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ナカニシ カズオ
Kazuo Nakanishi
中西 一夫 所属 川崎医療福祉大学 リハビリテーション学部 理学療法学科 職種 教授 |
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| 論文種別 | 原著 |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | Japanese 2021 nationwide survey on complications from spine surgery. |
| 掲載誌名 | 正式名：European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society 略 称：Eur Spine J ISSNコード：14320932/09406719 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 34(8),pp.3095-3105 |
| 著者・共著者 | Sadayuki Ito, Shiro Imagama, Hiroaki Nakashima, Masaaki Machino, Toshinori Sakai, Toshimi Aizawa, Hideyuki Arima, Hideaki Hamanaka, Yuyu Ishimoto, Satoshi Kato, Yoshiharu Kawaguchi, Hiroaki Konishi, Naohisa Miyakoshi, Hideki Murakami, Yukitaka Nagamoto, Kazuo Nakanishi, Kotaro Nishida, Tetsuro Ohba, Shinya Okuda, Koji Otani, Kota Suda, Nobuyuki Suzuki, Eiji Takasawa, Hidetomi Terai, Fumitake Tezuka, Yu Yamato, Yasutsugu Yukawa, Tokumi Kanemura, Masashi Takaso, Hiroshi Takahashi |
| 発行年月 | 2025/08 |
| 概要 | PURPOSE:To provide an updated analysis of perioperative complications, patient demographics, and surgical techniques in spinal surgeries across Japan and examine their impact on risk management.METHODS:Data were collected prospectively from 739 of 1,106 registered facilities across Japan using the JSSR database. All spinal surgeries conducted in November 2021 were included, capturing complications within 1 month post-surgery. Data analyzed included patient demographics, disease classification, surgical techniques, site, approach, and complications. Descriptive statistics determined complication rates and trends.RESULTS:The survey included 11,559 surgeries (average patient age: 67.0 years). Degenerative diseases comprised 71.0% of cases. Posterior surgical approaches were predominant (87.9%), and minimally invasive techniques were widely adopted. The overall complication rate was 8.8%, with dural tears (2.4%) being the most common. Minimally invasive techniques improved outcomes but posed technical challenges, highlighting the need for advanced training and equipment.CONCLUSION:Japan's aging surgical population and the adoption of minimally invasive techniques are evident. While complication rates remain stable, specific complications such as dural tears require targeted management. These findings underscore tailored surgical strategies for older patients and innovation in techniques, providing critical evidence for improving outcomes and informing healthcare policy in Japan. |
| DOI | 10.1007/s00586-025-08981-z |
| PMID | 40500418 |