独立行政法人国立病院機構 下志津病院 千葉県四街道市鹿渡934-5

脊椎センター休止について
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脊椎センター

脊椎センターについて

  • 65歳以上の高齢者が約30%を占める超高齢社会であり、要介護の原因として、足・腰の運動器障害が全体の25%占め、腰痛をはじめ脊椎疾患が急増しております。脊椎疾患の診断と適切な治療を行こない早期社会復帰を目指すことが脊椎センターの目的です。
  • 脊椎疾患の多くは、ほとんどが内服などの保存治療で軽快します。しかし、日常生活が著しく障害され、手術治療のメリットがあると判断された場合、手術を選択します。
  • 高齢者にやさしい低侵襲手術を開発・工夫し、手術を行っております。手術だけでなく、骨粗鬆症に対する治療も積極的に行っております。どんなことでも気軽にご相談ください。

対象となる主な脊椎疾患

  • 頚髄症
  • 胸髄症
  • 腰部脊柱管狭窄症
  • 腰椎すべり症
  • 腰椎分離すべり
  • 腰椎椎間板ヘルニア
  • 胸腰椎圧迫骨折

腰椎手術の適応

腰椎側方椎体間固定術

高度腰椎すべり症(2分脊椎除圧術後)に対する腰椎側方椎体間固定術

腰部脊柱管狭窄症に対する棘突起縦割式椎弓切除術

内視鏡下椎間板摘出術(Microendoscopic lumbar discectomy: MED)

頚椎椎間板ヘルニアに対する内視鏡下手術

椎体圧迫骨折に対する椎体形成術 (Vertebral body stenting: VBS)

胸椎破裂骨折に対する制動術

筋肉を温存した棘突起縦割頚椎椎弓形成術

脊椎手術 件数

スタッフ

  • 江口先生

    江口 和 (えぐち やわら)

    役職
    脊椎センター長
    整形外科医長
    認定医等
    千葉大学大学院医学研究院整形外科学/運動器科学革新医療創成寄附講座 特任教授
    日本整形外科学会・日本専門医機構認定 整形外科専門医
    日本整形外科学会認定 脊椎脊髄病医
    日本脊椎脊髄病学会認定 脊椎脊髄外科指導医
    日本脊椎脊髄病学会・日本脊髄外科学会認定 脊椎脊髄外科専門医
    日本整形外科学会認定 脊椎内視鏡下手術・技術認定医

    日本整形外科学会会員
    日本脊椎脊髄病学会 評議員
    日本運動器疼痛学会 評議員
    国際腰椎学会Active Member
    日本腰痛学会会員
    日本脊椎インストゥルメンテーション学会会員
    日本リハビリテーション医学会会員
    日本側弯症学会会員
    専門分野
    脊椎外科
  • 鈴木先生

    鈴木 宗貴(すずき むねたか)

    職 名
    整形外科医長
    認定医等
    医学博士
    日本整形外科学会 専門医
    専門分野
    脊椎外科

受診方法

整形外科外来 火曜日・木曜日・金曜日 午前

業績(英語原著 2015〜 ※Corresponding author)

