Medical…University,…Kawagoe,…
Saitama）

P2-5-8 Prospective multicenter surveillance and risk factor analysis of deep
surgical site infection after posterior spinal instrumented fusion surgery inadults…………………………………………………………………………… 346
Satoshi OGIHARA, M.D., et al.

（Orthopedic…Department,…Saitama…Medical…Center,…Saitama…Medical…University,…Kawagoe,…
Saitama）

P2-5-9 Successfully treatment for common peroneal nerve entrapment of the elderly
failed back surgery syndrome… ……………………………………………… 347
Naotaka IWAMOTO, M.D., et al.

（Department…of…Neurosurgery,…Teikyo…University…School…of…Medicine,…Itabashi,…Tokyo）（ Sat） Poster Session Room
15 Sep.

97