Journal of Korean Society of Geriatric Neurosurgery最新文献

Surgical indications and outcomes of the endoscopic endonasal approach for brain tumors in older adults in Korea: a retrospective study 韩国老年人脑肿瘤的内窥镜鼻内入路手术适应症和疗效：一项回顾性研究

Journal of Korean Society of Geriatric Neurosurgery Pub Date : 2024-06-10 DOI: 10.51638/jksgn.2024.00038

Sun Mo Nam, Yoon Hwan Byun, Jung Hee Kim, Min-Sung Kim, Chul-Kee Park, Yong Hwy Kim

{"title":"Surgical indications and outcomes of the endoscopic endonasal approach for brain tumors in older adults in Korea: a retrospective study","authors":"Sun Mo Nam, Yoon Hwan Byun, Jung Hee Kim, Min-Sung Kim, Chul-Kee Park, Yong Hwy Kim","doi":"10.51638/jksgn.2024.00038","DOIUrl":"https://doi.org/10.51638/jksgn.2024.00038","url":null,"abstract":"Objectives: This study explored the surgical indications for pituitary adenomas (PAs) in older patients by analyzing the outcomes of the transsphenoidal approach (TSA). Material and Methods: We retrospectively analyzed patients aged 65 years or older who underwent TSA from March 2020 to October 2023. We evaluated the preoperative and postoperative neurological and endocrinological features, degree of tumor resection, and perioperative complications. Results: In total, 134 patients aged 65 years or older (20.5%; 70 men and 64 women) underwent TSA (70-74 years: 48 patients, 75-79 years: 14 patients, ≥80 years: 8 patients). Among the 102 PAs, nonfunctioning PAs (NF-PAs) were the most common subtype (n= 96, 94.1%), and overall gross total resection was achieved in 89 (87.3%) patients. Intraoperative cerebrospinal fluid (CSF) leakage occurred in 32 of 102 patients with PAs; however, none of those patients experienced postoperative CSF leakage. In the NF-PA group, endocrinological function improved in 11 (12.6%) patients and worsened in four (4.6%). Preoperative visual field defects were present in 71 (74.6%) patients; 48 (67.6%) of them improved, and 5 (7.0%) worsened. Meningiomas were grossly resected in four of the eight patients, and four of the six patients with visual field defects experienced improvement. One patient had postoperative CSF leakage. Craniopharyngiomas were resected in six of eight patients, including two with recurrent tumors. Conclusion: TSA was safe in patients older than 65 years. However, unpredictable adverse effects could occur. Judicious decisions regarding surgical indications based on the natural history of the tumor subtypes and life expectancy are essential.","PeriodicalId":161607,"journal":{"name":"Journal of Korean Society of Geriatric Neurosurgery","volume":" 78","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141365288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Paraparesis due to refracture of a previously cemented vertebra and new fracture of the adjacent vertebra after kyphoplasty for an osteopenic thoracolumbar burst fracture: a case report 骨质疏松性胸腰椎爆裂性骨折行椎体后凸成形术后，因先前已骨水泥固定的椎体再骨折和邻近椎体新骨折而导致截瘫：病例报告

Journal of Korean Society of Geriatric Neurosurgery Pub Date : 2024-05-23 DOI: 10.51638/jksgn.2024.00017

Kyuhyuck Lee, Jung Hyeon Moon, Keun-Tae Cho

引用次数: 0

Interspinous ligamentoplasty for symptomatic lumbar spinal stenosis coexisting with mild segmental instability and vertebral body fracture: a report of 2 cases and a literature review 棘间韧带成形术治疗伴有轻度节段性不稳和椎体骨折的症状性腰椎管狭窄2例报告并文献复习

Journal of Korean Society of Geriatric Neurosurgery Pub Date : 2023-06-30 DOI: 10.51638/jksgn.2023.00017

Ji Soo Moon, M. Kang, S. H. Lee, Chan-Hong Park

引用次数: 0

Treatment strategy for osteoporotic vertebral body fractures in the lumbar spine: a case report and literature review 腰椎骨质疏松性椎体骨折的治疗策略:1例报告及文献复习

Journal of Korean Society of Geriatric Neurosurgery Pub Date : 2023-06-30 DOI: 10.51638/jksgn.2023.00024