  1. Kobayashi T, Eguchi Y, Suzuki M, Sato T, Yamanaka H, Tamai H, Orita S, Inage K, Shiga Y, Ohtori S. Oblique Lateral Interbody Fusion for severe lumbar spondylolisthesis after decompression surgery for spina bifida. JOS Case Rep. 2023 in press.
  2. Eguchi Y, Aoki Y, Yamashita M, Fujimoto K, Sato T, Abe K, Sato M, Yamanaka H, Toyoguchi T, Shimizu K, Orita S, Inage K, Shiga Y, Ohtori S. Clinical Efficacy of Neurotropin for Lumbar Spinal Stenosis with Low Back Pain. Pain Ther. 2023 Jan 16. in press. [IF=3.960]
  3. Takaoka H, Eguchi Y, Koroki J, Orita S, Inage K, Shiga Y, Furuya T, Maki S, Norimoto M, Umimura T, Suzuki-Narita M, Sato T, Sato M, Hozumi T, Kim G, Mizuki N, Tsuchiya R, Otagiri T, Mukaihata T, Hishiya T, Nakamura J, Hagiwara S, Iwata S, Ataka H, Tanno T, Watanabe A, Aoki Y, Inoue M, Koda M, Takahashi H, Akazawa T, Ohtori S. Quantitative evaluation of the lumbar ligamentum flavum using MRI T2-mapping: Efficacy of its clinical application in patients with lumbar spinal stenosis. J Orthop Sci. 2023 Jan 6:S0949-2658(22)00379-7. in press. [IF=1.805]
全ての業績を表示
  1. Kobayashi T, Eguchi Y Suzuki M, Sato T, Mizutani M, Yamanaka H, Tamai H, Orita S, Inage K, Shiga Y, Maki S, Nakamura J, Hagiwara S, Aoki Y, Inoue M, Koda M, Takahashi H, Akazawa T, Ohtori S. Evaluation of Spinal Alignment and Clinical Findings for the Efficacy of One-Stage Surgery in Tandem Spinal Stenosis. Cureus. 2022 May 19;14(5):e25130.
  2. Umimura T, Eguchi Y, Orita S, Inage K, Abe K, Inoue M, Kinoshita H, Norimoto M, Sato M, Sato T, Suzuki M, Maki S, Furuya T, Ohtori S. Association Between the Accumulation of Pentosidine at the Sciatic Nerve and Cutaneous Hindpaw Hypersensitivity in a Rat Ovariectomy Model. Cureus. 2022 Jan 9;14(1):e21059.
  3. Iwata S, Eguchi Y, Takaoka H, Koroki J, Orita S, Inage K, Shiga Y, Furuya T, Maki S, Nakamura J, Hagiwara S, Watanabe A, Aoki Y, Inoue M, Koda M, Takahashi H, Akazawa T, Ohtori S.MRI T2-mapping of lumbar facet joints is effective for quantitative evaluation of lumbar instability in patients with degenerative lumbar disorders. Eur Spine J. 2022 Jan 28. ;31(6):1479-1486. [IF=2.721]
  4. ※Mizutani M*, Eguchi Y*, Toyoguchi T, Orita S, Inage K, Shiga Y, Furuya T, Maki S, Nakamura J, Hagiwara S, Aoki Y, Inoue M, Koda M, Takahashi H, Akazawa T, Shiko Y, Kawasaki Y, Ohtori S. A 2-year longitudinal study of skeletal muscle mass in women over 40 years of age with degenerative lumbar scoliosis. Eur Spine J. 2022 ;31(5):1158-1165. *Equally contributed. [IF=2.721]
  5. ※Enomoto K*, Eguchi Y*, Sato T, Norimoto M, Inoue M, Watanabe A, Sakai T, Yoneyama M, Aoki Y, Orita S, Narita M, Inage K, Shiga Y, Umimura T, Sato M, Suzuki M, Takaoka H, Mizuki N, Kim G, Hozumi T, Hirosawa N, Furuya T, Maki S, Nakamura J, Hagiwara S, Koda M, Akazawa T, Takahashi H, Takahashi K, Ohtori S. Usefulness of Simultaneous Magnetic Resonance Neurography and Apparent T2 Mapping for the Diagnosis of Cervical Radiculopathy. Asian Spine J. 2022 Feb;16(1):47-55. *Equally contributed.
