The University of Osaka · 의학
Takahito Fujimori 교수의 연구실은 척추 외과 분야에 초점을 맞추어, 척추 후방 유합술(PLF)과 전방 유합술(TLIF)의 임상적 및 영상적 결과를 비교 분석하는 연구를 진행하고 있습니다. 특히 경추 및 요추 척추 수술 후 발생할 수 있는 축성 통증과 영상학적 이상 변화의 원인을 규명하고자, 근육 보존 전략의 임상적 유의성에 대해 탐구하고 있습니다. 이는 환자의 기능 회복과 수술 후 만족도 향상에 기여하는 핵심 과제로 설정되어 있습니다.
표시된 성과는 수집된 데이터 기준으로 산출되며, 일부 차이가 있을 수 있습니다.
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Study Design Retrospective cohort study. Objective To compare the clinical and radiographic outcomes of transforaminal lumbar interbody fusion (TLIF) and posterolateral lumbar fusion (PLF) in the treatment of degenerative spondylolisthesis. Methods This study compared 24 patients undergoing TLIF and 32 patients undergoing PLF with instrumentation. The clinical outcomes were assessed by visual analog scale (VAS) for low back pain and leg pain, physical component summary (PCS) of the 12-item Short
These results indicate that preservation of subaxial deep extensor muscles plays no significant role in reducing axial neck pain and unfavorable radiologic changes after cervical laminoplasty, supporting the hypothesis that these adverse effects after laminoplasty largely result from detachment of muscles attached to the C2 and C7 spinous processes.
Both the UT and LT groups demonstrated significant improvement in clinical and radiographic outcomes. A significant difference was not observed in improvement of clinical outcomes between the 2 groups.
In vivo 3D ARs and coupled motions of the consecutive thoracic spinal segments in trunk rotation were investigated accurately for the first time.
Plated laminoplasty in patients with either OPLL or CSM decreases cervical ROM, especially in the extension angle. Among patients who have undergone laminoplasty, those with OPLL lose more ROM than do those with CSM. No correlation was observed between neck pain and ROM in either group. Neither group had a change in neck pain that reached the MCID following laminoplasty. Both groups improved in neurological function and outcomes.
Ossification of the posterior longitudinal ligament progresses even after surgery. Three-dimensional evaluation with the aid of CT scans is a useful and reliable method for assessing that growth.
Eighty percent of patients were satisfied with the surgical results after treatment of cervical myelopathy due to OPLL. Surgery for cervical OPLL was effective, as evaluated by both doctor- and patient-based methods. Patient satisfaction was related to QOL, PF (especially LEF), and improvement.
The authors' findings indicate that most continuous-type ossifications that are categorized using the conventional radiographic classification system have mobile segments. The discrimination between bridging and nonbridging on CT scans can be a useful predictive index for dynamic factors.
