{"id":2257,"date":"2017-07-30T17:25:10","date_gmt":"2017-07-30T08:25:10","guid":{"rendered":"http:\/\/info.chirosonomanma.com\/?p=2257"},"modified":"2026-03-22T16:17:09","modified_gmt":"2026-03-22T07:17:09","slug":"lets-consider-surgery-for-spinal-stenosis","status":"publish","type":"post","link":"https:\/\/chirosonomanma.com\/info\/lets-consider-surgery-for-spinal-stenosis\/","title":{"rendered":"\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u306e\u624b\u8853\u3092\u8003\u3048\u3088\u3046"},"content":{"rendered":"\n<p>\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u306f\u5e74\u9f62\u3092\u91cd\u306d\u308b\u3068\u597d\u767a\u3059\u308b\u3001<span class=\"swl-marker 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class=\"wp-block-heading\">\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u306e\u624b\u8853\u306f\u5fc5\u8981\u304b\uff1f\u8003\u3048\u308b\u60c5\u5831<\/h2>\n\n\n\n<p>\u307e\u305a1990\u5e74\uff5e2000\u5e74\u9803\u307e\u3067\u306e\u30c7\u30fc\u30bf\u3067\u3059\u3002\u3053\u306e\u9803\u3067\u3059\u3068\u533b\u7642\u6a5f\u95a2\u3067\u624b\u8853\u3092\u52e7\u3081\u3089\u308c\u3066\u3044\u308b\u65b9\u3082\u591a\u3044\u3088\u3046\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u30cd\u30c3\u30c8\u60c5\u5831\u3092\u63a2\u305b\u308b\u306e\u306f\u82e5\u3044\u4e16\u4ee3\u3067\u3059\u3002\u624b\u8853\u306e\u7a2e\u985e\u306b\u3088\u3063\u3066\u306f\u3001\u7121\u76ca\u306a\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u306e\u3067\u3001\u89aa\u621a\u5bb6\u65cf\u306b\u60c5\u5831\u5f31\u8005\u306e\u65b9\u304c\u3042\u308c\u3070\u3001\u30bb\u30ab\u30f3\u30c9\u30aa\u30d4\u30cb\u30aa\u30f3\u3068\u3057\u3066\u60c5\u5831\u63d0\u4f9b\u3057\u3066\u3042\u3052\u308b\u3068\u826f\u3044\u3067\u3057\u3087\u3046\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u690e\u5f13\u5207\u9664\u8853\uff08\u3064\u3044\u304d\u3085\u3046\u305b\u3064\u3058\u3087\u3058\u3085\u3064\uff09\u306f\u9577\u671f\u30b9\u30d1\u30f3\u3067\u5f97\u7b56\u3067\u306a\u3044<\/h3>\n\n\n\n<p>2026\u5e74\u306b\u3082\u306a\u308b\u3068\u9078\u629e\u306f\u7121\u3044\u3068\u601d\u3044\u307e\u3059\u304c\u3001\u690e\u5f13\u5207\u9664\u8853\u3068\u3044\u3046\u65b9\u6cd5\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u306e\u65b9\u6cd5\u306f\u7279\u306b\u304a\u30b9\u30b9\u30e1\u3067\u304d\u307e\u305b\u3093\u3002\u3082\u3057\u304a\u533b\u8005\u69d8\u306b\u4f55\u3089\u304b\u306e\u7406\u7531\u3067\u3053\u306e\u65b9\u6cd5\u3092\u52e7\u3081\u3089\u308c\u308b\u3088\u3046\u3067\u3057\u305f\u3089\u3001\u6539\u3081\u3066\u8003\u3048\u308b\u6750\u6599\u306b\u3057\u3066\u307f\u307e\u3057\u3087\u3046\u3002<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>1991\u5e74\u306e\u7814\u7a76<\/p>\n\n\n\n<p>\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u3068\u8a3a\u65ad\u3055\u308c\u305f\u8170\u4e0b\u80a2\u75db\u60a3\u800588\u540d\u3092\u5bfe\u8c61\u306b<strong>\u6e1b\u5727\u690e\u5f13\u5207\u9664\u8853<\/strong>\u306e\u6210\u7e3e\u30926\u5e74\u9593\u8ffd\u8de1\u3057\u305f\u7d50\u679c\u30011\u5e74\u5f8c\u306e\u6539\u5584\u7387\u306f89\uff05\u3060\u3063\u305f\u304c\u3001<strong>6\u5e74\u5f8c\u306b\u306f57\uff05\u306b\u4f4e\u4e0b\u305717\uff05\u306f\u518d\u624b\u8853\u3092\u53d7\u3051\u3066\u3044\u305f<\/strong>\u3053\u3068\u304b\u3089\u3001\u3053\u308c\u307e\u3067\u5831\u544a\u3055\u308c\u3066\u3044\u305f\u6210\u7e3e\u3088\u308a\u671f\u5f85\u3067\u304d\u306a\u3044\u3002<\/p>\n<cite><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed?term=katz%20jn%201991%20809-16\" target=\"_blank\" rel=\"noreferrer noopener\">(1991 Jul.Katz JN, Lipson SJ, Larson MG et al)<\/a><\/cite><\/blockquote>\n\n\n<div class=\"swell-block-balloon\"><div class=\"c-balloon -bln-left -sp-vrtcl\" data-col=\"blue\"><div class=\"c-balloon__icon -circle\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/chirosonomanma.com\/info\/wp-content\/uploads\/2013\/04\/cropped-itounomuscot1-150x150.png\" alt=\"\" class=\"c-balloon__iconImg\" width=\"80px\" height=\"80px\"><\/div><div class=\"c-balloon__body -speaking -border-none\"><div class=\"c-balloon__text\">\n<p>2020\u5e74\u4ee3\u306b\u306a\u308a\u307e\u3059\u3068\u3001\u6e1b\u5727\u8853\u3068\u3044\u3046\u65b9\u6cd5\u304c\u30e1\u30a4\u30f3\u306e\u3088\u3046\u3067\u3059\u3002\u305d\u3061\u3089\u306f\u30ea\u30b9\u30af\u306f\u5c11\u306a\u3044\u3067\u3059\u3002<\/p>\n<span class=\"c-balloon__shapes\"><span class=\"c-balloon__before\"><\/span><span