  6. Eguchi Y, Suzuki M, Orita S, Ohtori S. Usefulness of dynamic stabilisation with mobile percutaneous pedicle screw for thoracic vertebral fractures in diffuse idiopathic skeletal hyperostosis. BMJ Case Rep. 2021 Apr 7;14(4):e242042.
  7. Eguchi Y. Advances in magnetic resonance neuroimaging of neuropathy from degenerative spinal disorders Chiba Medical J. 2021;97E:1-10.
  8. Eguchi Y, Iida S, Suzuki C, Shinada Y, Shoji T, Takahashi K, Ohtori S. Response to Letter to the Editor: Spinopelvic Alignment and Low Back Pain after Total Hip Replacement Arthroplasty in Patients with Severe Hip Osteoarthritis. Asian Spine J. 2020 Dec;14(6):933.
  9. Norimoto M, Eguchi Y, Watanabe A, Sakai T, Murayama D, Yoneyama M, et al. Does the increased motion probing gradient directional diffusion tensor imaging of lumbar nerves using Multi-Band SENSE improve the visualization and accuracy of FA values? Eur Spine J. 2020; 29: 1693-1701. [IF=2.721]
  10. ※Sato T*, Eguchi Y*, Norimoto M, Inoue M, Enomoto K, Watanabe A, Sakai T, Yoneyama M, Aoki Y, Orita S, Narita M, Inage K, Shiga Y, Umimura T, Sato M, Suzuki M, Takaoka H, Mizuki N, Kim G, Houmi T, Hirosawa N, Furuya T, Maki S, Nakamura J, Hagiwara S, Koda M, Akazawa T, Takahashi H, Takahashi K, Ohtori S. Diagnosis of lumbar radiculopathy using simultaneous MR neurography and apparent T2 mapping. J Clin Neurosci. 2020;78:339-46. *Equally contributed. [IF=2.116]
  11. Eguchi Y, Orita S, Yamada H, Suzuki M, Yamanaka H, Tamai H, Inage K, Narita M, Shiga Y, Inoue M, Norimoto M, Umimura T, Sato T, Suzuki M, Enomoto K, Koda M, Furuya T, Maki S, Hirosawa N, Aoki Y, Nakamura J, Hagiwara S, Akazawa T, Takahashi H, Takahashi K, Shiko Y, Kawasaki Y, Ohtori S. Pilot study of oblique lumbar interbody fusion using mobile percutaneous pedicle screw and validation by a three-dimensional finite element assessment. J Clin Neurosci. 2020; 76;74-80.  [IF=2.116]
  12. Norimoto M, Eguchi Y, Kanamoto H, Oikawa Y, Matsumoto K, Masuda Y, Furuya T, Orita S, Inage K, Maki S, Shiga Y, Kinoshita H, Abe K, Inoue M, Umimura T, Sato T, Sato M, Suzuki M, Enomoto K, Ohtori S. Diffusion tensor imaging of the spinal canal in quantitative assessment of patients with lumbar spinal canal stenosis. Asian Spine J. 2021;15(2):207-15.
  13. ※Tokeshi S, Eguchi Y, Suzuki M, Yamanaka H, Tamai H, Orita S, Inage K, Shiga Y, Hagiwara S, Nakamura J, Akazawa T, Takahashi H, Ohtori S. Relationship between skeletal muscle mass, bone mineral density, and trabecular bone score in osteoporotic vertebral compression fractures. Asian Spine J. 2021;15(3):365-72.
  14. Kanamoto H, Norimoto M, Eguchi Y, Oikawa Y, Orita S, Inage K, Abe K, Inoue M, Kinoshita H, Umimura T, Matsumoto K, Masuda Y, Furuya T, Koda M, Aoki Y, Watanabe A, Takahashi K, Ohtori S. Evaluating Spinal Canal Lesions Using Apparent Diffusion Coefficient Maps with Diffusion-Weighted Imaging. Asian Spine J. 2020;14(3):312-19.
