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Article
Open AccessSuccessful surgical intervention for acute pyothorax caused by methicillin-resistant Staphylococcus aureus thoracic pyogenic spondylitis: a case report
Pyogenic spondylitis or intervertebral discitis rarely spreads into the thoracic cavity, resulting in pyothorax. Moreover, no study has reported methicillin-resistant Staphylococcus aureus (MRSA) as a cause. Cons...
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Article
Deep learning-based prediction model for postoperative complications of cervical posterior longitudinal ligament ossification
Postoperative complication prediction helps surgeons to inform and manage patient expectations. Deep learning, a model that finds patterns in large samples of data, outperform traditional statistical methods i...
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Article
Open AccessComparison of radiological characteristics between diffuse idiopathic skeletal hyperostosis and ankylosing spondylitis: a multicenter study
To evaluate the radiological differences between diffuse idiopathic skeletal hyperostosis (DISH) and ankylosing spondylitis (AS) using whole spine computed tomography (CT), including the spine and sacroiliac j...
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Article
Open AccessUsefulness of modified S-line for upper instrumented vertebra selection in adolescent idiopathic scoliosis Lenke type 2 curves
No validated systems exist for selecting the upper instrumented vertebra (UIV) for optimal postoperative shoulder balance in Lenke type 2 adolescent idiopathic scoliosis (AIS). This study evaluated a new metho...
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Article
Open AccessA deep convolutional neural network to predict the curve progression of adolescent idiopathic scoliosis: a pilot study
Adolescent idiopathic scoliosis (AIS) is a three-dimensional spinal deformity that predominantly occurs in girls. While skeletal growth and maturation influence the development of AIS, accurate prediction of c...
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Article
Open AccessImpact of obesity on cervical ossification of the posterior longitudinal ligament: a nationwide prospective study
Positive association between ossification of the posterior longitudinal ligament of the spine (OPLL) and obesity is widely recognized; however, few studies focused on the effects of obesity on treatment of cer...
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Article
Open AccessEfficacy of surgeon-directed postoperative local injection with an analgesic mixture in posterior fusion surgery for adolescent idiopathic scoliosis
Severe postsurgical pain in posterior spinal fusion is common. Multimodality analgesia, including opioid-based patient-controlled analgesia (PCA), is commonly used, but opioid-related adverse events such as na...
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Article
Open AccessComparison of laminoplasty and posterior fusion surgery for cervical ossification of posterior longitudinal ligament
This prospective multicenter study, established by the Japanese Ministry of Health, Labour and Welfare and involving 27 institutions, aimed to compare postoperative outcomes between laminoplasty (LM) and poste...
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Chapter
Cervical Spondylotic Myelopathy
Cervical spondylotic myelopathy (CSM) is a degenerative condition secondary to cervical cord compression; symptoms are variable (clumsiness or a loss of fine motion skills in the hand, spastic gait, vesicouret...
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Chapter
Thoracic Disk Herniation
Thoracic disk herniation (TDH) can cause spinal cord compression due to the prolapse of the thoracic disk into the spinal canal; it is associated with numbness and symptoms of thoracic myelopathy (weakness of ...
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Article
Open AccessThe impact of ossification spread on cervical spine function in patients with ossification of the posterior longitudinal ligament
Ossification of the posterior longitudinal ligament (OPLL) is a progressive disease. The bridging of ossified lesions to the vertebral body gradually increases, thereby decreasing the mobility of the cervical ...
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Article
Open AccessNeurological improvement is associated with neck pain attenuation after surgery for cervical ossification of the posterior longitudinal ligament
Although favourable surgical outcomes for myelopathy caused by cervical ossification of the posterior longitudinal ligament (OPLL) have been reported, factors significantly associated with post-operative neck ...
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Article
Open AccessClinical characteristics in patients with ossification of the posterior longitudinal ligament: A prospective multi-institutional cross-sectional study
Ossification of the posterior longitudinal ligament (OPLL) can occur throughout the entire spine and can sometimes lead to spinal disorder. Although patients with OPLL sometimes develop physical limitations be...
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Article
Open AccessSacroiliac joint variation associated with diffuse idiopathic skeletal hyperostosis
Diffuse idiopathic skeletal hyperostosis (DISH) is characterized by the ossification of vertebral bodies and peripheral entheses. However, variations in sacroiliac (SI) joint change in patients with DISH have ...
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Chapter
Open-Door Laminoplasty for Cervical OPLL: Technique, Long-Term Results, and Complications
Cervical laminoplasty has become a standard procedure for the posterior decompression of the cervical cord, as ossification of the posterior longitudinal ligament (OPLL) a potential of cervical cord compressio...
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Chapter
Evaluation of Distribution Patterns of Spinal Ligament Ossification Using Whole-Spine Computed Tomography in Patients with Cervical Ossification of the Posterior Longitudinal Ligament
Ossification of the posterior longitudinal ligament (OPLL) and other types of spinal ligament ossification are common in Japan and are known to frequently cause neuropathy. Cervical OPLL is a common form of OP...
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Article
Sternum-splitting anterior approach following posterior decompression and fusion in patients with massive ossification of the posterior longitudinal ligament in the upper thoracic spine: report of 2 cases and literature review
Anterior approach to the upper thoracic spine is difficult. It is important for spine surgeons to know the indication and the effect of anterior decompression for upper thoracic lesions and also to recognize t...
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Article
Open AccessDistribution of ossified spinal lesions in patients with severe ossification of the posterior longitudinal ligament and prediction of ossification at each segment based on the cervical OP index classification: a multicenter study (JOSL CT study)
In patients with ossification of the posterior longitudinal ligament (OPLL) in the cervical spine, it is well known that the thoracic ossified lesions often coexist with the cervical lesions and can cause seve...
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Article
Open AccessClinical and imaging characteristics in patients undergoing surgery for lumbar epidural lipomatosis
Lumbar epidural lipomatosis (LEL) is characterized by abnormal accumulation of unencapsulated adipose tissue in the spinal epidural space. Such accumulation compresses the dural sac and nerve roots, and result...
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Article
Open AccessA selective inhibition of c-Fos/activator protein-1 as a potential therapeutic target for intervertebral disc degeneration and associated pain
Intervertebral disc (IVD) degeneration is a major cause of low back pain. The transcription factor c-Fos/Activator Protein-1 (AP-1) controls the expression of inflammatory cytokines and matrix metalloproteinas...