Ji Soo Moon, M. Kang, S. H. Lee, Chan-Hong Park

{"title":"Treatment strategy for osteoporotic vertebral body fractures in the lumbar spine: a case report and literature review","authors":"Ji Soo Moon, M. Kang, S. H. Lee, Chan-Hong Park","doi":"10.51638/jksgn.2023.00024","DOIUrl":"https://doi.org/10.51638/jksgn.2023.00024","url":null,"abstract":"This report describes the successful treatment of an osteoporotic compression fracture. A 74-year-old woman presented with severe low back pain and left sciatica that had lasted for 6 weeks. Four week of conservative treatment was not effective. The patient was bedridden and had difficulty walking. A past history of osteoporosis was noted. Multilevel compression fractures, central stenosis, and spondylolisthesis with overt instability were evident in the preoperative images. Decompression and fusion surgery, vertebroplasty, and preoperative and postoperative teriparatide administration were planned. A severe endplate injury in the lower vertebral body was detected during interbody fusion surgery using an anterior approach. Additional screw insertion with posterolateral fusion was planned to prevent aggravation of cage subsidence. Postoperative magnetic resonance imaging, computed tomography (CT), and X-ray images revealed sufficient decompression, no cement leakage, and no nerve injury. On the first postoperative day, the patient reported that the left sciatica symptoms had improved. Satisfactory ambulation was observed at the outpatient department after 6 months. Fusion in progress was evident on follow-up CT and X-ray images. This case offers insights into possible treatment strategies for osteoporotic compression fractures with severe endplate injury, overt instability, and radiculopathy of the lower lumbar spine.","PeriodicalId":161607,"journal":{"name":"Journal of Korean Society of Geriatric Neurosurgery","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123282432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of midline lumbar fusion with cortical bone trajectory screw fixation for degenerative lumbar spine disease in geriatric patients over 80 years old: a single-center, one-decade experience 腰椎中线融合皮质骨轨迹螺钉固定治疗80岁以上退行性腰椎疾病的有效性:一项单中心、10年的经验

Journal of Korean Society of Geriatric Neurosurgery Pub Date : 2022-10-31 DOI: 10.51638/jksgn.2022.00101

G. Jang, Seung-Kwan Ryu

{"title":"Effectiveness of midline lumbar fusion with cortical bone trajectory screw fixation for degenerative lumbar spine disease in geriatric patients over 80 years old: a single-center, one-decade experience","authors":"G. Jang, Seung-Kwan Ryu","doi":"10.51638/jksgn.2022.00101","DOIUrl":"https://doi.org/10.51638/jksgn.2022.00101","url":null,"abstract":"Objective: We aimed to retrospectively analyze clinical and surgical outcomes following posterior lumbar interbody fusion with concomitant pedicle screw fixation, midline lumbar fusion, and decompressive laminectomy in patients aged 80 years or older with degenerative lumbar spine disease.Methods: The study group comprised 94 patients aged 80 years or older who received degenerative lumbar spinal surgery at our spine center from January 2011 to December 2020. Among them, 28 patients underwent decompressive laminectomy, 19 underwent posterior lumbar interbody fusion with pedicle screw fixation, and the remaining 47 underwent midline lumbar fusion.Results: No significant intergroup differences were found regarding age, sex ratio, follow-up duration, and surgical level. The visual analog scale for lower back pain on postoperative day 7 was significantly different among the groups (P<0.05). The Oswestry disability index was significantly different among the groups after 1 week of follow-up (P<0.05). The estimated blood loss and operation time also showed significant differences among the groups (P<0.05). There was a statistically significant difference among the groups in postoperative morbidity (P<0.05).Conclusion: Although the clinical outcomes were not significantly different among the three groups, perioperative morbidity was more favorable in the decompression and midline lumbar fusion groups. Therefore, we suggest that midline lumbar fusion is not inferior to posterior lumbar interbody fusion with pedicle screw fixation, if there is a need for fusion in elderly patients over 80 years of age.","PeriodicalId":161607,"journal":{"name":"Journal of Korean Society of Geriatric Neurosurgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130448503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of endovascular thrombectomy in patients over 80 years of age 80岁以上患者血管内取栓的有效性

Journal of Korean Society of Geriatric Neurosurgery Pub Date : 2022-10-27 DOI: 10.51638/jksgn.2022.00122

