Publications by authors named "Yukihiro Matsuyama"

Purpose: This study aimed to investigate sex-related differences in demographics, radiography, and perioperative complications in adult spinal deformity (ASD) surgeries.

Methods: This retrospective cohort, single-center study enrolled patients who underwent long-instrumented fusion from the thoracic spine to the ilium for ASD, with a minimum follow-up of 2 years. The incidence of preoperative comorbidities, perioperative complications, and postoperative mechanical complications was analyzed.

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Study Design: Retrospective study.

Purpose: We aimed to investigate the clinical impact and risk factors for residual T1 tilt in patients with adolescent idiopathic scoliosis (AIS).

Methods: We retrospectively analyzed data of patients with AIS and Lenke type 1 curves who underwent posterior fusion.

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Article Synopsis
  • The study examined the link between bladder dysfunction after surgery and various preoperative and surgical factors in patients with spinal myxopapillary ependymoma (MPE).
  • It included 8 patients aged 21 to 76, who underwent tumor removal from 2011 to 2021, and categorized bladder dysfunction as mild or severe post-surgery.
  • Findings suggested that performing gross total resection (GTR) in cases with intraoperative adhesions could worsen bladder function, highlighting the importance of careful surgical techniques to minimize risks.
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Purpose: Investigate zones where implant density should not be reduced in posterior spinal fusion (PSF) for adolescent idiopathic scoliosis (AIS) Lenke type 1A curves.

Methods: 126 consecutive patients (118 female and 8 male; mean age: 15.1 ± 2.

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Introduction: A major complication of arthrodesis is non-union in patients with Charcot arthropathy. This study examined the bone union in joints affected arthrodesis for Charcot arthropathy of the foot and ankle.

Methods: The current retrospective study enrolled 15 patients (20 feet) who underwent arthrodesis (performed in 47 joints) for Charcot arthropathy from 2014 to 2020.

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Introduction: Chemonucleolysis with condoliase is a minimally invasive treatment option for lumbar disk herniation (LDH). However, studies reporting the efficacy of condoliase in patients aged <20 years are scarce. Therefore, the present study aimed to evaluate the efficacy of condoliase therapy for LDH in the aforementioned population.

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Article Synopsis
  • Adult spinal deformity (ASD) surgeries, specifically posterior lumbar interbody fusion with multiple grade II osteotomies (PLIF + MOs) and lateral lumbar interbody fusion (LLIF), have shown promising patient outcomes, yet a direct comparison of how these methods affect spinal canal dimensions had not been performed until this study.
  • The researchers examined 44 ASD patients who underwent either LLIF or PLIF + MOs from 2010 to 2021, using advanced imaging techniques to analyze changes in aspects like anterior vertical column length (AVCL), spinal canal length (SCL), and spinal canal volume (SCV).
  • Results indicated that LLIF significantly improved both AVCL and SCL compared to PLIF +
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Background Context: SI-6603 (condoliase) is a chemonucleolytic agent approved in Japan in 2018 for the treatment of lumbar disc herniation (LDH) associated with radicular leg pain. Condoliase, a mucopolysaccharidase with high substrate specificity for glycosaminoglycans (GAGs), offers a unique mechanism of action through the degradation of GAGs in the nucleus pulposus. As LDH management is currently limited to conservative approaches and surgical intervention, condoliase could offer a less invasive treatment option than surgery for patients with LDH.

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Study Design: A retrospective cohort study.

Purpose: To investigate the sagittal plane configuration of the entire spine and its association with the risk of adjacent segment degeneration (ASD) after posterior lumbar interbody fusion (PLIF).

Overview Of Literature: Although PLIF has demonstrated satisfactory clinical outcomes, it is associated with ASD.

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Article Synopsis
  • The study examines six cases of perioperative spinal cord injury (SCI) that occurred during complex adult deformity surgeries, noting their causes, treatments, and outcomes.
  • Out of 272 patients from the Scoli-RISK-1 cohort study, 2.2% experienced SCI, with cases occurring both during and after surgery.
  • The findings highlight the importance of close postoperative monitoring and timely intervention to prevent lasting neurological damage.
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Purpose: We defined sagittal S-line tilt (SSLT) as the tilt of the line connecting the upper instrumented vertebra and the lower instrumented vertebra. This study aimed to: (1) examine the correlation between SSLT and proximal junctional angle (PJA) change values, and (2) determine the cut-off value of SSLT with respect to proximal junctional kyphosis (PJK) occurrence.

