Biography
Yutaka Kuroda, Medicine Doctor, now is an Assistant professor of Department of Orthopaedic surgery, Kyoto university. In 1994, was received the B.E. degree in Economics from Keio university, got medical doctor license at St. Marianna university school of medicine in 1999, and Medicine Doctor's degree (Ph.D.) at Graduate School of Medicine, Kyoto University in 2011. His researches focus on the bone regeneration. A Research Award from “The Japanese Society of Inflammation and Regeneration 2014 and 2016 meetingâ€. Member of the Japanese Investigation Committee of Health and Welfare on the establishment of guidelines for Osteonecrosis of the femoral-head.
Abstract
In the past decades, minimally invasive regenerative therapy has been desired for the early stages of osteonecrosis of the femoral head (ONFH). ONFH is common among young people in their 30s and 40s. In the clinic, although patients are diagnosed, 70%–80% of ONFH patients experience femoral head collapse and have to undergo total hip arthroplasty. The purpose of this study was to evaluate the safety and clinical outcomes of inegectable rhFGF-2 gelatin hydrogel. Ten ONFH patients up to precollapse stage 2 underwent a single local administration of 800-μg rhFGF-2 gelatin hydrogel and were followed up for four year. Primary outcomes included adverse events and complications. Secondary outcomes included changes in Harris Hip Scores, VAS pain scores, UCLA scores, radiological changes as determined via X-ray, CT, and MRI images. The surgery was performed with a minimally invasive technique (1 cm of skin incision), and walking was allowed from the day after surgery. Mean clinical scores improved significantly after four years compared with before surgery. There was only one case of femoral head collapse, and it had the greatest necrosis volume fraction and was considered to be in the early collapse stage at the time of operation. The other nine cases did not involve ONFH stage progression, and collapse was prevented. CT and MRI images confirmed bone regeneration in the ONFH. Our research is ongoing, further phase II multiple center study has been started in January 2016.
Biography
Ye-Ji Yoon has graduated Kyung Hee University College of Korean Medicine and is in Residency training at Kyung Hee University Hospital at Gangdong, Department of Korean Rehabilitation Medicine.
Abstract
The objective of this study was to investigate the role of lumbar paraspinal muscles (PSMs) in the progression of different types of spondylolisthesis by examining the correlation between lumbar PSM cross-sectional area (CSA) and slip percentage (SP) in degenerative spondylolisthesis (DS) and isthmic spondylolisthesis (IS). A multicenter retrospective analysis was carried out including 219 subjects diagnosed with lumbar spondylolisthesis. The DS group had 125 subjects and the IS group had 94 subjects. Using T2-weighted axial MRI images, CSAs of the psoas major (PM), multifidus (MU), and erector spinae (ES) were measured and divided by L5 vertebral body (VB) CSA to eliminate biases arising from the physical build of subjects. SP was measured using sagittal T2 weighted images. Correlations between muscle CSA ratio and SP were calculated in each group. Regression analysis was performed to predict the influence of each muscle CSA/VB CSA ratio on SP. No significant correlation was found in the DS group between any of the muscle CSA ratios and SP. Both PM/VB ratio (r=-0.24, p=0.021) and MU/VB ratio (r=-0.26, p=0.012) were negatively correlated with SP in the IS group. MU had more influence on SP than PM in the IS group (regression coefficient MU/VB: -8.08, PM/VB: -4.34). Both PM and MU muscle CSA ratios were negatively correlated with SP in the isthmic group. MU had more influence on SP than PM. No muscles had any correlations with SP in the degenerative group. This discrepancy between the two groups suggests exercise programs or interventions intended to prevent progression of IS and DS should be distinguished in clinical practice.