Takashi Fujishiro

Osaka Medical and Pharmaceutical University, Osaka University of Pharmaceutical Sciences

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About

Takashi Fujishiro is a spine surgeon and researcher whose work centers on advancing the precision and safety of spinal instrumentation, with a particular focus on pedicle screw placement technology. His research has made meaningful contributions to the field of robotic and image-guided spinal surgery, helping to establish evidence-based standards for surgical accuracy across both lumbar and cervical spine procedures. Fujishiro's most influential work, a 2015 cadaveric study on robotic guidance systems (RGS) for pedicle screw placement, has accumulated 42 citations and remains a foundational reference for surgeons evaluating robotic-assisted techniques. His continued productivity in this area is demonstrated by two 2024 publications that extend his earlier findings — one comparing RGS directly against image guidance systems using propensity score matching, and another examining RGS accuracy specifically in cervical pedicle screw placement via the open midline approach. These studies collectively address one of spine surgery's most technically demanding challenges, given the narrow anatomical corridors of the cervical spine and the serious risks associated with screw misplacement. Through rigorous cadaveric and retrospective clinical study designs, Fujishiro has helped clarify when and how robotic guidance systems outperform conventional navigation, offering spine surgeons and trainees critical comparative data to inform surgical decision-making.