125 results match your criteria: "National Hospital Organization Murayama Medical Center.[Affiliation]"

The corresponding author regret that co-author name was incorrectly published as "Elias C. Papadopoulus" in the article. The correct name of the author should be displayed as "Elias C.

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Percutaneous endoscopic gastrostomy (PEG) is often performed for nutritional management in advanced esophageal cancer. We here report a patient who initially received enteral nutrition via a nasogastric tube and in whom the subsequent use of percutaneous transesophageal gastro-tubing (PTEG) circumvented the need for a gastrostomy. It is believed that PEG is less painful than a nasogastric tube.

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Study Design: Cross-sectional study.

Objective: Patients who undergo intramedullary spinal surgery occasionally experience post-surgical chronic pain; however, the underlying mechanisms are not yet completely understood. Therefore, this study aimed to identify the cerebral structural changes in patients with post-surgical chronic myelopathic pain using voxel-based morphometry.

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The characteristics of the patients with radiologically severe cervical ossification of the posterior longitudinal ligament of the spine: A CT-based multicenter cross-sectional study.

J Orthop Sci

September 2020

Department of Orthopedic Surgery, Faculty of Medicine, University of Toyama, 2630 Sugitani, Toyama, Toyama, 930-0194, Japan; Japanese Organization of the Study for Ossification of Spinal Ligament (JOSL), 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan.

Background: Ossification of the posterior longitudinal ligament of the spine (OPLL) is characterized by heterotopic bone formation in the posterior longitudinal ligament of the spine. We know that the size and distribution of the ossified lesions in patients with OPLL are different in each case. However, the characteristics of the patients with radiologically severe cervical OPLL remain unknown.

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Article Synopsis
  • Integrated volitional control electrical stimulation (IVES) is an electrical therapy that helps improve muscle contraction in paralyzed limbs, particularly effective for stroke patients.
  • A 76-year-old male who experienced hemiplegia for eight years underwent IVES for one month targeting specific muscles in his right hand, showing notable improvements in hand function.
  • After the IVES treatment, the patient demonstrated sustained enhancement in motor skills of his hand and fingers, indicating that short-term IVES intervention can lead to significant recovery in motor functions.
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Objective: To clarify the activities of daily living (ADL) structure of persons with spinal cord injury (SCI) by analyzing the associations between the Spinal Cord Independence Measure III (SCIM III) total score and individual SCIM III item scores.

Design: A retrospective survey.

Setting: A national hospital with 2 SCI units in Japan.

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Treatments of unstable dorsal fracture dislocations of the proximal interphalangeal (PIP) joint are very challenging. The authors performed modified hemihamate arthroplasty for these injuries in 13 patients (13 fingers). Our surgical technique was unique in the point that we put volarly oblique osteotomy in the coronal plane at the recipient site to create an adequate reconstruction of the volar lip of the articular surface of the middle phalanx.

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Intermittent hypoxia, energy expenditure, and visceral adipocyte recovery.

Respir Physiol Neurobiol

February 2020

Department of Child Health, MU Women's and Children's Hospital, University of Missouri, USA.

Background And Objective: Body weight of patients with obstructive sleep apnea after initiation of nasal continuous positive airway pressure appears to increase. We hypothesized that intermittent hypoxia (IH) will decrease energy expenditure (EE), and that normoxic recovery will lead to body weight gains.

Methods: C57BL/6 J male mice were exposed to either 12 h/day of mild IH (alternating FO-10-11% and 21%; 640 s cycle), or severe IH (FO-6-7%-21%; 180 s cycle) or sham IH daily for 4 or 8 weeks.

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Study Design: Genetic case-control study of single nucleotide polymorphisms (SNPs).

Objective: To examine the association of previously reported susceptibility genes for adolescent idiopathic scoliosis (AIS) and intervertebral disc (IVD) degeneration with adult spinal deformity (ASD).

Summary Of Background Data: ASD is a spinal deformity that develops and progresses with age.

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Study Design: Multicenter retrospective case series.

Objective: To report the risks, recovery, and clinical impact of neurological complications (NCs) in adult spinal deformity (ASD) surgery.

Summary Of Background Data: Although recent studies have reported the incidence of NCs in ASD surgery, few have addressed the recovery from and clinical impacts of NC.

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Study Design: A retrospective cohort study OBJECTIVE: To establish a logarithmic model to predict functional independence after spinal cord injury.

Setting: The National Hospital Organization, Murayama Medical Center, Japan.

Methods: Thirty-one adults with a traumatic spinal cord injury (SCI) were enrolled.

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Study Design: This is a multicentered retrospective study.

Summary Of Background Data: Surgical correction for the adult spinal deformity (ASD) is effective but carries substantial risks for complications. The diverse pathologies of ASD make it difficult to determine the effect of advanced age on outcomes.

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Study Design: A retrospective review of 281 consecutive cases of adult spine deformity (ASD) surgery (age 55 ± 19 yrs, 91% female, follow-up 4.3 ± 1.9 yrs) from a multicenter database.