Sum Kim, H. Ahn, Jong Young Lee, H. Jeon, B. Cho

{"title":"Effectiveness of endovascular thrombectomy in patients over 80 years of age","authors":"Sum Kim, H. Ahn, Jong Young Lee, H. Jeon, B. Cho","doi":"10.51638/jksgn.2022.00122","DOIUrl":"https://doi.org/10.51638/jksgn.2022.00122","url":null,"abstract":"Objective: Endovascular thrombectomy (EVT), with or without intravenous thrombolysis, has become the standard treatment for acute ischemic stroke, especially in large vessel occlusions. This study provides valuable insights about the effectiveness of EVT in these patients. Methods: We retrospectively reviewed patients who underwent EVT for acute ischemic stroke at age 80 or over between 2014 and 2022. Procedural and functional outcomes were assessed with the thrombolysis in cerebral infarction (TICI) score and National Institutes of Health Stroke Scale (NIHSS) after EVT, in comparison with the initial NIHSS. We divided patients into the improved NIHSS group, the non-improved group, and the expired group. Results: Eighty patients who underwent EVT from 2014 to 2022 were analyzed. Fifty-seven patients improved, whereas 23 patients did not improve or expired after EVT. Successful recanalization (TICI IIb or III) was reported in 88.7% of cases. The locations of occlusion differed among the groups. The most frequently discovered location of occlusion was sphenoidal segment of middle cerebral artery (M1), and occlusions were most frequently discovered in the internal carotid artery in the group without NIHSS improvements. Conclusion: This study revealed that EVT in elderly patients was effective, and occlusion of a distal vessel could be a good prognostic factor. Reducing puncture time was also identified as the most important factor in elderly patients. Lastly, if TICI IIb reperfusion is discovered during the procedure, additional reperfusion attempts should be avoided.","PeriodicalId":161607,"journal":{"name":"Journal of Korean Society of Geriatric Neurosurgery","volume":"2020 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120956492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Outcomes of chronic subdural hematoma and their correlations with old age 慢性硬膜下血肿的预后及其与老年的关系

Journal of Korean Society of Geriatric Neurosurgery Pub Date : 2022-10-27 DOI: 10.51638/jksgn.2022.00136

Seung Eon Lee, Na Young Jung, E. Park, J. Park, S. Kwon, Min Soo Kim

{"title":"Outcomes of chronic subdural hematoma and their correlations with old age","authors":"Seung Eon Lee, Na Young Jung, E. Park, J. Park, S. Kwon, Min Soo Kim","doi":"10.51638/jksgn.2022.00136","DOIUrl":"https://doi.org/10.51638/jksgn.2022.00136","url":null,"abstract":"Objective: This study explored the prognostic factors of chronic subdural hematoma in patients who underwent burr hole drainage, both overall and in elderly patients. Methods: This study enrolled 120 patients with chronic subdural hematoma who underwent burr hole drainage at a single center between January 2016 and December 2020. Old age was defined as ≥65 years, and a good prognosis was defined as a decrease in the modified Rankin scale from admission to the last follow-up. Factors correlated with good prognosis in elderly patients compared with total patients were evaluated using the chi-square test and logistic regression analysis. Results: Among the 120 patients, 66 (55.0%) were ≥65 years old, and 76 (63.3%) had severe symptoms on admission. Old age (≥65) was the only factor significantly correlated with severe symptoms (P=0.021; odds ratio [OR], 2.618; 95% confidence interval [CI], 1.154–5.942). The following variables were significantly associated with the prognosis in both groups: diabetes (total: P=0.008; OR, 0.207; 95% CI, 0.064–0.664; old age: P=0.011; OR, 0.172; 95% CI, 0.044–0.672) and severe symptoms on admission (total: P<0.001; OR, 6.994; 95% CI, 2.771–17.399; old age: P=0.007; OR, 6.177; 95% CI, 1.656–23.046). Conclusion: No difference in prognostic factors was observed between the overall patients and elderly patients with chronic subdural hematoma who underwent burr hole drainage. In both groups, patients without diabetes or with severe symptoms during hospitalization showed better recovery after burr hole drainage.","PeriodicalId":161607,"journal":{"name":"Journal of Korean Society of Geriatric Neurosurgery","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131068344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association between vertebral compression fractures and hand grip strength in geriatric patients 老年患者椎体压缩性骨折与手握力的关系

Journal of Korean Society of Geriatric Neurosurgery Pub Date : 2022-10-25 DOI: 10.51638/jksgn.2022.00059