  15. Eguchi Y, Murayama S, Kanamoto H, Abe K, Miyagi M, Takahashi K, Ohtori S, Aoki I. Minimally invasive manganese-enhanced magnetic resonance imaging for the sciatic nerve tract tracing used intra-articularly administrated dextran-manganese encapsulated nanogels. JOR Spine. 2019;2:e1059.
  16. Eguchi Y, Suzuki M, Yamanaka H, Tanai H, Kobayashi T, Orita S, Suzuki M, Inage K, Kanamoto H, Abe K, Inoue M, Norimoto M, Umimura T, Sato T, Aoki Y, Watanabe A, Koda M, Furuya T, Nakamura J, Toyone T, Ozawa T, Akazawa T, Takahashi K, Ohtori S. Myovascular preserving open-door laminoplasty for cervical spondylotic myelopathy with mini-plate fixation. Int J Spine Surg. 2020;14(4):476-482.
  17. Eguchi Y, Toyoguchi T, Orita S, Shimazu K, Inage K, Fujimoto K, Suzuki M, Norimoto M, Umimura T, Shiga Y, Inoue M, Koda M, Furuya T, Maki S, Hirosawa N, Aoki Y, Nakamura J, Hagiwara S, Akazawa T, Takahashi H, Takahashi K, Shiko Y, Kawasaki Y, Ohtori S. Reduced leg muscle mass and lower grip strength in women are associated with osteoporotic vertebral compression fractures. Arch Osteoporos. 2019;14(1):112. [IF=2.879]
  18. Eguchi Y, Toyoguchi T, Inage K, Fujimoto K, Orita S, Suzuki M, Kanamoto H, Abe K, Norimoto M, Umimura T, Koda M, Furuya T, Aoki Y, Nakamura J, Akazawa T, Takahashi K, Ohtori S. Advanced glycation end products are associated with sarcopenia in older women: aging marker dynamics. J Women Aging. 2019:1-13. [Epub ahead of print] [IF=1.792]
  19. Eguchi Y, Enomoto K, Sato T, Watanabe A, Sakai T, Norimoto M, Yoneyama M, Aoki Y, Suzuki M, Yamanaka H, Tamai H, Kobayashi T, Orita S, Suzuki M, Inage K, Shiga Y, Hirosawa N, Inoue M, Koda M, Furuya T, Nakamura J, Hagiwara S, Akazawa T, Takahashi H, Takahashi K, Ohtori S. Simultaneous MR neurography and apparent T2 mapping of cervical nerve roots before microendoscopic surgery to treat patient with radiculopathy due to cervical disc herniation: Preliminary results. J Clin Neurosci. 2020;74:213-19. [IF=2.116]
  20. Eguchi Y, Suzuki M, Sato T, Yamanaka H, Tanai H, Kobayashi T, Orita S, Yamauchi K, Suzuki M, Inage K, Fujimoto K, Kanamoto H, Abe K, Norimoto M, Umimura T, Aoki Y, Koda M, Furuya T, Nakamura J, Akazawa T, Takahashi K, Ohtori S. Post-operative spinal epidural hematoma after lumbar spinous process-splitting laminectomy for lumbar spinal stenosis. Spine Surg Relat Res. 2019;3:244-248.
  21. Eguchi Y, Norimoto M, Suzuki M, Haga R, Yamanaka H, Tanai H, Kobayashi T, Orita S, Yamauchi K, Suzuki M, Inage K, Fujimoto K, Kanamoto H, Abe K, Umimura T, Sato T, Aoki Y, Watanabe A, Koda M, Furuya T, Nakamura J, Akazawa T, Takahashi K, Ohtori S. Diffusion tensor tractography of the lumbar nerves in patients with degenerative lumbar scoliosis with respect to a direct lateral transpsoas approach. J Neurosurg Spine 2019;30:461-9. [Epub ahead of print] [IF=3.602]
