Affiliation |
Hospital Rehabilitation Medicine |
Research Interests 【 display / non-display 】
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Spinal cord injury
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Spine surgery
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Rehabilitation
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Orthopedic surgery
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Regenerative medicine
Graduating School 【 display / non-display 】
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-2006.03
Akita University Faculty of Medicine Graduated
Graduate School 【 display / non-display 】
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-2014.03
Akita University Graduate School, Division of Medicine Doctor's Course Completed
Campus Career 【 display / non-display 】
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2022.05-Now
Akita University Hospital Rehabilitation Medicine Assistant Professor
Research Achievements 【 display / non-display 】
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Clinical Manifestations and Diagnostic Considerations of C7-T1 Single-Level Myelopathy: A Case Series.
Kento Okamoto, Ryota Kimura, Yuji Kasukawa, Michio Hongo, Daisuke Kudo, Hayato Kinoshita, Yuichi Ono, Naohisa Miyakoshi
Cureus 16 ( 5 ) e60306 2024.05
Research paper (journal)
Cervical myelopathy is caused by compression of the cervical spinal cord for any reason. Cervical myelopathy most commonly affects the C5-6 level. However, C7-T1 single-level myelopathy is rare, and neurological findings may be atypical, making diagnosis difficult. We report three cases and discuss their clinical manifestations. Unlike other levels of cervical myelopathy, C7-T1 single-level myelopathy may present with gait disturbance without neurological deficits in the upper extremities. In addition, all three of our cases had different levels of spinal cord compression and locations of sensory deficits; at the C7-T1 level, the spinal cord compression may not correspond to the site of the sensory deficit. These features may help clinicians in the diagnosing of myelopathy.
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Comparison of Postoperative Results With Prognostic Nutritional Index for Lumbar Disc Herniation.
Hayato Kinoshita, Michio Hongo, Eiji Abe, Takashi Kobayashi, Yuji Kasukawa, Kazuma Kikuchi, Daisuke Kudo, Ryota Kimura, Yuichi Ono, Naohisa Miyakoshi
Cureus 16 ( 5 ) e60584 2024.05
Research paper (journal)
INTRODUCTION: The prognostic nutritional index (PNI) is an immune-nutritional index simply provided by a blood test. We retrospectively compared the postoperative outcomes of patients with lumbar disc herniation divided into two groups according to the PNI. MATERIALS AND METHODS: Seventy-three patients who underwent surgery at our hospital were included in the study. All patients had herniation between one of the L3/4, L4/5, or L5/S intervertebral discs and underwent one posterior lumbar interbody fusion. These patients were divided into two groups: patients with a PNI of <50 (poorly nourished (PN) group) and patients with a PNI of ≥50 (well-nourished (WN) group). Evaluation items included patient background characteristics, operative time, blood loss, postoperative complications, and length of hospital stay. RESULTS: The results showed that the body mass index was significantly higher in the WN group than in the PN group (p=0.0221). The rates of collagen disease, steroid use, and postoperative complications were significantly higher (p=0.0475, p=0.0073, and p=0.0211, respectively) and the length of hospital stay was significantly longer (p=0.021) in the PN group than in the WN group. CONCLUSION: In conclusion, this study indicates that postoperative complications and the length of hospital stay are significantly worse in PN patients than in WN patients.
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Miura T.
International Journal of Environmental Research and Public Health ( International Journal of Environmental Research and Public Health ) 19 ( 24 ) 2022.12 [Refereed]
Research paper (journal)
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Shoji R.
Anticancer Research ( Anticancer Research ) 42 ( 11 ) 5357 - 5363 2022.11 [Refereed]
Research paper (journal)
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Hirota R.
Spine ( Spine ) 47 ( 19 ) 1391 - 1398 2022.10 [Refereed]
Research paper (journal)
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Development of a New Focal Mouse Model of Bone Metastasis in Renal Cell Carcinoma
OYA KEITA, TSUCHIE HIROYUKI, NAGASAWA HIROYUKI, HONGO MICHIO, KASUKAWA YUJI, KUDO DAISUKE, SHOJI RYO, KASAMA FUMIHITO, KAWARAGI TAKASHI, WATANABE MANABU, TOMINAGA KENTA, MIYAKOSHI NAOHISA
In Vivo ( Production services Kyorinsha Co., Ltd. ) 38 ( 3 ) 1074 - 1078 2024
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Skip Fusion With Sacral-Alar-Iliac Screw Fixation for Pelvic Ring and Lumbar Fractures: A Case Report.