class=\"c-balloon__after\"><\/span><\/span><\/div><\/div><\/div><\/div>\n\n\n<p>\u30ab\u30a4\u30ed\u30d7\u30e9\u30af\u30bf\u30fc\u3068\u3057\u3066\u306f\u4fdd\u5b58\u7642\u6cd5\u3092\u304a\u52e7\u3081\u3057\u307e\u3059\u304c\u3001\u7d76\u5bfe\u7684\u306a\u52b9\u679c\u304c\u8a8d\u3081\u3089\u308c\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p>\u65bd\u8853\u3068\u904b\u52d5\u7642\u6cd5\u3092\u7d9a\u3051\u3066\u3001\u5730\u9053\u306b\u6b69\u3051\u308b\u8ddd\u96e2\u3092\u5897\u3084\u3059\u3088\u3046\u306a\u5730\u5473\u306a\u56de\u5fa9\u306b\u306a\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u690e\u5f13\u5207\u9664\u624b\u8853\u3092\u53d7\u3051\u305f\u5834\u5408\u306e\u4e88\u5f8c\uff0810\u5e74\u5f8c\uff09<\/h3>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>1996\u5e74\u306e\u7814\u7a76<\/p>\n\n\n\n<p>\u8170\u90e8\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u306b\u3088\u308b<strong>\u690e\u5f13\u5207\u9664<\/strong>\u8853\u3092\u53d7\u3051\u305f\u60a3\u800588\u540d\u3092\u7d0410\u5e74\u9593\u8ffd\u8de1\u8abf\u67fb<\/p>\n\n\n\n<p>\u7d50\u679c\u300175\uff05\u304c\u624b\u8853\u306e\u7d50\u679c\u306b\u6e80\u8db3\u3057\u3066\u3044\u305f\u3082\u306e\u306e\u3001<strong>23\uff05\u304c\u518d\u624b\u8853\u3092\u53d7\u3051\u300133\uff05\u304c\u91cd\u5ea6\u306e\u8170\u75db<\/strong>\u3092\u8a34\u3048\u300153\uff05\u304c\uff12\u30d6\u30ed\u30c3\u30af\u7a0b\u5ea6\u306e\u8ddd\u96e2\u3082\u6b69\u3051\u306a\u3044\u3053\u3068\u304c\u5224\u660e\u3002<\/p>\n<cite><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/9122770\/\" data-type=\"link\" data-id=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/9122770\/\">Katz JN, Lipson SJ, Chang LC, Levine SA, Fossel AH, Liang MH. Seven- to 10-year outcome of decompressive surgery for degenerative lumbar spinal stenosis. Spine (Phila Pa 1976). 1996 Jan 1;21(1):92-8. doi: 10.1097\/00007632-199601010-00022. PMID: 9122770.<\/a><\/cite><\/blockquote>\n\n\n\n<p>1991\u5e74\u306820\u5e74\u524d\u306e\u7814\u7a76\u3067\u3001\u306a\u304a\u304b\u3064\u690e\u5f13\u5207\u9664\u8853\u3068\u3044\u3046\u80cc\u9aa8\u3092\u5207\u308a\u53d6\u308b\u624b\u8853\u306a\u306e\u3067\u3001\u3061\u3087\u3063\u3068\u53e4\u3044\u3084\u308a\u65b9\u3067\u3059\u3002\u6700\u8fd1\u3060\u3068\u5c0f\u3055\u306a\u7a74\u3092\u3042\u3051\u3066\u30c9\u30ea\u30eb\u3067\u7a74\u3092\u958b\u3051\u308b\u624b\u8853\u306a\u306e\u3067\u624b\u8853\u6210\u7e3e\u3082\u5909\u308f\u3063\u3066\u304d\u3066\u3044\u308b\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u306e\u81ea\u7136\u7d4c\u904e\u306f\u6bd4\u8f03\u7684\u826f\u597d\u3067\u3001\u99ac\u5c3e\u75c7\u5019\u7fa4\u306e\u7591\u3044\u304c\u306a\u3051\u308c\u3070\u624b\u8853\u3092\u9045\u3089\u305b\u3066\u3082\u554f\u984c\u306a\u3044\u3053\u3068\u304c\u660e\u3089\u304b\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u624b\u8853\u3092\u6c7a\u65ad\u3059\u308b\u969b\u3001\u5fc5\u305a\u3057\u3082\u5168\u4f8b\u304c\u5b8c\u6cbb\u3059\u308b\u308f\u3051\u3067\u306f\u306a\u3044\u3053\u3068\u3092\u77e5\u3063\u3066\u304a\u304f\u3079\u304d\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u810a\u690e\u306e\u624b\u8853\u3092\u3055\u308c\u305f\u5f8c\u306e\u50b7\u8de1\u306f\u3001\u304b\u306a\u308a\u75db\u307f\u3092\u767a\u3057\u3084\u3059\u3044\u3068\u3044\u3046\u5370\u8c61\u3067\u3059\u3002\u30de\u30a4\u30aa\u30bb\u30e9\u30d4\u30fc\u00ae\u3067\u65bd\u8853\u3092\u3059\u308b\u3068\u30ab\u30c1\u30b3\u30c1\u306b\u56fa\u307e\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u200e2010\u5e74\u9803\u8fc4\u3001\u5145\u5206\u306a\u6839\u62e0\u306e\u306a\u3044\u307e\u307e\u624b\u8853\u4ef6\u6570\u306f\u3046\u306a\u304e\u6607\u308a<\/h3>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>1996\u5e74\u7814\u7a76\u3001\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u3078\u306e\u624b\u8853\u306e\u6839\u62e0\u306f\u5c11\u306a\u3044<\/p>\n\n\n\n<p>65\u6b73\u4ee5\u4e0a\u306e\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u306b\u3088\u308b\u624b\u8853\u4ef6\u6570\u306f1979\u5e74\uff5e1992\u5e74\u306b\u304b\u3051\u3066<em>8\u500d<\/em>\u306b\u5897\u52a0\u3057\u3066\u304a\u308a\u3001\u5730\u57df\u306b\u3088\u3063\u30665\u500d\u306e\u5dee\u304c\u751f\u3058\u3066\u3044\u308b\u3002<\/p>\n\n\n\n<p>\u624b\u8853\u6210\u7e3e\u306b\u95a2\u3059\u308b\u5341\u5206\u306a\u60c5\u5831\u304c\u306a\u3044\u307e\u307e\u3001<a href=\"https:\/\/chirosonomanma.com\/dangerous-chiro-neck\/#jump01\">\u751f\u6b7b\u306b\u304b\u304b\u308f\u308b\u6cbb\u7642<\/a>\u3092\u9078\u629e\u305b\u3056\u308b\u3092\u5f97\u306a\u3044\u72b6\u6cc1\u306f\u597d\u307e\u3057\u304f\u306a\u3044\u3002<\/p>\n<cite><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/8600197\/\" data-type=\"link\" data-id=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/8600197\/\">Ciol MA, Deyo RA, Howell E, Kreif S. An assessment of surgery for spinal stenosis: time trends, geographic variations, complications, and reoperations. J Am Geriatr Soc. 1996 Mar;44(3):285-90. doi: 10.1111\/j.1532-5415.1996.tb00915.x. PMID: 8600197.