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Article Synopsis
  • The study aimed to assess muscle conditions in the lower leg following stretch-shortening cycle exercises using MRI imaging.
  • Twenty healthy male volunteers performed rebound jumping exercises, and MRIs were conducted at different time intervals post-exercise to evaluate muscle changes.
  • Results showed prolonged T1 and T2 values, elevated ADC values, and decreased FA values after exercise, indicating fatigue and potential muscle damage, with slow recovery patterns over time.
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Article Synopsis
  • The study was a retrospective multicenter analysis comparing outcomes of cervical decompression surgery for cervical spondylotic myelopathy (CSM) performed by board-certified spine (BCS) and non-board-certified spine (NBCS) surgeons.
  • A total of 675 patient cases were reviewed, showing that BCS surgeons had shorter surgery times while both groups had similar rates of complications and patient recovery metrics post-surgery.
  • The findings suggest that CSM surgeries can be safely performed by junior surgeons under the supervision of qualified spine surgeons, with comparable outcomes to those performed by fully certified specialists.
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Surgical risk stratification based on preoperative risk factors in adult spinal deformity.

Spine J

May 2019

Department of Orthopedic Surgery, Keio UniversitySchool of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan; Keio Spine Research Group, 178-4-4 Wakashiba, Kashiwa, Chiba 277-0871, Japan. Electronic address:

Background Context: Corrective surgery for adult spinal deformity (ASD) improves health-related quality of life but has high complication rates. Predicting a patient's risk of perioperative and late postoperative complications is difficult, although several potential risk factors have been reported.

Purpose: To establish an accurate, ASD-specific model for predicting the risk of postoperative complications, based on baseline demographic, radiographic, and surgical invasiveness data in a retrospective case series.

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Purpose: ASD surgery improves a patient's health-related quality of life, but it has a high complication rate. The aim of this study was to create a predictive model for complications after surgical treatment for adult spinal deformity (ASD), using spinal alignment, demographic data, and surgical invasiveness.

Methods: This study included 195 surgically treated ASD patients who were > 50 years old and had 2-year follow-up from multicenter database.

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Spinal fractures in patients with diffuse idiopathic skeletal hyperostosis: Clinical characteristics by fracture level.

J Orthop Sci

May 2019

Department of Orthopaedic Surgery, Keio University, Tokyo, Japan; Keio Spine Research Group, Tokyo, Japan. Electronic address:

Background: Diffuse idiopathic skeletal hyperostosis (DISH) makes the spine prone to unstable fractures with neurological deterioration. This study was conducted to assess clinical and radiographic features of spinal fractures in DISH by the level of spinal injury, and to evaluate the optimal treatment for each level.

Methods: A multicenter retrospective study over a 5-year period, including 46 patients (35 males; 11 females) with a mean age of 77.

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Study Design: A retrospective multicenter database review of 240 consecutive patients at least 21 years of age (mean 58 ± 17, range 22-79) who underwent surgery for adult spinal deformity (ASD) and were followed at least 2 years.

Objective: To investigate how treatment for frailty affects complications in surgery for ASD.

Summary Of Background Data: Several recent studies have focused on associations between frailty and surgical complications.

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There have been numerous attempts to develop stem cell transplantation approaches to promote the regeneration of spinal cord injury (SCI). Our multicenter team is currently planning to launch a first-in-human clinical study of an induced pluripotent stem cell (iPSC)-based cell transplant intervention for subacute SCI. This trial was conducted as class I regenerative medicine protocol as provided for under Japan's Act on the Safety of Regenerative Medicine, using neural stem/progenitor cells derived from a clinical-grade, integration-free human "iPSC stock" generated by the Kyoto University Center for iPS Cell Research and Application.

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Study Design: A multicenter retrospective case series of patients treated surgically for adult spinal deformity (ASD).

Objective: The aim of this study was to compare clinical outcomes between propensity score matched ASD patients with or without drop body syndrome (DBS).

Summary Of Background Data: DBS is an extreme primary sagittal-plane deformity often seen in Asian countries.

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Article Synopsis
  • This retrospective multicenter study aimed to investigate the progress of diffuse idiopathic skeletal hyperostosis (DISH) in patients with cervical ossification of the posterior longitudinal ligament (OPLL) using whole-spine CT scans.
  • Findings revealed that 48.7% of the studied 234 patients had DISH, with those diagnosed being older on average (67.3 years vs. 63.4 years).
  • A new grading system for DISH severity was established based on spinal regions affected, indicating a tendency for DISH to develop initially in the thoracic spine and progress with age into cervical and lumbar areas.
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Study Design: Retrospective multicenter study.

Objective: We aimed to assess the outcomes following posterior cervical decompression for cervical spondylotic myelopathy (CSM) in a large sample of patients older than 80 years.

Summary Of Background Data: Although age is a predictor of surgical outcomes for CSM, most previous studies have only investigated the effect of age for patients aged 65 to 75 years, and surgical outcomes remain unclear for older patients.

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Background: There have been no reports describing how cervical reconstruction surgery affects global spinal alignment (GSA).

Objective: To elucidate the effects of cervical reconstruction for GSA through a retrospective multicenter study.

Methods: Seventy-eight patients who underwent cervical reconstruction surgery for cervical kyphosis were divided into a Head-balanced group (n = 42) and a Trunk-balanced group (n = 36) according to the values of the C7 plumb line (PL).

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