脊椎脊髄外科
Spine Surgery
Spine Surgery
Introduction
The spine and spinal cord surgery department at our hospital is a medical department that treats both the spine, which is a musculoskeletal system, and the spinal cord that runs inside it, dealing with the nerves and bones.
We recognize that spine and spinal cord diseases are difficult to treat and that surgery is also very difficult, but we use reliable technology and diagnostic capabilities to provide safe and cutting-edge treatments for spinal diseases that are said to be dangerous, and strive to provide medical care that will reassure and satisfy patients and their families.
Characteristics of this department
Main diseases
| Cervical Spine Disorders | Cervical spondylotic myelopathy, Cervical spondylotic radiculopathy, Ossification of the posterior longitudinal ligament (OPLL) of the cervical spine, Cervical spinal cord injury, Chiari malformation, Cervical malformation, Rheumatoid atlantoaxial dislocation, pseudotumor, etc. |
|---|---|
| Thoracic Spine Disorders | Ossification of the ligamentum flavum (OLF),Calcification of the ligamentum flavum, Ossification of the posterior longitudinal ligament (OPLL) of the thoracic spine, Thoracic disc herniation |
| Lumbar Spine Disorders | Spinal canal stenosis, Degenerative lumbar spondylolisthesis, Lumbar spondylolytic spondylolisthesis, Foraminal stenosis, Lumbar disc herniation, Ossification of the posterior longitudinal ligament (OPLL) of the lumbar spine, Ossification of the ligamentum flavum of the lumbar spine, Lumbar vertebral fracture |
| Spinal and Spinal Cord Tumors | Infectious spondylitis, Discitis, Spinal Trauma and Spinal, Cord Injury, Tethered cord syndrome, Spinal lipoma |
| Spinal Injury / Spinal Cord Injury | Spinal Cord Tethering Syndrome, Spinal Cord Lipoma |
Treatment
| Cervical Spine Disorders | pinous process-splitting cervical laminoplasty, Selective cervical laminectomy (Skip), Posterior cervical decompression (foraminal decompression), Posterior cervical fixation (pedicle, lateral mass, facet fixation, etc.), Anterior cervical decompression and fusion (ACDF), Endoscopic foraminal decompression, Atlantoaxial dislocation fixation (C1-2), Cranio-cervical fixation (C0-2), Foramen magnum decompression for Chiari malformation |
|---|---|
| Thoracic Spine Disorders | Resection of ossification of the ligamentum flavum (OLF), Extensive posterior decompression and fixation for ossification of the posterior longitudinal ligament (OPLL), Thoracic disc herniation removal |
| Lumbar Spine Disorders | Herniated disc enzyme injection therapy (HerniCore), Microendoscopic discectomy (MED), Microendoscopic laminectomy (MEL), Percutaneous endoscopic discectomy (PED), Percutaneous endoscopic laminectomy (PEL, D-PEL), Full-endoscopic spinal surgery (FES, FESS),Posterior discectomy (Love method),Fenestration (MIS unilateral approach bilateral decompression), Laminectomy, Minimally invasive lumbar fixation (MIS-TLIF), Posterior lumbar interbody fixation (PLIF, TLIF), Posterolateral lumbar fixation (PLF), Balloon kyphoplasty (BKP) for osteoporotic vertebral fractures, Posterior corrective fixation and shortening for osteoporosis (PSO), Extreme lateral interbody fusion (XLIF) and anterior spinal fixation, Osteoplastic laminectomy |
| Spinal and Spinal Cord Tumors | Primary spinal tumor resection, Posterior fixation for metastatic spinal tumors, Total en bloc spondylectomy (TES) for metastatic spinal tumors, Intradural extramedullary tumor resection (schwannoma, meningioma), Intradural intramedullary tumor resection |
| Infectious Spondylitis | Psoas abscess debridement, Pyogenic spondylodiscitis debridement and biopsy, Anterior debridement and fixation for pyogenic spondylitis, Posterior fixation for pyogenic spondylitis |
| Trauma | Posterior decompression and fixation for spinal injury, Anterior decompression and fixation for spinal injury |
| Tethered Cord Syndrome | Filum terminale release for tethered cord syndrome, Spinal shortening surgery for tethered cord syndrome |
| Other Treatments | Spinal fixation using various navigation and robotic spinal systems |
Outpatient schedule
Morning 9:00～12:00（Reception8:00-11:30）/
Afternoon to Evening 13:30～16:30（Reception13:00-16:00）
| Mon | Tue | Wed | Thurs | Fri | |
|---|---|---|---|---|---|
| Morning | ● | - | ● | ● | ● |
| Afternoon to Evening | ● | - | ● | - | ● |
Medical track record of the clinical department
-
Surgical method Number of procedures Spinal Fusion, Laminectomy, Laminoplasty 72 Posterior Decompression/Excision 18 Percutaneous Vertebroplasty 16 Microscopic Lumbar Spinal Canal Decompression 7 Wound Debridement 6 Endoscopic Discectomy 4 Spinal Cord Tumor Resection 3 Laminectomy 2 Spinal Bone/Cartilage Biopsy 2 External Spinal Fixation 1 Spinal Immobilization 1 Autograft/Bone Grafting 1 Posterior Fossa Decompression 1 Cervical Spine Procedures 1 Surgery for Ossification of the Yellow Ligament (OYL) 1 Central Venous (CV) Port Removal Surgery 1 Total number of medical departments 137 -
Anesthesia method Number of cases General Anesthesia 137 Local Anesthesia 3 Conduction Anesthesia (Nerve Block) 1 Total number of medical departments 141
Medical Equipment
Spinal Surgery Equipment
- Spinal Surgery Support Robot : Excelsius GPS
- Medtronic Spinal Navigation S8 System
- Spinal Endoscope : Medotronic METRIｘSystem
- Richard Wolf Co. : Complete Spinal Endoscope System (FESS), etc.
Hybrid Operating Room
Intraoperative Photo of Robotic Spinal Surgery
Academically certified facility
- Facilities Accredited for Enzymatic Disc Injection Therapy by the Japan Spinal Surgery Society
[Japan Spinal Surgery Society, Medical Device and Insurance Committee http://www.neurospine.jp/original58.html] - Accredited Training Facility by the Japan Spinal Surgery Society
[Japan Spinal Surgery Society / Committee for Spinal Surgery Certification System http://www.neurospine.jp/original17.html] - Board-Certified Spine Surgeons, Technical Instructors, and Type-A Accredited Training Facilities by the Japan Spinal Surgery Society
[Japan Spinal Surgery Society / Committee for Spinal Surgery Certification System https://www.neurospine.jp/original50.html]
Regarding clinical research
Click here for more information on clinical research