S. Cho, Hyung-Cheol Kim, S. Oh

{"title":"Association between vertebral compression fractures and hand grip strength in geriatric patients","authors":"S. Cho, Hyung-Cheol Kim, S. Oh","doi":"10.51638/jksgn.2022.00059","DOIUrl":"https://doi.org/10.51638/jksgn.2022.00059","url":null,"abstract":"Objective: Limited research has investigated hand grip strength (HGS) as a diagnostic criterion for sarcopenia and vertebral compression fractures. This study investigated the correlations between HGS grade and vertebral compression fractures in elderly patients with other related factors. Methods: A total of 116 patients aged 65 years or older with vertebral compression fractures were enrolled in this retrospective study. Patients were assigned to either the high-HGS group (≥26 kg for men and ≥18 kg for women) or to the low-HGS group (<26 kg for men and <18 kg for women). Data are presented as descriptive statistics (mean±standard deviation). Age, body mass index, and bone mineral density (BMD) were analyzed by partial correlation, and Pearson correlation analyses were performed to evaluate the associations of dependent variables. Comorbidities and other parameters were analyzed using the chi-square test and independent t-test. Results: HGS showed a significant positive correlation with BMD (r=0.381, P=0.01). The chi-square test revealed that 2 study groups—those with chronic kidney disease (P=0.031) and rheumatoid arthritis (P=0.024)—were significantly different. The independent t-test revealed that there were significant differences in the number of fractured bones and frequency of fractures between the 2 groups. Both variables showed higher values in the low-HGS group (P=0.021 and P=0.017, respectively). Conclusion: This study evaluated association between the HGS grade and vertebral compression fractures in geriatric patients with other related factors. Our results reveal that HGS is significantly associated with vertebral compression fractures.","PeriodicalId":161607,"journal":{"name":"Journal of Korean Society of Geriatric Neurosurgery","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122737865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Treatment and prognosis of elderly patients with unruptured cerebral aneurysms 老年未破裂脑动脉瘤的治疗与预后

Journal of Korean Society of Geriatric Neurosurgery Pub Date : 2022-10-21 DOI: 10.51638/jksgn.2022.00031

Ji Hong Kim, D. Kang, C. Lee, I. Park, S. Hwang, Ja Myoung Lee

{"title":"Treatment and prognosis of elderly patients with unruptured cerebral aneurysms","authors":"Ji Hong Kim, D. Kang, C. Lee, I. Park, S. Hwang, Ja Myoung Lee","doi":"10.51638/jksgn.2022.00031","DOIUrl":"https://doi.org/10.51638/jksgn.2022.00031","url":null,"abstract":"Objective: In recent years, the number of cases of unruptured intracranial aneurysms in older patients has been increasing, but the best treatment remains a matter of debate. This study aimed to compare the treatment methods for unruptured intracranial aneurysms in patients aged 65 years and older. Methods: A retrospective review was conducted of data from unruptured intracranial aneurysms treated with surgical clipping or endovascular coiling between 2004 and 2019. Clinical and imaging information was collected. The treatment methods, proce-dure-related complications, and imaging and clinical results were analyzed. Data were assessed through a comparative analysis of underlying diseases (diabetes mellitus, hypertension, and hypercholesterolemia), smoking and alcohol use history, the location and size of the aneurysms for patients who received each treatment, and complications that occurred after each treatment. Results: Of 211 patients over the age of 65, 71 were treated with clipping and 140 with coiling. The complications that occurred im-mediately after treatment included postoperative hemorrhage (subarachnoid hemorrhage, intracerebral hemorrhage, intraventricular hemorrhage), chronic subdural hemorrhage, infection, and puncture site infection. Postoperative computed tomography images of the clipping sites had four times more opacity than those of coil embolization, but the outcomes (Glasgow outcome scores) showed no significant differences between clipping and coil embolization. Conclusion: Coil embolization and clipping are safe and effective treatment methods for unruptured intracranial aneurysms in elderly patients. Thus, the active treatment of unruptured intracranial aneurysms, which are likely to be which are at risk for rupture, should be considered. of discharge after clipping or coil embolization. GOS scores of 1 to 3 points suggest a poor prognosis, and GOS scores of 4 to 5 points suggest a good prognosis.","PeriodicalId":161607,"journal":{"name":"Journal of Korean Society of Geriatric Neurosurgery","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114447302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Delayed esophageal injury after corpectomy and fusion in a patient with cervical spondylodiscitis: a case report 椎体切除术融合后迟发性食管损伤1例颈椎病患者

Journal of Korean Society of Geriatric Neurosurgery Pub Date : 2022-10-21 DOI: 10.51638/jksgn.2022.00073

Young Hwan Choi, Y. Pee, I. Jang

引用次数: 0