  22. Eguchi Y, Toyoguchi T, Inage K, Fujimoto K, Orita S, Suzuki M, Kanamoto H, Abe K, Norimoto M, Umimura T, Sato T, Koda M, Furuya T, Aoki Y, Nakamura J, Akazawa T, Takahashi K, Ohtori S. Answer to the Letter to the Editor of V. B. Safer et al. concerning "Analysis of skeletal muscle mass in women over 40 with degenerative lumbar scoliosis" by Eguchi Y et al. Eur Spine J. 2019;28:629-630. [IF=2.721]
  23. Eguchi Y, Toyoguchi T, Inage K, Fujimoto K, Orita S, Suzuki M, Kanamoto H, Abe K, Norimoto M, Umimura T, Sato T, Koda M, Furuya T, Aoki Y, Nakamura J, Akazawa T, Takahashi K, Ohtori S. Analysis of skeletal muscle mass in women over 40 with degenerative lumbar scoliosis. Eur Spine J. 2019;28:1618-1625. [IF=2.721]
  24. Eguchi Y, Toyoguchi T, Inage K, Fujimoto K, Orita S, Yamauchi K, Suzuki M, Kanamoto H, Abe K, Norimoto M, Umimura T, Koda M, Furuya T, Aoki Y, Takahashi K, Ohtori S. Elevated levels of serum pentosidine are associated with dropped head syndrome in older women. Asian Spine J. 2019;13:155-162.
  25. Eguchi Y, Toyoguchi T, Inage K, Fujimoto K, Orita S, Yamauchi K, Suzuki M, Kanamoto H, Abe K, Norimoto M, Umimura T, Koda M, Furuya T, Aoki Y, Takahashi K, Ohtori S. Pentosidine concentration is associated with degenerative lumbar scoliosis in older women: preliminary results. Eur Spine J. 2018;27:597-606. [IF=2.721]
  26. Eguchi Y, Iida S, Suzuki C, Shinada Y, Shoji T, Takahashi K, Ohtori S. Spinopelvic alignment and low back pain after total hip replacement arthroplasty in patients with severe hip osteoarthritis. Asian Spine J. 2018;12:325-334.
  27. Eguchi Y, Suzuki M, Yamanaka H, Tamai H, Kobayashi T, Orita S, Yamauchi K, Suzuki M, Inage K, Fujimoto K, Kanamoto H, Abe K, Norimoto M, Umimura T, Aoki Y, Koda M, Furuya T, Takahashi K, Ohtori S. Influence of skeletal muscle mass and spinal alignment on surgical outcomes for lumbar spinal stenosis. Asian Spine J. 2018;12:556-562.
  28. Kanamoto H*, Eguchi Y*, Oikawa Y, Orita S, Inage K, Fujimoto K, Shiga Y, Abe K, Inoue M, Kinoshita H, Matsumoto K, Masuda Y, Furuya T, Koda M, Aoki Y, Watanabe A, Takahashi K, Ohtori S. Visualization of lumbar nerves using reduced field of view diffusion tensor imaging in healthy volunteers and patients with degenerative lumbar disorders. Br J Radiol. 2017;90:20160929. Epub. *Equally contributed. [IF=3.629]
  29. ※Oikawa Y*, Eguchi Y*, Watanabe A, Orita S, Yamauchi K, Suzuki M, Sakuma Y, Kubota G, Inage K, Sainoh T, Sato J, Fujimoto K, Koda M, Furuya T, Matsumoto K, Masuda Y, Aoki Y, Takahashi K, Ohtori S. Anatomical evaluation of lumbar nerves using diffusion tensor imaging and implications of lateral decubitus for lateral transpsoas approach. Eur Spine J. 2017;26:2804-2810. *Equally contributed. [IF=2.721]
  30. Eguchi Y, Suzuki M, Yamanaka H, Tanai H, Kobayashi T, Orita S, Yamauchi K, Suzuki M, Inage K, Kanamoto H, Abe K, Aoki Y, Koda M, Furuya T, Takahashi K, Ohtori S. Assessment of clinical symptoms in lumbar foraminal stenosis using the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ). Korean J Spine. 2017;14:1-6.
