Publications by authors named "Go Goto"

Purpose: The effect of skeletal muscle mass of the trunk and extremities on sagittal imbalance of the spine before and after surgery for adult spinal deformity (ASD) has not been elucidated. The purpose of this study was to examine the correlation between reduced skeletal muscle mass of the trunk and extremities, as well as spinopelvic parameters, preoperatively, postoperatively and at least 2 years after surgery for ASD.

Methods: This retrospective observational study included 140 consecutive patients who had undergone surgery for ASD and were followed-up for at least 2 years and whose skeletal muscle mass could be measured preoperatively using whole-body dual-energy X-ray absorptiometry.

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Article Synopsis
  • Human pose estimation is a computer vision technique that captures body representations from images and videos, and its application in clinical photography for conditions like adolescent idiopathic scoliosis (AIS) is being explored.
  • A study with 42 AIS patients analyzed preoperative photographs to derive photographic parameters and compared these to traditional radiographic measures using statistical analysis.
  • Significant correlations were found between photographic and radiographic measurements, suggesting that pose estimation via mobile devices could enable safer screening and monitoring of AIS without exposing patients to X-ray radiation.
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This study aimed to compare the incidence and severity of cervical kyphosis before and after surgery between patients with adolescent idiopathic scoliosis (AIS) with major thoracolumbar/lumbar curves (Lenke type 5C group) and those with major thoracic curves (Lenke type 1A group). Further, factors associated with cervical spinal alignment changes after surgery in the two groups were examined. This study included consecutive patients with AIS who underwent posterior spinal fusion for Lenke type 1A and 5C curves and who were followed up for at least 1 year.

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The purpose of this study is to identify the relationship between locomotive syndrome (LS) status, physical performance and limb and trunk skeletal muscle mass before and after surgery in adult spinal surgery (ASD) patients. A retrospective observational investigation of 63 consecutive patients with ASD who underwent spinal surgery was conducted. The total skeletal muscle mass of the arms and legs was considered a measure of the total appendicular skeletal muscle mass measured with whole-body dual-energy X-ray absorptiometry.

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Article Synopsis
  • The study compares clinical symptoms of lumbar spinal stenosis (LSS) and adult spinal deformity (ASD) to improve treatment accuracy, highlighting the importance of using the Geriatric Locomotive Function Scale-25 (GLFS-25) for assessing disease severity.
  • It involved 69 patients with ASD and 196 with LSS, evaluating them preoperatively for locomotive dysfunction through GLFS-25 and physical performance tests.
  • Findings revealed that both LSS and ASD patients experienced severe locomotive dysfunction, but ASD patients faced greater challenges in daily load-bearing and housework activities compared to those with LSS.
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Limb muscle strength asymmetry affects many physical abilities. The present study (1) quantified limb muscle asymmetry in patients with adolescent idiopathic scoliosis (AIS); (2) compared AIS patients with major thoracolumbar/lumbar (TL/L) or major thoracic (MT) curves; (3) examined correlations between limb muscle asymmetry and radiographic parameters. Patients with AIS with major TL/L curves (Lenke type 5C) and MT curves (Lenke Type 1A) who underwent posterior spinal fusion at our university hospitals were included.

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