- Spine and Intervertebral Disc Pathology
- Musculoskeletal pain and rehabilitation
- Scoliosis diagnosis and treatment
- Spinal Fractures and Fixation Techniques
- Advanced Neuroimaging Techniques and Applications
- Cervical and Thoracic Myelopathy
- Nutrition and Health in Aging
- Pain Mechanisms and Treatments
- Bone health and osteoporosis research
- Peripheral Nerve Disorders
- Orthopaedic implants and arthroplasty
- Body Composition Measurement Techniques
- Anesthesia and Pain Management
- Spinal Hematomas and Complications
- Bone and Joint Diseases
- Periodontal Regeneration and Treatments
- Pregnancy-related medical research
- Reconstructive Surgery and Microvascular Techniques
- Parkinson's Disease and Spinal Disorders
- Exercise and Physiological Responses
- Medical Imaging and Analysis
- Glycogen Storage Diseases and Myoclonus
- Balance, Gait, and Falls Prevention
- Cardiovascular, Neuropeptides, and Oxidative Stress Research
- Spondyloarthritis Studies and Treatments
Kumamoto Orthopedic Surgery Hospital
2019-2020
Chiba University
2015-2020
AO Foundation
2019
University of Pennsylvania
2019
Tokai University
2019
Martin University
2019
AO Foundation
2019
University of Delaware
2019
Chiba University Hospital
2018
Teikyo University Chiba Medical Center
2017
A retrospective multicenter survey.To investigate the perioperative complications of oblique lateral interbody fusion (OLIF) surgery.OLIF has been widely performed to achieve minimally invasive, rigid lumbar fusion. The associated are not yet well described.The participants were patients who underwent OLIF surgery under diagnosis degenerative diseases between April 2013 and May 2015 at 11 affiliated medical institutions. collected data classified into intraoperative early-stage postoperative...
Age-related sarcopenia can cause various forms of physical disabilities. We investigated how affects degenerative lumbar scoliosis (DLS) and spinal canal stenosis (LSCS).Subjects comprised 40 elderly women (mean age 74 years) with disease whose chief complaints were low back pain lower limb pain. They included 15 cases DLS 74.8 25 LSCS 72.9 years). performed whole-body dual-energy X-ray absorptiometry (DXA) to analyze body composition, including appendicular trunk skeletal muscle mass index...
Controlled laboratory study.This study aimed to evaluate the efficacy of platelet-rich plasma (PRP) stored at room temperature (RT), frozen, or after freeze-drying.PRP enriches tissue repair and regeneration, is a novel treatment option for musculoskeletal pathologies. However, whether biological activity preserved during PRP storage remains uncertain.PRP was prepared from blood 12 healthy human volunteers (200 mL/person) using three methods: RT with shaking, frozen -80℃, freeze-dried RT....
Study Design. A retrospective radiological study on vascular anatomy. Objective. The aim of this was to evaluate the anatomical and features lumbar segmental arteries with respect surgical field oblique lateral interbody fusion (OLIF) approach by using magnetic resonance imaging (MRI). Summary Background Data. OLIF surgery restores disc height enables indirect decompression narrowed spinal canals through an spine, a specially designed retractor. In minimal field, injuring can cause massive...
The aim of this study was to determine whether advanced glycation end products (AGEs) revealed by skin autofluorescence (SAF), serum and urine pentosidine level, homocysteine level can serve as a biomarker for sarcopenia in older women. participants were 70 elderly AGEs pentosidine, homocysteine, SAF measured aging markers. This shows that among the biomarkers aging, correlates with loss appendicular lean mass sarcopenia. Moreover, values exhibited positive correlation age correlated each...
Study Design Cross-sectional observational study. Purpose To compare measurements of appendicular skeletal muscle mass (ASMM) and whole fat (WFM) obtained using dualenergy X-ray absorptiometry (DXA) bioelectrical impedance analysis (BIA) among patients with low back pain (LBP). Moreover, the study investigated correlation between BIA-based ASMM DXA-based bone mineral density (BMD). Overview Literature If reliable, BIA may be a useful alternative to DXA as screening tool for sarcopenia...
Abstract Fresh platelet-rich plasma (PRP) accelerates bone union in rat model. However, fresh PRP has a short half-life. We suggested freeze-dried (FD-PRP) prepared advance and investigated its efficacy vivo . Spinal posterolateral fusion was performed on 8-week-old male Sprague-Dawley rats divided into six groups based the graft materials (n = 10 per group): sham control, artificial (A hydroxyapatite–collagen composite) –alone, autologous bone, + fresh-PRP, FD-PRP preserved 8 weeks, human...
Introduction: Oblique lateral interbody fusion (OLIF) can achieve recovery of lumbar lordosis (LL) in minimally invasive manner. The current study aimed to evaluate the location intervertebral cages during OLIF terms LL correction.
Abstract Background Lumbar spinal disease causes disabilities in performing daily activities. Operative treatments are aimed at pain relief and rapid return to routine activity. Patient-based outcome measures used evaluate pathologies therapeutic effects associated with lumbar disease. Nevertheless, it remains unknown as how much such treatment improves activity levels. The purpose of the current study was measure changes levels before after surgery using a wearable tracker analyze...