<\/a><\/cite><\/blockquote>\n\n\n\n<p>\u624b\u8853\u306e\u7a2e\u985e\u306b\u3082\u3088\u308a\u307e\u3059\u304c\u3001\u305d\u3053\u305d\u3053\u306e\u30ea\u30b9\u30af\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n<div class=\"wp-block-image size-medium wp-image-2010 is-style-default\">\n<figure class=\"aligncenter is-resized\"><img decoding=\"async\" width=\"300\" height=\"201\" src=\"https:\/\/chirosonomanma.com\/info\/wp-content\/uploads\/4b60672a9b784f2cf2558820e57d1353-300x201.jpg\" alt=\"\u30a8\u30d3\u30c7\u30f3\u30b9\u30ec\u30d9\u30eb\" class=\"wp-image-2010\" style=\"width:206px;height:138px\" srcset=\"https:\/\/chirosonomanma.com\/info\/wp-content\/uploads\/4b60672a9b784f2cf2558820e57d1353-300x201.jpg 300w, https:\/\/chirosonomanma.com\/info\/wp-content\/uploads\/4b60672a9b784f2cf2558820e57d1353.jpg 652w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption class=\"wp-element-caption\">\u4e0a\u3078\u3044\u304f\u307b\u3069\u8cea\u306e\u9ad8\u3044\u7814\u7a76<\/figcaption><\/figure>\n<\/div>\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>2000\u5e74\u9803\u307e\u3067\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u3078\u306e\u624b\u8853\u306e\u6709\u52b9\u6027\u306f\u8a3c\u660e\u3067\u304d\u3066\u3044\u306a\u304b\u3063\u305f<\/p>\n\n\n\n<p>\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u3078\u306e\u6e1b\u5727\u690e\u5f13\u5207\u9664\u8853\u306b\u95a2\u3059\u308b\u8ad6\u658774\u4ef6\u3092\u53b3\u5bc6\u306b\u691c\u8a0e\u3057\u305f\u7d50\u679c\u3001\u512a\u307e\u305f\u306f\u826f\u3068\u8a55\u4fa1\u3067\u304d\u305f\u306e\u306f\u5e73\u574764\uff05\u3060\u3063\u305f\u304c\u3001\u8ad6\u6587\u306b\u3088\u3063\u3066\u306f26\uff05\uff5e100\uff05\u3082\u306e\u958b\u304d\u304c\u3042\u308a\u3001\u7814\u7a76\u30c7\u30b6\u30a4\u30f3\u306b\u3082\u4e0d\u5099\u304c\u591a\u3044\u305f\u3081\u305d\u306e<strong>\u6709\u52b9\u6027\u306f\u8a3c\u660e\u3067\u304d\u306a\u3044<\/strong>\u3002<\/p>\n\n\n\n<p><strong>\u7d50\u679c\u3092\u4e88\u6e2c\u3059\u308b\u60a3\u8005\u306e\u7279\u5fb4\u306f\u307b\u3068\u3093\u3069\u898b\u3064\u304b\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/strong><\/p>\n<cite><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/1531550\/\" data-type=\"link\" data-id=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/1531550\/\">Turner JA, Ersek M, Herron L, Deyo R. Surgery for lumbar spinal stenosis. Attempted meta-analysis of the literature. Spine (Phila Pa 1976). 1992 Jan;17(1):1-8. doi: 10.1097\/00007632-199201000-00001. PMID: 1531550.<\/a><\/cite><\/blockquote>\n\n\n\n<p>\u624b\u8853\u3092\u3057\u3066\u3082\u3057\u3070\u3089\u304f\u3059\u308b\u3068\u3001\u307e\u3060\u75db\u307f\u304c\u6c17\u306b\u306a\u3063\u305f\u308a\u3001\u3042\u307e\u308a\u6539\u5584\u3057\u306a\u304b\u3063\u305f\u3068\u3044\u3046\u65b9\u304c\u5c45\u308b\u3053\u3068\u306f\u30012000\u5e74\u9803\u307e\u3067\u306b\u8a3c\u660e\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u305d\u306e\u5f8c\u306e\u7814\u7a76\u3067\u306f\u4f55\u304c\u5224\u3063\u3066\u304d\u305f\u306e\u3067\u3057\u3087\u3046\u304b\uff1f<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2018\u5e74\u306e\u6e1b\u5727\u8853+\u56fa\u5b9a\u8853\u7814\u7a76<\/h2>\n\n\n\n<p>\u5909\u6027\u8170\u690e\u72ed\u7a84\u75c7\u306b\u5bfe\u3059\u308b\u56fa\u5b9a\u8853\u306e\u6709\u7121:\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u304a\u3088\u3073\u7cfb\u7d71\u7684\u30ec\u30d3\u30e5\u30fc<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>\u5909\u6027\u8170\u690e\u7ba1\u72ed\u7a84\u75c7(DLSS)\u306f\u9ad8\u9f62\u8005\u306e\u6162\u6027\u8170\u75db\u306e\u4e3b\u306a\u539f\u56e0\u3067\u3059\u3002\u4fdd\u5b58\u7684\u6cbb\u7642\u306b\u62b5\u6297\u6027\u304c\u3042\u308b\u5834\u5408\u3001\u75c7\u72b6\u306e\u3042\u308b\u60a3\u8005\u306f\u4e00\u822c\u7684\u306b\u624b\u8853\u3092\u53d7\u3051\u307e\u3059\u3002\u3057\u304b\u3057\u3001\u878d\u5408\u8853\u304c\u6bd4\u8f03\u7684\u512a\u308c\u305f\u5916\u79d1\u7684\u9078\u629e\u80a2\u304b\u3069\u3046\u304b\u306f\u4f9d\u7136\u3068\u3057\u3066\u4e0d\u660e\u306a\u305f\u4f53\u7cfb\u7684\u30ec\u30d3\u30e5\u30fc\u3092\u884c\u3063\u305f\u3002<\/p>\n\n\n\n<p>\u6e1b\u5727\u5358\u72ec\u3068\u810a\u690e\u56fa\u5b9a\u8853\u306e\u6709\u52b9\u6027\u3092\u5909\u6027\u8170\u690e\u83c5\u72ed\u7a84\u75c7\u6cbb\u7642\u3092\u6bd4\u8f03\u3057\u305f\u521d\u3081\u3066\u306e\u3082\u306e\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u7d50\u679c\u306f\u3001\u6e1b\u5727\u8853\u306b<strong>\u8ffd\u52a0\u306e\u56fa\u5b9a\u624b\u8853\u304c\u5909\u6027\u8170\u690e\u83c5\u72ed\u7a84\u75c7\u60a3\u8005\u306b\u3001\u3088\u308a\u826f\u3044\u7d50\u679c\u3092\u3082\u305f\u3089\u3059\u53ef\u80fd\u6027\u306f\u4f4e\u3044<\/strong>\u3067\u3059\u3002\u30ea\u30b9\u30af\u3084\u30b3\u30b9\u30c8\u304c\u5897\u52a0\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u307e\u3059\u3002\u624b\u8853\u624b\u6280\u306b\u95a2\u3059\u308b\u3055\u3089\u306a\u308b\u8a3c\u62e0\u3092\u63d0\u4f9b\u3059\u308b\u305f\u3081\u306b\u306f\u3001\u9ad8\u54c1\u8cea\u3067\u5747\u8cea\u306a\u7814\u7a76\u304c\u5fc5\u8981\u3002<\/p>\n<cite>Shen J, Xu S, Xu S, Ye S, Hao J. Fusion or Not for Degenerative Lumbar Spinal Stenosis:<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29357326\/\" data-type=\"link\" data-id=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29357326\/\"> A Meta-Analysis and Systematic Review. Pain Physician. 2018 Jan;21(1):1-8. PMID: 29357326.