Ryota Kimura, Yuji Kasukawa, Michio Hongo, Daisuke Kudo, Motoki Mita, Koji Nozaka, Naohisa Miyakoshi
Cureus 15 ( 12 ) e50022 2023.12
Pelvic ring fractures are associated with high-energy trauma and high mortality owing to critical blood loss and concomitant injuries. If there is a concurrent lumbar fracture, the postoperative range of motion will be limited owing to the increased fusion range. Here, we report a case in which skip fusion with sacral-alar-iliac screw fixation was effective as a minimally invasive procedure for treating pelvic ring and lumbar fractures.
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Epidemiology of Complete Cervical Cord Injury in Japan
Kudo Daisuke, Miyakoshi Naohisa
( The Japanese Association of Rehabilitation Medicine ) 60 ( 12 ) 1038 - 1043 2023.12
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Curve progression and risk factors in patients of adolescent idiopathic scoliosis with Risser sign grade 4
Wakabayashi Rena, Hongo Michio, Misawa Akiko, Kimura Ryota, Kudo Daisuke, Shimada Yoichi, Miyakoshi Naohisa
Journal of Spine Research ( The Japanese Society for Spine Surgery and Related Research ) 14 ( 11 ) 1377 - 1382 2023.11
<p><b>Introduction: </b>Brace treatment for adolescent idiopathic scoliosis (AIS) is usually indicated for patients with Risser sign grade 0-3, but not for above grade 4. However, we occasionally see patients whose curves progress even in patients with Risser sign grade 4. We examine Cobb angle progression and risk factors in Risser sign grade 4 cases of AIS.</p><p><b>Methods: </b>From January 2016 to December 2020, 42 AIS patients with Risser sign grade 4 at the first visit to our clinic and were followed up for at least 1 year were included. Patient background, physical findings, and radiological measurements including the Cobb angles were evaluated. Patients were divided into progressive and non-progressive groups to compare their risk factors of scoliosis.</p><p><b>Results: </b>Eight patients were in the progressive group and 34 were in the non-progressive group. In the progressive group, the Cobb angle increased by 7.1 degrees, from 28.7 to 35.8 degrees. The time since menarche was significantly shorter in the progressive group (9.7 months) than in the non-progressive group (24.2 months) (P=0.003). Growth in height was significantly greater in the progressive group (+2.9 cm) than in the non-progressive group (+1.8 cm) (P = 0.02). There were no differences in the other factors.</p><p><b>Conclusions: </b>In this study, curves progressed in approximately 20% of patients with Risser sign grade 4. In cases with short time since menarche or potential for height growth, AIS patients with Risser sign grade 4 may need to take brace therapy.</p>
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Status and issue of scoliosis screening in Akita
Misawa Akiko, Hongo Michio, Kudo Daisuke, Wakabayashi Rena, Kimura Ryota, Shimada Yoichi, Miyakoshi Naohisa
Journal of Spine Research ( The Japanese Society for Spine Surgery and Related Research ) 14 ( 11 ) 1366 - 1371 2023.11
<p><b>Introduction: </b>In Akita Prefecture, school screening using the Moiré topography have been conducted since 1984, and have been continued after the start of musculoskeletal screening. In this study, we compared the results of the scoliosis examination using the Moiré screening with those of the musculoskeletal screening using data provided by the Akita City Board of Education.</p><p><b>Methods: </b>From 2017 to 2020, 1,442 patients with spinal column findings in musculoskeletal screening and 474 patients with Moiré screening findings underwent secondary examination.</p><p><b>Results: </b>The positive predictive value for the Cobb angle of 10 degrees or more was 39% in the musculoskeletal screening, and 60% in the Moiré screening. The positive predictive value of scoliosis in junior high school students was 57% for the musculoskeletal screening, which was similar to that for the Moiré screening. 13% of the diagnosed cases were newly positive for the musculoskeletal screening and 87% were continuously positive, and most of the cases were diagnosed with scoliosis by the Moiré screening.</p><p><b>Conclusions: </b>The results of this study have once again demonstrated the usefulness of Moiré screening in comparison with musculoskeletal screening. In order to promote the use of Moiré screening, it is necessary to improve the follow-up system after the screening. In addition, it is necessary to approach and cooperate with boards of education and medical associations for the development of medical checkups to resolve issues such as the protection of personal information in order to provide feedback on the results of medical checkups.</p>
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Grant-in-Aid for Scientific Research 【 display / non-display 】
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Grant-in-Aid for Scientific Research(C)
Project Year: 2019.04 - 2023.03