Retrospective observational study.We considered the relationship between spinal alignment and skeletal muscle mass on clinical outcomes following a surgery for lumbar stenosis (LSS).There are no reports of preoperative factors predicting residual low back pain LSS.Our target population included 34 women (mean age, 74.4 years) who underwent LSS. Prior to 6 months after surgery, systemic bone mineral density lean soft tissue were measured using dual-energy X-ray absorptiometry. Skeletal index...
Age-related sarcopenia may cause physical dysfunction. We investigated the involvement of in dropped head syndrome (DHS). Our study subjects were ten elderly women with idiopathic DHS (mean age 75.1 years, range 55–89). Twenty age- and sex-matched volunteers 73.0, 58–83) served as controls. used a bioelectrical impedance analyzer (BIA) to analyze body composition, including appendicular skeletal muscle mass index (SMI; lean (kg)/(height (m))2). SMI <5.75 was considered diagnostic for...
Retrospective observational study.To examine fractional anisotropy (FA) values and apparent diffusion coefficient (ADC) of damaged nerves to discriminate between lumbar intraspinal stenosis (IS) foraminal (FS) using tensor imaging (DTI).It is important in the selection surgical procedure IS FS, but such discrimination difficult.There were 9 cases IS, 7 5 healthy controls. The regions interest established zone (Iz), nerve root (N), extraforaminal (Ez). FA ADC measured on affected unaffected...
Limb muscle mass measurement using dual-energy X-ray absorptiometry (DXA) is considered the gold standard for diagnosis of sarcopenia. Moreover, bioelectrical impedance analysis (BIA) also recognized as a beneficial tool considering its high correlation with DXA. However, it remains to be elucidated whether DXA and BIA can accurately measure trunk lean mass. The aim this study was investigate between measurements cross-sectional area (CSA) muscles measured magnetic resonance imaging (MRI)...
Introduction: Failed spinal fusion surgery sometimes requires salvage when symptomatic, especially with postsurgical decrease in intervertebral disc height followed by foraminal stenosis. For such cases, an anterior approach to lumbar lateral interbody (LLIF) provides safe, direct access the pathological space and a potential improvement rate. One LLIF approach, oblique (OLIF), targets window of discs achieve successful fusion. The current technical note describes revision using OLIF procedure.
Study Design. A basic study using a rodent model of sarcopenia. Objective. To elucidate the contribution oxidative stress to muscle degeneration and efficacy antioxidant treatment for sarcopenia an animal neurogenic Summary Background Data. Oxidative has been reported be involved in number pathologies, including musculoskeletal disorders. Its relationship with sarcopenia, one potential origins lower back pain, however, is not yet fully understood. Methods. Myoblast cell lines (C2C12) were...
Objectives To examine improvement in acute low back pain (LBP) using ultrasound‐guided hydrorelease of the multifidus muscle. Methods This prognostic cohort study was conducted a private clinic on samples 75 patients with LBP diagnosed based physical and imaging findings. Hydrorelease muscle performed at L4/5 level. The visual analog scale (VAS) scores (cm) before 5 minutes after were statistically evaluated. We defined rate (%) as {LBP VAS immediately – hydrorelease} × 100 / examined...
Diagnosis of lumbar foraminal stenosis remains difficult. Here, we report on a case in which bilateral was difficult to diagnose, and diffusion tensor imaging (DTI) useful. The patient 52-year-old woman with low back pain both legs that dominant the right. Right lumbosacral nerve compression due massive uterine myoma apparent, but leg continued after myomectomy performed. No abnormalities were observed during conduction studies. Computed tomography magnetic resonance indicated L5 stenosis....
It is important to develop an easy means of diagnosing lumbar foraminal stenosis (LFS) in a general practice setting. We investigated the use Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) diagnose LFS symptomatic patients.Subjects included 13 cases (mean age, 72 years) with LFS, and 30 73 spinal canal (LSCS) involving one intervertebral disc. The visual analogue scale score for low back pain leg pain, JOABPEQ were evaluated.Those had significantly lower JOA...
Wearable accelerometers can be used to evaluate waking and sleeping movements. Although a correlation between accelerometer data captured at the wrist waist has been reported, it not evaluated in patients with low back pain. Therefore, this study aimed correlations movement measured waist, using wearable accelerometers, pain.Twenty chronic pain 20 healthy volunteers were enrolled. Two identical simultaneously worn by each participant, one on nondominant other for 1 week. We compared mean...
Retrospective case series.To classify back muscle degeneration using magnetic resonance imaging (MRI) and investigate its relationship with pain after surgery.Back injury often occurs posterior lumbar surgery, the may be a cause of pain. However, between remains controversial.A total 84 patients (average age, 65.1 years; 38 men, 46 women) spinal stenosis underwent decompression surgery alone. MRI (1.5 tesla) was evaluated before more than year in all patients. Muscle on classified into three...