Methods: Eighty-six consecutive patients (81 female and 5 male; mean age: 15.

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Introduction: In total knee arthroplasty (TKA), the implant positions and knee kinematics, as well as the manifestation of medial pivot motion, play pivotal roles in determining postoperative clinical outcomes. The purpose of the current study was to analyze the correlation between knee kinematics, which was measured during TKA and implant positions derived using computed tomography (CT) examination after TKA.

Methods: This study comprised 64 patients (76 knees) who underwent primary TKA between 2015 and 2022.

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Objectives: Locomotive syndrome stage 3 (LS3), which has been established recently, may imply a greater need for care than LS stage 0 (LS0), LS stage 1 (LS1), and LS stage 2 (LS2). The relationship between LS3 and long-term care in Japan is unclear. Therefore, this study aimed to examine this relationship.

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Objectives: We investigated the relationship between the perioperative nutritional status and postoperative walking ability in patients with hip fractures.

Methods: We included 246 surgically treated elderly patients with hip fractures who were ambulatory before the injury. Patients were divided into two groups: group A, who were able to walk at discharge, and group B, who were unable to walk at discharge.

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Although Oxford unicompartmental knee arthroplasty is often used to successfully treat patients with knee osteoarthritis isolated at the medial compartment, we present a case of fracture just below the tibial keel caused by either a shift in medial loading position or an increased amount of tibial osteotomy. Finite element analysis was used to determine which factor was more important. First, a 3D-surface model of the patient's tibia and the implant shape were created using computed tomography-Digital Imaging and Communications in Medicine (CT-DICOM) data taken preoperatively.

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Study Design: An e-mail-based online survey for adult spinal deformity (ASD) surgeons.

Objective: Wound closure and dressing techniques may vary according to the discretion of the surgeon as well as geographical location. However, there are no reports on most common methods.

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Article Synopsis
  • Previous research shows that revision surgery can enhance health-related quality of life after corrective fusion surgery for adult spinal deformity (ASD), prompting this study to analyze the cost-effectiveness of these surgeries over 5 years.
  • The study involved 79 ASD patients, comparing those who had unexpected revision surgery to those who did not, focusing on costs per quality-adjusted life year (QALY).
  • Results indicated that while total medical costs were significantly higher for the revision group, there was no notable difference in cumulative QALY improvement, with costs to improve one QALY also being about 20% higher for those who underwent revisions.
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Study Design: Prospective multicenter database post-hoc analysis.

Objectives: Opioids are frequently prescribed for painful spinal conditions to provide pain relief and to allow for functional improvement, both before and after spine surgery. Amidst a current opioid epidemic, it is important for providers to understand the impact of opioid use and its relationship with patient-reported outcomes.

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  • Medial open-wedge high tibial osteotomy (OWHTO) is a surgery for knee osteoarthritis and varus deformity, but can result in changes affecting the knee's cartilage and joint function.
  • The study involved 20 patients whose knee cartilage condition was evaluated after surgery, aiming to identify factors associated with worsening of the patellofemoral cartilage.
  • Results showed that 44% of knees had deteriorated cartilage; changes in radiographic measurements, particularly the modified Blumensaat index (ΔMBI), were significant predictors of this deterioration.
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Background: Spinal anesthesia is used for femoral trochanteric fracture surgery, but frequently induces hypotension and the causative factors remain unclear. We examined background factors for the use of an intraoperative vasopressor in elderly patients receiving spinal anesthesia for femoral trochanteric fracture surgery.

Methods: We retrospectively analyzed 203 patients >75 years (mean age, 87.

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Introduction: Condoliase-based chemonucleolysis is a minimally invasive intermediate treatment option between conservative approaches and surgical interventions for lumbar disk herniation (LDH). In this study, the effects of psychological factors on the clinical outcomes of condoliase therapy for LDH were assessed.

Methods: This study involved patients with LDH who received condoliase injections over a 1-year follow-up period.

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Introduction: We evaluated whether the clinical outcomes, including postoperative knee range of motion (ROM), after unicompartmental knee arthroplasty (UKA) were associated with the sagittal spinopelvic parameters and coronal alignment of the full lower extremity.

Methods: Forty-two patients (50 knees: six men, seven knees; 36 women, 43 knees) who underwent medial UKA between April 2015 and December 2022 were included. Preoperative radiographic examinations of the index for sagittal spinopelvic alignment included the sagittal vertical axis (SVA), lumbar lordosis, sacral slope (SS), pelvic tilt (PT), and pelvic incidence.

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