京都大学 · 医学
Masuda教授の研究室は、脊椎外科における感染症治療や合併症の早期診断・治療に注力しています。特に抗菌剤含有骨セメントを用いた複雑な脊椎外科術後感染症の治療法や、術後血腫に伴う足下がり(ドロップフット)の予後予測に関する臨床的研究が特長です。高齢者を対象とした骨粗鬆症性圧迫骨折後の機能障害を予測する機械学習モデルの構築にも取り組んでおり、臨床現場に役立つ意思決定支援ツールの開発を目指しています。
Figures are computed from collected data and may differ slightly.
Antibiotic-loaded bone cement treatment reduces the dead space and achieves the targeted drug delivery simultaneously. Treatment using antibiotic-loaded bone cement is an effective treatment option for complex spinal SSI.
Level Ⅲ, therapeutic study.
None.
We report the clinical details of 45 patients with postoperative hematoma after spine surgery. This information could assist surgeons to make a prompt diagnosis and perform early evacuation surgery for postoperative hematoma following spine surgery.
Age, preoperative tibialis anterior muscle strength, and duration of drop foot were statistically significant prognostic factors of recovery from drop foot. Surgery within 2 months after the onset of drop foot may improve postoperative outcome.
Although conservative treatment is commonly used for osteoporotic vertebral fracture (OVF), some patients experience functional disability following OVF. This study aimed to develop prediction models for new-onset functional impairment following admission for OVF using machine learning approaches and compare their performance. Our study consisted of patients aged 65 years or older admitted for OVF using a large hospital-based database between April 2014 and December 2021. As the primary outcome,
In this large retrospective cohort study of adults undergoing lumbar interbody fusion, LLIF was associated with a significantly lower risk of SSI than P /TLIF. The small, but significantly, decreased risk of SSI associated with LLIF may inform decisions regarding the technical approach for lumbar interbody fusion.
Level III, therapeutic study.
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