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Research ArticleLumbar Spine

Postoperative Brace Prescription Practices for Elective Lumbar Spine Surgery: A Questionnaire-Based Study of Spine Surgeons in Japan

Michita Noma, Yujiro Takeshita, Kota Miyoshi, Fumiko Saiki, Naohiro Kawamura, Akiro Higashikawa, Nobuhiro Hara, Takashi Ono, So Kato, Yoshitaka Matsubayashi, Yuki Taniguchi, Sakae Tanaka and Yasushi Oshima
International Journal of Spine Surgery January 2025, 8719; DOI: https://doi.org/10.14444/8719
Michita Noma
1 Department of Orthopedic and Spine Surgery, Yokohama Rosai Hospital, Yokohama, Kanagawa, Japan
2 University of Tokyo Spine Group (UTSG), Tokyo, Japan
MD
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  • For correspondence: m.noma@me.com
Yujiro Takeshita
1 Department of Orthopedic and Spine Surgery, Yokohama Rosai Hospital, Yokohama, Kanagawa, Japan
2 University of Tokyo Spine Group (UTSG), Tokyo, Japan
MD
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Kota Miyoshi
1 Department of Orthopedic and Spine Surgery, Yokohama Rosai Hospital, Yokohama, Kanagawa, Japan
2 University of Tokyo Spine Group (UTSG), Tokyo, Japan
MD
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Fumiko Saiki
1 Department of Orthopedic and Spine Surgery, Yokohama Rosai Hospital, Yokohama, Kanagawa, Japan
2 University of Tokyo Spine Group (UTSG), Tokyo, Japan
MD
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Naohiro Kawamura
2 University of Tokyo Spine Group (UTSG), Tokyo, Japan
3 Department of Spine and Orthopedic Surgery, Japanese Red Cross Medical Center, Shibuya, Tokyo, Japan
MD, PHD
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Akiro Higashikawa
2 University of Tokyo Spine Group (UTSG), Tokyo, Japan
4 Department of Orthopedic Surgery, Kanto Rosai Hospital, Yokohama, Kanagawa, Japan
MD, PHD
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Nobuhiro Hara
2 University of Tokyo Spine Group (UTSG), Tokyo, Japan
5 Department of Orthopedic Surgery, Japanese Red Cross Musashino Hospital, Tokyo, Japan
MD
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Takashi Ono
2 University of Tokyo Spine Group (UTSG), Tokyo, Japan
6 Department of Spinal Surgery, Japan Community Health-Care Organization Tokyo Shinjuku Medical Center, Tokyo, Japan
MD
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So Kato
2 University of Tokyo Spine Group (UTSG), Tokyo, Japan
7 Department of Orthopedic Surgery, The University of Tokyo Hospital, Bunkyo-ku, Tokyo, Japan
MD, PHD
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Yoshitaka Matsubayashi
2 University of Tokyo Spine Group (UTSG), Tokyo, Japan
8 Department of Orthopedic Surgery and Spinal Surgery, National Center for Global Health and Medicine, Shinjuku-ku, Tokyo, Japan
MD
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Yuki Taniguchi
2 University of Tokyo Spine Group (UTSG), Tokyo, Japan
7 Department of Orthopedic Surgery, The University of Tokyo Hospital, Bunkyo-ku, Tokyo, Japan
MD, PHD
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Sakae Tanaka
7 Department of Orthopedic Surgery, The University of Tokyo Hospital, Bunkyo-ku, Tokyo, Japan
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Yasushi Oshima
2 University of Tokyo Spine Group (UTSG), Tokyo, Japan
7 Department of Orthopedic Surgery, The University of Tokyo Hospital, Bunkyo-ku, Tokyo, Japan
MD, PHD
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  • Article
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Article Figures & Data

Figures

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  • Figure 1
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    Figure 1

    Postoperative brace prescription rates for each surgical procedure. Responses regarding brace prescriptions were obtained from respondents who regularly performed these surgical procedures. Overall represents the combined average value of the rates of endoscopic decompression, open surgical decompression, 1-level fusion, and ≥3-level fusion. Decompression procedures represent the combined average value of the rates of endoscopic and open surgical decompression, and fusion procedures represent the combined average value of the rates of 1- and ≥3-level fusions.

  • Figure 2
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    Figure 2

    Types of braces prescribed for each surgical procedure. Responses were obtained from respondents who regularly performed these surgical procedures, prescribed a brace, and selected 1 of the 3 brace types. A support belt is made of rubber or an elastic band, a soft corset is made of fabric or mesh material, and a rigid orthosis is made of plastic or metal material.

  • Figure 3
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    Figure 3

    Purpose of brace prescription for each surgical procedure. Responses were obtained from respondents who regularly performed these surgical procedures, prescribed a brace, and chose all applicable responses from the 4 options.

  • Figure 4
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    Figure 4

    Duration of brace usage for each surgical procedure. Responses were obtained from respondents who regularly performed these surgical procedures, prescribed a brace, and selected 1 of the 4 duration options (<3 weeks, 3–8 weeks, 2–4 months, or ≥4 months).

  • Figure 5
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    Figure 5

    Nonscientific reasons for brace prescription. All respondents, regardless of whether they performed specific procedures, were required to select all applicable responses from the 4 options for nonscientific reasons for brace prescription.

Tables

  • Figures
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    • View popup
    Table

    Characteristics of respondents who returned valid questionnaires (N = 63).

    Characteristics N %
    Specialty
     Orthopedic surgery63100
     Neurosurgery00
    Age, y
     <301016
     30–392336
     40–492032
     50–59813
     >6023
    Spine surgery experience, y
     No regular surgery914
     <51219
     5–101626
     10–201930
     >20711
    Annual number of spine surgeries
     <201118
     20–501118
     50–801016
     >803149
    Position
     Training in progress3251
     Attending surgeon1727
     Chief/director1422
    Facility
     University hospital1524
     Public hospital3048
     Private general hospital1625
     Private spine hospital23

Supplementary Materials

  • Figures
  • Tables
  • online supplementary file 1.

    [8719supp001.docx]

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International Journal of Spine Surgery: 19 (S2)
International Journal of Spine Surgery
Vol. 19, Issue S2
1 Apr 2025
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Postoperative Brace Prescription Practices for Elective Lumbar Spine Surgery: A Questionnaire-Based Study of Spine Surgeons in Japan
Michita Noma, Yujiro Takeshita, Kota Miyoshi, Fumiko Saiki, Naohiro Kawamura, Akiro Higashikawa, Nobuhiro Hara, Takashi Ono, So Kato, Yoshitaka Matsubayashi, Yuki Taniguchi, Sakae Tanaka, Yasushi Oshima
International Journal of Spine Surgery Jan 2025, 8719; DOI: 10.14444/8719

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Postoperative Brace Prescription Practices for Elective Lumbar Spine Surgery: A Questionnaire-Based Study of Spine Surgeons in Japan
Michita Noma, Yujiro Takeshita, Kota Miyoshi, Fumiko Saiki, Naohiro Kawamura, Akiro Higashikawa, Nobuhiro Hara, Takashi Ono, So Kato, Yoshitaka Matsubayashi, Yuki Taniguchi, Sakae Tanaka, Yasushi Oshima
International Journal of Spine Surgery Jan 2025, 8719; DOI: 10.14444/8719
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