  31. Eguchi Y, Suzuki M, Yamanaka H, Tamai H, Kobayashi T, Orita S, Yamauchi K, Suzuki M, Inage K, Fujimoto K, Kanamoto H, Abe K, Aoki Y, Toyone T, Ozawa T, Takahashi K, Ohtori S. Associations between sarcopenia and degenerative lumbar scoliosis in older women Scoliosis and Spinal Disord. 2017;12:9.
  32. Eguchi Y, Toyoguchi T, Koda M, Suzuki M, Yamanaka H, Tamai H, Kobayashi T, Orita S, Yamauchi K, Suzuki M, Inage K, Fujimoto K, Kanamoto H, Abe K, Aoki Y, Takahashi K, Ohtori S. The influence of sarcopenia in dropped head syndrome in older women Scoliosis and Spinal Disord. 2017; 12:5.
  33. Eguchi Y, Kanamoto H, Oikawa Y, Suzuki M, Yamanaka H, Tanai H, Kobayashi T, Orita S, Yamauchi K, Suzuki M, Inage K, Aoki Y, Watanabe A, Furuya T, Koda M, Takahashi K, Ohtori S. Recent advances in magnetic resonance neuroimaging of lumbar nerve to clinical applications: A review of clinical studies utilizing diffusion Tensor Imaging and Diffusion-weighted MR neurography. Spine Surg Relat Res. 2017;1:61-71
  34. Eguchi Y, Ohtori S, Suzuki M, Oikawa Y, Yamanaka H, Tamai H, Kobayashi T, Orita S, Yamauchi K, Suzuki M, Aoki Y, Watanabe A, Kanamoto H, Takahashi K. Discrimination between lumbar intraspinal stenosis and foraminal stenosis using diffusion tensor imaging parameters: Preliminary results. Asian Spine J. 2016;10:327-34.
  35. Eguchi Y, Oikawa Y, Suzuki M, Yamanaka H, Tamai H, Kobayashi T, Orita S, Yamauchi K, Suzuki M, Aoki Y, Watanabe A, Takahashi K, Ohtori S. Diffusion tensor imaging parameters of radiculopathy in patients with lumbar disc herniation: Preliminary results. Bone Joint J. 2016;98-B:387-94. [IF=5.082]
  36. ※Kanamoto H*. Eguchi Y*, Ohtori S, Suzuki M, Oikawa Y, Yamanaka H, Tamai H, Kobayashi T, Orita S, Yamauchi K, Suzuki M, Aoki Y, Watanabe A, Takahashi K. The diagnosis of double-crush lesion in the L5 lumbar nerve using diffusion tensor imaging. The Spine J. 2016;16:315-21. *Equally contributed. [IF=4.297]
  37. Eguchi Y, Ohtori S, Suzuki M, Oikawa Y, Yamanaka H, Tamai H, Kobayashi T, Orita S, Yamauchi K, Suzuki M, Aoki Y, Watanabe A, Kanamoto H, Takahashi K. Diagnosis of lumbar foraminal stenosis using diffusion tensor imaging; A case report. Asian Spine J. 2016;10:164-9.
  38. Oikawa Y, Eguchi Y, Inoue G, Yamauchi K, Orita S, Kamoda H, Ishikawa T, Miyagi M, Suzuki M, Sakuma Y, Kubota G, Inage K, Saino T, Sato H, Ando H, Kojima M, Okumura K, Masuda Y, Watanabe A, Takahashi K, Ohtori S. Diffusion tensor imaging of lumbar spinal nerve in subjects with degenerative lumbar disorders. Magn Reson Imaging. 2015;33:956-61. [IF=3.13]
  39. Eguchi Y, Ohtori S, Sekino M, Ueno S. Effectiveness of magnetically aligned collagen for neural regeneration in vitro and in vivo. Bioelectromagnetics. 2015;36:233-43. [IF=1.848]