<\/a><\/cite><\/blockquote>\n\n\n\n<p>\u9577\u3044\u76ee\u3067\u898b\u308b\u3068\u3001\u56fa\u5b9a\u3059\u308b\u624b\u8853\u306f\u305d\u308c\u307b\u3069\u6709\u76ca\u3067\u306f\u306a\u3044\u3088\u3046\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u306f\u3088\u304f\u75c5\u614b\u3092\u8868\u3059\u3053\u3068\u3070\u3067\u3001\u6587\u5b57\u901a\u308a\u810a\u67f1\u7ba1\u304c\u72ed\u304f\u306a\u3063\u3066\u3044\u308b\u3068\u3044\u3046\u72b6\u614b\u3092\u8868\u3059\u8a00\u8449\u3067\u306f\u306a\u3044\u3068\u8a00\u308f\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u5927\u639b\u304b\u308a\u306a\u624b\u8853\u304c\u826f\u304f\u306a\u3044\u3053\u3068\u306f\u9593\u9055\u3044\u306a\u3055\u305d\u3046<\/h3>\n\n\n\n<p>\u80cc\u4e2d\u3092\u958b\u3044\u3066\u3001\u3053\u306e\u80cc\u9aa8\u3092\u30c9\u30ea\u30eb\u3067\u524a\u3063\u3066\u7e2b\u3044\u5408\u308f\u305b\u308b\u308f\u3051\u3067\u3059\u304b\u3089\u8eab\u4f53\u306b\u826f\u3044\u308f\u3051\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p>\u30a4\u30f3\u30b9\u30c8\u30a5\u30eb\u30e1\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u624b\u8853\uff08\u91d1\u5c5e\u306e\u30cd\u30b8\u3068\u30d7\u30ec\u30fc\u30c8\u3092\u4f7f\u7528\uff09\u306b\u3088\u3063\u3066\u56fa\u5b9a\u529b\u3092\u5411\u4e0a\u3055\u305b\u3066\u3082\u3001\u305d\u308c\u304c\u81e8\u5e8a\u8ee2\u5e30\uff08\u6cbb\u7642\u6210\u7e3e\uff09\u306e\u6539\u5584\u306b\u7e4b\u304c\u3089\u306a\u3044\u3053\u3068\u3092\u660e\u3089\u304b\u306b\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"is-style-icon_announce\">\u3053\u308c\u306f\u56fd\u969b\u8170\u690e\u5b66\u4f1a\u3067\u30dc\u30eb\u30dc\u8cde\u3092\u53d7\u8cde\u3057\u305f\u7814\u7a76\u3067\u3059\u3002<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>\u810a\u67f1\u7ba1\u72ed\u7a84\u3092\u4f34\u3046\u5909\u6027\u8fb7\u308a\u75c7\u60a3\u800576\u540d\u3092\u5bfe\u8c61\u306b<\/p>\n\n\n\n<p>\u5668\u5177\u56fa\u5b9a\u7fa4<br>\u9aa8\u79fb\u690d\u56fa\u5b9a\u7fa4\u306e\u8853\u5f8c\u6210\u7e3e<\/p>\n\n\n\n<p>\u30922\u5e74\u9593\u8ffd\u8de1\u3057\u305fRCT\uff08\u6bd4\u8f03\u7814\u7a76\uff09\u306b\u3088\u308b\u3068\u3001\u5668\u5177\u56fa\u5b9a\u306b\u3088\u3063\u3066\u9aa8\u7652\u5408\u7387\u306e\u5411\u4e0a\u306f\u8a8d\u3081\u3089\u308c\u308b\u3082\u306e\u306e\u3001\u305d\u308c\u304c<strong>\u5fc5\u305a\u3057\u3082\u81e8\u5e8a\u75c7\u72b6\u306e\u6539\u5584\u306b\u7d50\u3073\u3064\u304b\u306a\u3044<\/strong>\u3053\u3068\u304c\u5224\u660e<\/p>\n<cite><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed?term=fischgrund%20js%201997%202807-12\">(1997 Dec,Fischgrund JS, Mackay M et al)<\/a><\/cite><\/blockquote>\n\n\n\n<p>\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u306e\u8a3a\u65ad\u304c\u51fa\u3066\u3044\u3066\u624b\u8853\u3092\u52e7\u3081\u3089\u308c\u3066\u3044\u308b\u5834\u5408\u306f\u3001\u3044\u308d\u3044\u308d\u3068\u8003\u3048\u3066\u624b\u8853\u3092\u9078\u629e\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u793a\u3059\u3082\u306e\u306f\u5fc5\u305a\u3057\u3082\u8ce2\u3044\u9078\u629e\u3067\u306f\u306a\u3044\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"\u810a\u690e\u56fa\u5b9a\u8853\u306e\u4e88\u5f8c\u306f\u826f\u304f\u306a\u3044\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/CB52P8Vbcq4?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u3067\u4e0b\u80a2\u75c7\u72b6\u304c\u3042\u308b\u5834\u5408<\/h2>\n\n\n\n<p>\u30a8\u30d3\u30c7\u30f3\u30b9\u533b\u7642\u3068\u8a00\u308f\u308c\u307e\u3059\u304c\u3001\u7814\u7a76\u306b\u306f\u83ab\u5927\u306a\u8cc7\u91d1\u304c\u5fc5\u8981\u3067\u3059\u3002\u3053\u306e\u8cc7\u91d1\u304c\u3069\u3053\u304b\u3089\u51fa\u3066\u3044\u308b\u304b\u3067\u7d50\u679c\u306e\u898b\u305b\u65b9\u304c\u5909\u308f\u3063\u3066\u304f\u308b\u306e\u3082\u4e8b\u5b9f\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u30922\u3064<\/h3>\n\n\n\n<p class=\"is-style-big_icon_check\">\u5148\u305a\u306f\u30d8\u30eb\u30cb\u30a2\u306e\u624b\u8853\u95a2\u9023\u4f1a\u793e\u304b\u3089\u306e\u8cc7\u91d1\u63d0\u4f9b\u304c\u3042\u308b\u8ad6\u6587\u304b\u3089\u3002<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>\u8170\u90e8\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u306e\u7ba1\u7406<br>\u8170\u90e8\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u306f\u3001<a href=\"https:\/\/chirosonomanma.com\/backpain-hubpage\/\" data-type=\"link\" data-id=\"https:\/\/chirosonomanma.com\/backpain-hubpage\/\">\u8170\u75db<\/a><span class=\"luxe-dot-hilight-blue\">\u306e\u6709\u7121\u306b\u304b\u304b\u308f\u3089\u305a\u3001\u81c0\u90e8\u307e\u305f\u306f\u4e0b\u80a2\u306e\u75db\u307f\u306e\u81e8\u5e8a\u75c7\u5019\u7fa4<\/span>\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3053\u308c\u306f\u8170\u690e\u306e\u795e\u7d4c\u3068\u8840\u7ba1\u30b9\u30da\u30fc\u30b9\u306e\u6e1b\u5c11\u306b\u95a2\u9023\u3057\u3066\u3044\u307e\u3059\u3002\u7acb\u3063\u305f\u308a\u3001\u6b69\u3044\u305f\u308a\u3001\u8170\u3092\u4f38\u3070\u3057\u305f\u308a\u3059\u308b\u3053\u3068\u3067\u60aa\u5316\u3057\u3001\u524d\u5c48\u3001\u5ea7\u308a\u3001\u307e\u305f\u306f\u6a2a\u81e5\u306b\u3088\u3063\u3066\u7de9\u548c\u3055\u308c\u308b\u3053\u3068\u304c\u3088\u304f\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u8170\u90e8\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u306e\u81e8\u5e8a\u30b1\u30a2\u3068\u7814\u7a76\u306f\u3001\u72b6\u614b\u306e\u4e0d\u5747\u4e00\u6027\u3001\u