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9275 842016 2016 1 25 4546 Ⅰ 1874 7 188720 190134 192312 193712 194924 142 1920 6 1880 5 6 1954 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 260-8670. Phone: 043-226-2117. Fax: 043-226-2116. E-mail: 19501114@faculty.chiba-u.jp Received January 25, 2016.

76 LOrthopédie 1a 1b 40616 1887 1926 9 12,530 3,790 6401,070 1 4,700 2 3 4 56 57 1 51 195429 7 16 29 4 10 5 1/10 64688087 80 43 2 2 3 Ⅱ 1950251114 44 1 45

77 Lafferty2 Fatigue characteristics of posterior elements of vertebrae 45 822332.2 5 2 2.54.2 3 3 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 100 2 X 3 35Mayo

78 X 6 198459 Yau 6 7 30 Yau 198560 International Society for the Study of the Lumbar Spine ISSLS The change of intradiscal pressure after chymopapain injection Spine 7 0 2 198560 ISSLS ISSLS 1 90 2013 2 ISSLS 2013 ISSLS 5 15 Support from the world and gifts to the world 8, anterior two-rod plate 9 4 2 3 Dysplastic type 5

79 4 2 2 5 30 19 Ⅲ 3 Anterior two-rod plate 4 Dysplastic type 2 5 30 Dysplastic type a b 9 c 3 (a) (b) (c) 19 9 15 29

80 30 6 1990 10 600 60% 40% 20061070% 7 64 10 6 7 2013 9343 1 2 6 1 n93 n43 18 4 2 1 14 4 2 13 4 2 8 4 1 1 6 4 1 1 5 1 4 2 1 4 1 1 3 2 1 3 1 1 2 5 9

81 7 2210 CAL 8 CAL CAL 9 10 2 n93 n43 40 11 30 15 4,5 8 4 6 7 6 1 2 2 1 1 2 10 8 CAL 11 9 12

82 2001 3011 80 12 20131017Pleasure of Discovery 10 Ⅳ PMDA Academia, Physician scientists, autonomy 11 Professional autonomy

83 Quality-adjusted life year QALY QOL utility 1 0 0.8 5 QALY 0.8 5 4QALY professional autonomy Globalization first author13 International Collaboration Beyond the Culture GapISSLS Competition is important, but collaboration is more important. 12

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: 620-8. 2 Lafferty JF, Winter WG, Gambaro SA. Fatigue characteristics of posterior elements of vertebrae. J Bone Joint Surg Am 1977; 59: 154-8. 3 : 1977; 4: 38-41. 4 Takahashi K. Biomechanical study of the deformed spine treated by Chiba University-type halo-pelvic distraction apparatus. 1981; 55: 411-23. 5 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: 439-50. 6 An KN, Chao EYS. X 1982; 33: 1456-8. 7 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: 617-20. 8 Takahashi K. 2013 ISSLS presidential address, Support from the world and gifts to the world. Spine 2014; 39: 855-7. 9 anterior two-rod instrumentation 1985; 16: 56-60. 10Takahashi K. Pleasure of discovery: why we love research. J Orthop Sci 2013; 18: 685-6. 11 2004; 15: 412-20. 12Kikuchi S. International collaboration beyond the culture gap. 2006; 12: 16-28.