76 LOrthopédie 1a 1b ,530 3, , , / Ⅱ

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1 Ⅰ Orthopedic surgery 1741Nicolas Andry LOrthopédie Andrystraightfree from deformity orthoschild paidion Orthopédie (a) (b) 1 alorthopédie b Kazuhisa Takahashi. Department of Orthopedic Surgery: Pedigree of studies. Department of Orthopedic Surgery, Graduate School of Medicine, Chiba University, Chiba Phone: Fax: @faculty.chiba-u.jp Received January 25, 2016.

2 76 LOrthopédie 1a 1b ,530 3, , , / Ⅱ

3 77 Lafferty2 Fatigue characteristics of posterior elements of vertebrae Halopelvic distraction apparatus Halo-pelvic relaxation relaxation Relaxation rate Relaxation rate 0 Halo-pelvic distraction 4 Mayo ClinicOrthopaedic Biomechanics Laboratoryresearch fellow fellow Mayo ClinicChao 50,0005,000 Mayo Clinic 2 5 Mayo X 3 35Mayo

4 78 X Yau Yau International Society for the Study of the Lumbar Spine ISSLS The change of intradiscal pressure after chymopapain injection Spine ISSLS ISSLS ISSLS 2013 ISSLS 5 15 Support from the world and gifts to the world 8, anterior two-rod plate Dysplastic type 5

5 Ⅲ 3 Anterior two-rod plate 4 Dysplastic type Dysplastic type a b 9 c 3 (a) (b) (c)

6 % 40% % n93 n

7 CAL 8 CAL CAL n93 n , CAL

8 Pleasure of Discovery 10 Ⅳ PMDA Academia, Physician scientists, autonomy 11 Professional autonomy

9 83 Quality-adjusted life year QALY QOL utility QALY QALY professional autonomy Globalization first author13 International Collaboration Beyond the Culture GapISSLS Competition is important, but collaboration is more important. 12

10 84? 1 Yoshimura N, Muraki S, Oka H, Mabuchi A, En-Yo Y, Yoshida M, Saika A, Yoshida H, Suzuki T, Yamamoto S, Ishibashi H, Kawaguchi H, Nakamura K, Akune T. Prevalence of knee osteoarthritis, lumbar spondylosis, and osteoporosis in Japanese men and women: the research on osteoarthritis/osteoporosis against disability study. J Bone Miner Metab 2009; 27: Lafferty JF, Winter WG, Gambaro SA. Fatigue characteristics of posterior elements of vertebrae. J Bone Joint Surg Am 1977; 59: : 1977; 4: Takahashi K. Biomechanical study of the deformed spine treated by Chiba University-type halo-pelvic distraction apparatus. 1981; 55: Takahashi K, Chao EYS, Laughman RK, Sim FH. Functional results in patients with custom-made hip and knee implants. In: Chao EYS and Ivins JC ed, Tumor Prostheses for Bone and Joint Reconstruction, New York: Thieme-Stratton Inc., 1982: An KN, Chao EYS. X 1982; 33: Takahashi K, Inoue S, Takada S, Nishiyama H, Mimura M, Wada Y. Experimental study on chemonucleolysis with special reference to the change of intradiscal pressure. Spine 1986; 11: Takahashi K ISSLS presidential address, Support from the world and gifts to the world. Spine 2014; 39: anterior two-rod instrumentation 1985; 16: Takahashi K. Pleasure of discovery: why we love research. J Orthop Sci 2013; 18: ; 15: Kikuchi S. International collaboration beyond the culture gap. 2006; 12:

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