8a3a\u65ad\u3068\u7814\u7a76\u3078\u306e\u5305\u542b\u306e\u305f\u3081\u306e\u6a19\u6e96\u7684\u306a\u57fa\u6e96\u306e\u6b20\u5982\u3001\u304a\u3088\u3073\u5b8c\u5168\u306b\u75c7\u72b6\u304c\u306a\u3044\u304c\u753b\u50cf\u691c\u67fb\u3067\u72ed\u7a84\u7b87\u6240\u304c\u3042\u308b\u9ad8\u9f62\u8005\u304c\u304b\u306a\u308a\u306e\u7387\u3044\u308b\u3053\u3068\u3067\u8907\u96d1\u306b\u306a\u3063\u3066\u3044\u308b\u3002<\/p>\n\n\n\n<p>\u624b\u8853\u4ee5\u5916\u306e\u7ba1\u7406\u30aa\u30d7\u30b7\u30e7\u30f3\u306b\u306f\u3001\u85ac\u7269\u3001\u7406\u5b66\u7642\u6cd5\u3001\u810a\u690e\u6ce8\u5c04\u3001\u30e9\u30a4\u30d5\u30b9\u30bf\u30a4\u30eb\u306e\u5909\u66f4\u3001\u304a\u3088\u3073\u5b66\u969b\u7684\u306a\u30ea\u30cf\u30d3\u30ea\u30c6\u30fc\u30b7\u30e7\u30f3\u304c\u542b\u307e\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3057\u304b\u3057\u4fdd\u5b88\u7684\u306a\u7ba1\u7406\u3092\u691c\u8a0e\u3057\u305f\u9ad8\u54c1\u8cea\u306e\u30e9\u30f3\u30c0\u30e0\u5316\u8a66\u9a13\u306f\u307b\u3068\u3093\u3069\u3042\u308a\u307e\u305b\u3093\u3002\u7cfb\u7d71\u7684\u30ec\u30d3\u30e5\u30fc\u306f\u3001\u7279\u5b9a\u306e\u7a2e\u985e\u306e\u975e\u5916\u79d1\u7684\u6cbb\u7642\u3092\u63a8\u5968\u3059\u308b\u306b\u306f\u8a3c\u62e0\u304c\u4e0d\u5341\u5206\u3067\u3042\u308b\u3068\u7d50\u8ad6\u3002<\/p>\n\n\n\n<p>\u975e\u624b\u8853\u7642\u6cd5\u3067\u6539\u5584\u3057\u306a\u3044\u60a3\u8005\u3092\u6cbb\u7642\u3059\u308b\u305f\u3081\u306b\u3001\u3044\u304f\u3064\u304b\u306e\u7570\u306a\u308b\u5916\u79d1\u7684\u51e6\u7f6e\u304c\u4f7f\u7528\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p><span class=\"swl-marker mark_blue\">\u6025\u901f\u306a\u60aa\u5316\u306f\u307e\u308c<\/span>\u3067\u3001\u75c7\u72b6\u306f\u3057\u3070\u3057\u3070\u8870\u5f31\u3059\u308b\u304b\u5f90\u3005\u306b\u6539\u5584\u3059\u308b\u3053\u3068\u3092\u8003\u3048\u308b\u3068\u3001\u624b\u8853\u306f\u307b\u3068\u3093\u3069\u5e38\u306b\u9078\u629e\u7684\u3067\u3042\u308a\u3001<span class=\"swl-marker mark_blue\">\u4fb5\u8972\u6027\u306e\u4f4e\u3044\u4ecb\u5165\u306e\u8a66\u884c\u306b\u3082\u304b\u304b\u308f\u3089\u305a\u5384\u4ecb\u306a\u75c7\u72b6\u304c\u7d9a\u304f\u5834\u5408\u306b\u306e\u307f\u8003\u616e<\/span>\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u811a\u306e\u75db\u307f\u3068\u969c\u5bb3\u306f\u3001\u975e\u624b\u8853\u7684\u6cbb\u7642\u3088\u308a\u3082\u624b\u8853\u306e\u65b9\u304c\u6210\u7e3e\u304c\u826f\u3044\u3088\u3046\u3067\u3059\u3002<br>\u5229\u76ca\u76f8\u53cd\uff1a\u3053\u306e\u8ad6\u6587\u306fNIAMS\uff08P60-AR048094\u304a\u3088\u3073P60-AR062799\uff09\u306b\u3088\u3063\u3066\u8cc7\u91d1\u63d0\u4f9b\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\n<cite>Ciol MA, Deyo RA, Howell E, Kreif S. An assessment of surgery for spinal stenosis: time trends, geographic variations, complications, and reoperations. J Am Geriatr Soc. 1996 Mar;44(3):285-90. doi: 10.1111\/j.1532-5415.1996.tb00915.x. PMID: 8600197.<\/cite><\/blockquote>\n\n\n<div class=\"swell-block-balloon\"><div class=\"c-balloon -bln-right -sp-vrtcl\" data-col=\"red\"><div class=\"c-balloon__icon -circle\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/chirosonomanma.com\/info\/wp-content\/uploads\/2021\/09\/doctress.png\" alt=\"\" class=\"c-balloon__iconImg\" width=\"80px\" height=\"80px\"><span class=\"c-balloon__iconName\">\u5973\u6027\u30c9\u30af\u30bf\u30fc<\/span><\/div><div class=\"c-balloon__body -speaking -border-on\"><div class=\"c-balloon__text\">\n<p>\u3053\u306e2016\u5e74\u306e\u30ec\u30d3\u30e5\u30fc\u3067\u306f\u904e\u53bb\u306e\u624b\u8853\u6210\u7e3e\u306b\u95a2\u3059\u308b\u30c7\u30fc\u30bf\u304c\u4e4f\u3057\u3044\u3053\u3068\u304b\u3089\u3001\u624b\u8853\u4ee5\u5916\u304c\u57fa\u672c\u63a8\u5968\u3055\u308c\u3066\u3044\u305f\u304c\u3001\u975e\u624b\u8853\u306b\u3088\u308b\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u7ba1\u7406\u306e\u30c7\u30fc\u30bf\u3082\u5145\u5206\u3067\u306f\u306a\u3044\u304b\u3089\u3001\u826f\u304f\u306a\u3089\u306a\u3044\u6642\u306e\u307f\u3001\u624b\u8853\u3092\u691c\u8a0e\u3057\u307e\u3057\u3087\u3046\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002<br>\u3042\u305f\u308a\u524d\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u304c\u3001\u5927\u4e8b\u306a\u3053\u3068\u3067\u3059\u3002<br>\u305f\u3060\u3057\u30d8\u30eb\u30cb\u30a2\u624b\u8853\u306b\u95a2\u3059\u308b\u4f1a\u793e\u304b\u3089\u8cc7\u91d1\u63d0\u4f9b\u3055\u308c\u3066\u3044\u308b\u3053\u3068\u3082\u6ce8\u610f\u3002<\/p>\n<span class=\"c-balloon__shapes\"><span class=\"c-balloon__before\"><\/span><span class=\"c-balloon__after\"><\/span><\/span><\/div><\/div><\/div><\/div>\n\n\n<p class=\"is-style-big_icon_check\">\u3064\u304e\u306b\u5229\u76ca\u76f8\u53cd\u306e\u7121\u3044\u8ad6\u6587\u3067\u3059\u3002\u540c\u3058\u5e74\u306b\u51fa\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>\u8170\u90e8\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u306f\u3001\u52a0\u9f62\u306b\u4f34\u3046\u810a\u690e\u306e\u5909\u6027\u306b\u95a2\u9023\u3059\u308b\u8870\u5f31\u72b6\u614b\u3067\u3042\u308b\u3002\u7814\u7a76\u76ee\u7684\u306f\u3001\u5e7e\u3064\u304b\u3042\u308b\u975e\u5916\u79d1\u7684\u4ecb\u5165\u3068\u3055\u307e\u3056\u307e\u306a\u7a2e\u985e\u306e\u624b\u8853\u306e\u6709\u52b9\u6027\u3092\u6bd4\u8f03\u3057\u3066\u8a55\u4fa1\u3059\u308b\u3053\u3068\u3002<\/p>\n\n\n\n<p>\u8a55\u4fa1\u3059\u308b\u4e8b\u306f\u3001\u751f\u6d3b\u306e\u8cea\u3001\u751f\u6d3b\u306e\u969c\u5bb3\u3001\u6a5f\u80fd\u3001\u304a\u3088\u3073\u75db\u307f\u3067\u3059\u3002\u307e\u305f\u5408\u4f75\u75c7\u7387\u3068\u526f\u4f5c\u7528\u3092\u8003\u616e\u3057\u3001\u77ed\u671f\u3001\u4e2d\u671f\u3001\u304a\u3088\u3073\u9577\u671f\u306e\u7d50\u679c (6 \u304b\u6708\u30016 \u304b\u6708\uff5e 2 \u5e74\u30015 \u5e74\u30015\u5e74\u4ee5\u4e0a) \u3067\u8a08\u6642\u7684\u306b\u5404\u6bb5\u968e\u3067\u8a55\u4fa1\u3002<\/p>\n\n\n\n<p>\u30aa\u30b9\u30a6\u30a7\u30b9\u30c8\u30ea\u30fc\u969c\u5bb3\u6307\u6570\uff08\u75bc\u75db\u95a2\u9023\u969c\u5bb3\uff09\u3092\u7528\u3044\u3066\u3001<\/p>\n\n\n\n<p>\u56fa\u5b9a\u3092\u4f34\u3046\u307e\u305f\u306f\u4f34\u308f\u306a\u3044\u76f4\u63a5\u6e1b\u5727\u8853\u3068\u591a\u5264\u4f75\u7528\u975e\u624b\u8853\u7684\u30b1\u30a2<br>\u3092\u6bd4\u8f03\u3057\u305f2\u4ef6\u306e\u8a66\u9a13\u3067\u5b9f\u65bd\u3055\u308c\u305f\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u304b\u3089\u306e\u4f4e\u8cea\u30a8\u30d3\u30c7\u30f3\u30b9\u3067\u306f<\/p>\n\n\n\n<p>6\u30f5\u6708\u6642\u70b9\u30681\u5e74\u6642\u70b9\u3067\u306f\u6e1b\u5727\u8853\u3068\u591a\u5264\u4f75\u7528\u975e\u624b\u8853\u30b1\u30a2\u306f\u6709\u610f\u5dee\u306a\u3057\u300224\u30f5\u6708\u3067\u306f\u3001\u6709\u610f\u5dee\u306f\u6e1b\u5727\u8853\u306b\u6709\u5229\u3067\u3042\u3063\u305f\uff08\u5e73\u5747\u5dee -4.43\u300195\uff05CI -7.91\uff5e-0.96\uff09\uff0e<\/p>\n\n\n\n<p>1\u4ef6\u306e\u5c0f\u898f\u6a21\u7814\u7a76\u304b\u3089\u306e\u4f4e\u8cea\u30a8\u30d3\u30c7\u30f3\u30b9\u3067\u306f<\/p>\n\n\n\n<p>3\u30f5\u6708\uff08\u30ea\u30b9\u30af\u6bd4\uff08RR\uff091.38\u300195\uff05CI 0.22\uff5e8.59\uff09<br>4\u5e74\uff08RR 7.50\u300195\uff05CI 1.00\uff5e56.48\uff09<br>10\u5e74\uff08RR 4.09\u300195\uff05CI 0.95\uff5e17.58\uff09<\/p>\n\n\n\n<p>\u306b\u304a\u3044\u3066\u6e1b\u5727\u3068\u901a\u5e38\u306e\u4fdd\u5b58\u7642\u6cd5\uff08\u30d6\u30ec\u30fc\u30b9\u304a\u3088\u3073\u904b\u52d5\uff09\u306e\u9593\u306b<strong>\u75db\u307f\u306e\u8ee2\u5e30\u306b\u304a\u3051\u308b\u5dee\u304c\u306a\u3044<\/strong>\u3053\u3068\u304c\u660e\u3089\u304b\u306b\u306a\u3063\u305f\u3002<\/p>\n\n\n\n<p> 1\u4ef6\u306e\u5c0f\u898f\u6a21\u7814\u7a76\u304b\u3089\u306e\u4f4e\u8cea\u30a8\u30d3\u30c7\u30f3\u30b9\u306f<\/p>\n\n\n\n<p>\u4f4e\u4fb5\u8972\u6027\u8efd\u5ea6\u6e1b\u5727\u8853\u3092\u53d7\u3051\u305f\u60a3\u8005<br>\u786c\u819c\u5916\u30b9\u30c6\u30ed\u30a4\u30c9\u6ce8\u5c04\u3092\u53d7\u3051\u305f\u60a3\u8005<\/p>\n\n\n\n<p>\u306e6\u9031\u9593\u5f8c\u306e\u30aa\u30b9\u30a6\u30a7\u30b9\u30c8\u30ea\u30fc\u306e<strong>\u969c\u5bb3\u6307\u6570\u306b\u5dee\u304c\u306a\u3044<\/strong>\u3053\u3068\u3092\u793a\u5506\u3057\u305f\uff08MD 5.70\u300195\uff05CI 0.57\uff5e10.83\uff1b\u53c2\u52a0\u800538\u4eba\uff09\u3002<\/p>\n\n\n\n<p>Zurich Claudication Questionnaire\uff08ZCQ\uff09\uff1d\u9593\u6b20\u6027\u8ddb\u884c\uff1d\u304b\u305f\u3044\u3067\u6b69\u304f\u6307\u6a19\u3001\u306e\u7d50\u679c\u306f<strong>6\u9031\u9593\u6642\u70b9\u3067\u786c\u819c\u5916\u6ce8\u5c04\u306e\u65b9\u304c\u826f\u597d<\/strong>\uff08MD -0.60\u300195% CI -0.92\uff5e0.28 \uff09<\/p>\n\n\n\n<p>\u8996\u899a\u7684\u30a2\u30ca\u30ed\u30b0\u30b9\u30b1\u30fc\u30eb\uff08VAS\uff09\u306e\u6539\u5584\u306f\u8efd\u5ea6\u6e1b\u5727\u8853\u7fa4\u306e\u65b9\u304c\u826f\u597d\u3060\u3063\u305f\uff08MD 2.40\u300195% CI 1.92\uff5e2.88 \uff09\u3002<\/p>\n\n\n\n<p>191\u4eba\u306e\u53c2\u52a0\u8005\u3092\u542b\u30801\u4ef6\u306e\u7814\u7a76\u304b\u3089\u5f97\u3089\u308c\u305f\u4f4e\u8cea\u30a8\u30d3\u30c7\u30f3\u30b9\u306f<\/p>\n\n\n\n<p>\u75c7\u72b6\u306e\u91cd\u75c7\u5ea6\u3068\u8eab\u4f53\u6a5f\u80fd\u306b\u95a2\u3057\u3066\u30016\u9031\u9593\u30016\u30f5\u6708\u30011\u5e74\u306e\u6642\u70b9\u3067\u68d8\u7a81\u8d77\u9593\u30b9\u30da\u30fc\u30b5\u30fc\u3068\u901a\u5e38\u306e\u4fdd\u5b58\u7642\u6cd5\u306e\u9593\u3067\u6709\u5229\u3067\u3042\u3063\u305f\u3002<\/p>\n\n\n\n<p>\u6b8b\u308a\u306e\u7814\u7a76\u306f\u3059\u3079\u3066\u3001\u624b\u8853\u3068\u4fdd\u5b58\u7642\u6cd5\u306e\u526f\u4f5c\u7528\u306b\u4f34\u3046\u5408\u4f75\u75c7\u3092\u5831\u544a\u3057\u3066\u3044\u308b\u3002<\/p>\n\n\n\n<p>2\u3064\u306e\u7814\u7a76\u3067\u306f\u3001\u624b\u8853\u7fa4\u306b\u5927\u304d\u306a\u5408\u4f75\u75c7\u306f\u306a\u304f\u3001\u4ed6\u306e\u7814\u7a76\u3067\u306f\u3001\u68d8\u7a81\u8d77\u9aa8\u6298\u3001\u51a0\u52d5\u8108\u865a\u8840\u3001\u547c\u5438\u56f0\u96e3\u3001\u8840\u816b\u3001\u8133\u5352\u4e2d\u3001\u518d\u624b\u8853\u306e\u30ea\u30b9\u30af\u3001\u80ba\u6c34\u816b\u306b\u3088\u308b\u6b7b\u4ea1\u306a\u3069\u3001\u53c2\u52a0\u8005\u306e10%\u306824%\u306b\u5408\u4f75\u75c7\u3092\u5831\u544a\u3002<\/p>\n\n\n\n<p><span class=\"swl-marker mark_orange\">\u3010\u7d50\u8ad6\u3011\u6211\u3005\u306f\u8170\u90e8\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u306b\u5bfe\u3057\u3066\u624b\u8853\u7642\u6cd5\u3068\u4fdd\u5b58\u7642\u6cd5\u306e\u3069\u3061\u3089\u304c\u512a\u308c\u3066\u3044\u308b\u304b\u7d50\u8ad6\u3065\u3051\u308b\u81ea\u4fe1\u306f\u307b\u3068\u3093\u3069\u306a\u304f\u3001\u81e8\u5e8a\u306e\u6307\u91dd\u3068\u306a\u308b\u3088\u3046\u306a\u65b0\u305f\u306a\u63a8\u5968\u306f\u793a\u305b\u306a\u3044\u3002<\/span><\/p>\n\n\n\n<p>\u305f\u3060\u3057\u3001<span class=\"swl-marker mark_blue\"><strong>\u526f\u4f5c\u7528\u306e\u767a\u751f\u7387\u306f\u624b\u8853\u4f8b\u306710\uff05\uff5e24<\/strong>\uff05\u3067\u3042\u308a\u3001<strong>\u4fdd\u5b58\u7684\u6cbb\u7642\u3067\u306f\u526f\u4f5c\u7528\u306f\u5831\u544a\u3055\u308c\u3066\u3044\u306a\u3044<\/strong><\/span>\u3053\u3068\u306b\u7559\u610f\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002<span class=\"swl-marker mark_blue\">\u307e\u305f\u3001\u624b\u8853\u3068\u975e\u624b\u8853\u7642\u6cd5\u306e\u6bd4\u8f03\u3067\u306f\u3001\u660e\u78ba\u306a\u5229\u70b9\u306f\u8a8d\u3081\u3089\u308c\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/span><\/p>\n\n\n\n<p><span class=\"swl-marker mark_blue\">\u3053\u308c\u3089\u306e\u77e5\u898b\u306f\u3001\u7279\u306b\u4fdd\u5b58\u7684\u6cbb\u7642\u6cd5\u3067\u306f\u526f\u4f5c\u7528\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u306a\u3044\u3053\u3068\u3092\u8003\u3048\u308b\u3068\u3001\u81e8\u5e8a\u533b\u304c\u60a3\u8005\u306b\u53ef\u80fd\u6027\u306e\u3042\u308b\u6cbb\u7642\u6cd5\u306b\u3064\u3044\u3066\u60c5\u5831\u3092\u63d0\u4f9b\u3059\u308b\u969b\u306b<strong>\u975e\u5e38\u306b\u614e\u91cd\u306b\u306a\u308b\u3079\u304d\u3053\u3068\u3092\u793a\u5506<\/strong>\u3057\u3066\u3044\u308b\u3002<\/span>\u8170\u90e8\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u306e\u60a3\u8005\u306b\u5bfe\u3057\u3066\u3001\u624b\u8853\u3068\u4fdd\u5b58\u7642\u6cd5\u3092\u6bd4\u8f03\u3059\u308b\u305f\u3081\u306e\u8cea\u306e\u9ad8\u3044\u7814\u7a76\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002<\/p>\n<cite><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26824399\/\" data-type=\"link\" data-id=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26824399\/\">Zaina F, Tomkins-Lane C, Carragee E, Negrini S. Surgical versus non-surgical treatment for lumbar spinal stenosis. Cochrane Database Syst Rev. 2016 Jan 29;2016(1):CD010264. doi: 10.1002\/14651858.CD010264.pub2. PMID: 26824399; PMCID: PMC6669253.<\/a><\/cite><\/blockquote>\n\n\n<div class=\"swell-block-balloon\"><div class=\"c-balloon -bln-right -sp-vrtcl\" data-col=\"red\"><div class=\"c-balloon__icon -circle\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/chirosonomanma.com\/info\/wp-content\/uploads\/2021\/09\/doctress.png\" alt=\"\" class=\"c-balloon__iconImg\" width=\"80px\" height=\"80px\"><span class=\"c-balloon__iconName\">\u5973\u6027\u30c9\u30af\u30bf\u30fc<\/span><\/div><div class=\"c-balloon__body -speaking -border-on\"><div class=\"c-balloon__text\">\n<p>\u3053\u306e\u8ad6\u6587\u306f\u5229\u76ca\u76f8\u53cd\u304c\u306a\u3044\u305b\u3044\u304b\u3001\u540c\u3058\u6642\u671f\u306b\u51fa\u3055\u308c\u305f\u3082\u306e\u3067\u3082\u81e8\u5e8a\u533b\u306f\u60c5\u5831\u63d0\u4f9b\u306b\u614e\u91cd\u306b\u306a\u308b\u3079\u304d\u3060\u3068\u8a00\u3063\u3066\u3044\u307e\u3059\u3002\u75db\u307f\u3084\u969c\u5bb3\u306e\u6e1b\u308a\u65b9\u306f\u671f\u9593\u3001\u65b9\u6cd5\u306b\u3088\u3063\u3066\u3055\u307e\u3056\u307e\u3067\u3042\u308b\u4e8b\u306b\u7559\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\n<span class=\"c-balloon__shapes\"><span class=\"c-balloon__before\"><\/span><span class=\"c-balloon__after\"><\/span><\/span><\/div><\/div><\/div><\/div>\n\n\n<h2 class=\"wp-block-heading\">2017\u5e74\u306e\u30ec\u30d3\u30e5\u30fc\u3067\u306f<\/h2>\n\n\n\n<p>\u5148\u8ff0\u306e\u690e\u5f13\u5207\u9664\u8853\u3068X-stop\u3068\u3044\u3046\u690e\u5f13\u3092\u56fa\u5b9a\u3057\u3066\u3001\u80cc\u9aa8\u306e\u3042\u306a\u3092\u5e83\u3052\u3063\u3071\u306a\u3057\u306b\u3059\u308b\u5668\u5177\u56fa\u5b9a\u3068\u3001\u975e\u624b\u8853\u7fa4\u306e\u5dee\u3092\u30ec\u30dd\u30fc\u30c8\u3002<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>\u8170\u90e8\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u306b\u5bfe\u3059\u308b\u624b\u8853\u3068\u4fdd\u5b58\u7684\u6cbb\u7642\u306e\u6709\u52b9\u6027\uff1a\u30b7\u30b9\u30c6\u30e0\u30ec\u30d3\u30e5\u30fc\u3068\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\u306e\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9<\/p>\n\n\n\n<p>\u8170\u90e8\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u306f\u6a5f\u80fd\u3068\u751f\u6d3b\u306e\u8cea\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u4e00\u822c\u7684\u306a\u5909\u6027\u75be\u60a3\u3067\u3001\u624b\u8853\u3068\u4fdd\u5b58\u7684\u6cbb\u7642\u306e\u4e21\u65b9\u3067\u6cbb\u7642\u3067\u304d\u307e\u3059\u3002\u3053\u306e\u7814\u7a76\u306f\u624b\u8853\u3068\u4fdd\u5b58\u7684\u6cbb\u7642\u306e\u6709\u52b9\u6027\u3092\u6bd4\u8f03\u3002<\/p>\n\n\n\n<p>9\u4ef6\u306eRCT\uff0814\u4ef6\u306e\u8a18\u4e8b\uff09\u30681658\u4eba\u306e\u60a3\u8005\u304c\u542b\u307e\u308c\u3001\u305d\u306e\u3046\u30613\u4ef6\u306f\u8cea\u306e\u9ad8\u3044\u7814\u7a76\u3002<\/p>\n\n\n\n<p>\u2460\u6cbb\u7642\u5f8c\u6700\u521d\u306e6\u304b\u6708\u3067\u306f\u30012\u3064\u306e\u6cbb\u7642\u30b0\u30eb\u30fc\u30d7\u9593\u3067ODI\u30b9\u30b3\u30a2\u306b\u6709\u610f\u5dee\u306f\u306a\u3044\u203bODI\u306f\u65e5\u5e38\u751f\u6d3b\u6d3b\u52d5\uff08ADL\uff09\u306e\u969c\u5bb3\u306e\u7a0b\u5ea6\u3092\u628a\u63e1\u3059\u308b\u305f\u3081\u306e\u8a55\u4fa1<br>\u2461\u624b\u8853\u30b0\u30eb\u30fc\u30d7\u306f1\u5e74\u30682\u5e74\u3067\u6709\u610f\u306b\u9ad8\u3044ODI\u30b9\u30b3\u30a2\uff08\u91cd\u50b7\u5ea6\u304c\u5897\u3059\u307b\u3069ODI\u30b9\u30b3\u30a2\uff08\uff05\uff09\u306f\u9ad8\u304f\u306a\u308b\u306e\u3067\u624b\u8853\u7fa4\u306e\u307b\u3046\u304c\u969c\u5bb3\u304c\u5927\u304d\u3044\uff09<br>\u24622\u3064\u306e\u7814\u7a76\u3067\u306f\u30013\u304b\u6708\u30016\u304b\u6708\u300112\u304b\u6708\u300124\u304b\u6708\u306e\u6642\u70b9\u3067\u8eab\u4f53\u6a5f\u80fd\u306f\u690e\u5f13\u5207\u9664\u8853\u3068\u4fdd\u5b58\u7642\u6cd5\u306e\u9593\u306b\u6709\u610f\u5dee\u306f\u306a\u3044<br>\u24632\u3064\u306e\u7814\u7a76\u3067\u306f\u60a3\u8005\u304c6\u6642\u306b\u79fb\u690d\u3055\u308c\u305fX-STOP\u306b\u6e80\u8db3\u3057\u3066\u3044\u308b\u3068\u5831\u544a<br>\u2464\u6570\u9031\u9593\u30016\u304b\u6708\u30011\u5e74\u3002\u624b\u8853\u7fa4\u3068\u975e\u624b\u8853\u7fa4\u306e\u9593\u3067\u3001\u624b\u8853\u4e2d\u307e\u305f\u306f72\u6642\u9593\u4ee5\u5185\u306e\u6709\u5bb3\u4e8b\u8c61\u306e\u7d71\u8a08\u7684\u5dee\u7570\u306f\u306a\u3044<br>\u2465\u30b5\u30d6\u30b0\u30eb\u30fc\u30d7\u5206\u6790\u3067\u306f\u3001\u690e\u5f13\u5207\u9664\u8853\u3068\u4fdd\u5b58\u7684\u6cbb\u7642\u3001X-STOP\u3068\u4fdd\u5b58\u7684\u6cbb\u7642\u306e\u9593\u306b\u671f\u9593\u306e\u521d\u671f\u6bb5\u968e\u3067\u5b89\u5168\u6027\u306e\u9055\u3044\u306f\u306a\u3044\u304c\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u671f\u9593\u4e2d\u3001\u624b\u8853\u7fa4\u306f\u975e\u624b\u8853\u7fa4\u3088\u308a\u3082\u5408\u4f75\u75c7\u306e\u767a\u751f\u7387\u304c\u9ad8\u3044<\/p>\n\n\n\n<p>\u624b\u8853\u7fa4\u306f\u3001\u6cbb\u7642\u5f8c\u306e\u6700\u521d\u306e6\u304b\u6708\u3067\u4fdd\u5b58\u7fa4\u3068\u6bd4\u8f03\u3057\u3066\u6709\u610f\u5dee\u306f\u306a\u304b\u3063\u305f\u3082\u306e\u306e\u30011\u5e74\u5f8c\u306e\u3088\u308a\u826f\u3044\u72b6\u6cc1\u30682\u5e74\u9593\u3067\u306f\u3088\u308a\u9ad8\u3044\u5408\u4f75\u75c7\u7387\u3092\u793a\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u3057\u304b\u3057\u3001\u8170\u90e8\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u60a3\u8005\u306b<strong>\u6c7a\u5b9a\u7684\u306a\u65b9\u6cd5\u304c\u3057\u3063\u304b\u308a\u3068\u63a8\u5968\u3055\u308c\u308b\u3068\u3044\u3046\u8a3c\u62e0\u306f\u3042\u308a\u307e\u305b\u3093<\/strong>\u3067\u3057\u305f\u3002\u9ad8\u54c1\u8cea\u3067\u4fe1\u983c\u3067\u304d\u308b\u7d50\u679c\u3092\u9054\u6210\u3059\u308b\u306b\u306f\u3001\u3055\u3089\u306a\u308b\u7814\u7a76\u304c\u5fc5\u8981<\/p>\n<cite><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28705591\/\" data-type=\"link\" data-id=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28705591\/\">Ma XL, Zhao XW, Ma JX, Li F, Wang Y, Lu B. Effectiveness of surgery versus conservative treatment for lumbar spinal stenosis: A system review and meta-analysis of randomized controlled trials. Int J Surg. 2017 Aug;44:329-338. doi: 10.1016\/j.ijsu.2017.07.032. Epub 2017 Jul 10. PMID: 28705591.<\/a><\/cite><\/blockquote>\n\n\n\n<p>2\u5e74\u306e\u8ffd\u8de1\u306a\u306e\u3067\u3001\u5148\u8ff0\u306e\u8ad6\u6587\u306b\u6bd4\u3079\u308b\u3068\u8ffd\u8de1\u671f\u9593\u304c\u77ed\u3044\u3067\u3059\u3002\u3053\u308c\u304c6\u5e74\u5f8c10\u5e74\u5f8c\u306b\u306a\u308b\u3068\u3001\u60aa\u5316\u3059\u308b\u53ef\u80fd\u6027\u306f\u5145\u5206\u306b\u3042\u308a\u307e\u3059\u3001\u306a\u305c\u306a\u3089\u30da\u30fc\u30b8\u4e0a\u306e\u8ad6\u6587\u3067\u30821\u5e74\u5f8c\u306e\u6539\u5584\u7387\u306f89\uff05\u3068\u826f\u597d\u3060\u3063\u305f\u304b\u3089\u3002<\/p>\n\n\n\n<p>\u3042\u3068X-stop\u306a\u308b\u3082\u306e\u3082\u5668\u5177\u56fa\u5b9a\u306e\u767b\u9332\u5546\u6a19\u3067\u3001\u3044\u304f\u3064\u304b\u9055\u3046\u88fd\u54c1\u304c\u3042\u308b\u307f\u305f\u3044\u3067\u3059\u3002<br>\u3053\u306e\u7814\u7a76\u306f\u5229\u76ca\u76f8\u53cd\u306f\u3042\u308a\u307e\u305b\u3093<\/p>\n\n\n\n<p>\u9006\u306b\u8a00\u3048\u3070\u3001\u4fdd\u5b58\u7642\u6cd5\u3067\u78ba\u5b9f\u306b\u56de\u5fa9\u3059\u308b\u3068\u3044\u3046\u6839\u62e0\u3082\u306a\u3044\u306e\u304c\u72ed\u7a84\u75c7\u306e\u75c7\u72b6\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><em>CORR<\/em><sup>\u00ae<\/sup>\u306b\u304a\u3051\u308b\u30b3\u30af\u30e9\u30f3:\u8170\u690e\u72ed\u7a84\u75c7\u306e\u5916\u79d1\u7684\u6cbb\u7642\u3068\u975e\u5916\u79d1\u7684\u6cbb\u7642\u306e\u6bd4\u8f03<\/h3>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow 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