Korean Journal of Spine最新文献

Glomangiopericytoma of the Spinal Cord. 脊髓血管外皮细胞瘤。

Korean Journal of Spine Pub Date : 2017-12-01 Epub Date: 2017-12-31 DOI: 10.14245/kjs.2017.14.4.166

Sung Shik Kang, Hee Seok Jeong, Hee Young Son, Tae Yong Moon

引用次数: 2

Virtual Preoperative Simulation for Excision of Spinal Tumors: Surgeon Processing of Medical Computer-Assisted Design Software. 脊柱肿瘤切除的虚拟术前模拟:外科医生对医学计算机辅助设计软件的处理。

Korean Journal of Spine Pub Date : 2017-12-01 Epub Date: 2017-12-31 DOI: 10.14245/kjs.2017.14.4.170

Jung Hwan Lee, In Ho Han, Byung Kwan Choi, Kyoung Hyup Nam, Dong Ha Kim, Chi Seung Lee

引用次数: 4

Korean Journal of Spine, the Long History of Archives of Spine Academia and the Beginning of a New Era. 韩国脊柱杂志，脊柱学术档案的悠久历史和新时代的开始。

Korean Journal of Spine Pub Date : 2017-12-01 DOI: 10.14245/kjs.2017.14.4.125

Yoon Ha

引用次数: 1

Iatrogenic Spinal Subarachnoid Hematoma after Diagnostic Lumbar Puncture. 诊断性腰椎穿刺后的医源性脊髓蛛网膜下腔血肿。

Korean Journal of Spine Pub Date : 2017-12-01 Epub Date: 2017-12-31 DOI: 10.14245/kjs.2017.14.4.158

Jung Hyun Park, Jong Yeol Kim

{"title":"Iatrogenic Spinal Subarachnoid Hematoma after Diagnostic Lumbar Puncture.","authors":"Jung Hyun Park, Jong Yeol Kim","doi":"10.14245/kjs.2017.14.4.158","DOIUrl":"https://doi.org/10.14245/kjs.2017.14.4.158","url":null,"abstract":"Spinal subarachnoid hematoma (SSH) following diagnostic lumbar puncture is very rare. Generally, SSH is more likely to occur when the patient has coagulopathy or is undergoing anticoagulant therapy. Unlike the usual complications, such as headache, dizziness, and back pain at the needle puncture site, SSH may result in permanent neurologic deficits if not properly treated within a short period of time. An otherwise healthy 43-year-old female with no predisposing factors presented with fever and headache. Diagnostic lumbar puncture was performed under suspicion of acute meningitis. Lumbar magnetic resonance imaging was performed due to hypoesthesia below the level of T10 that rapidly progressed after the lumbar puncture. SSH was diagnosed, and high-dose steroid therapy was started. Her neurological symptoms rapidly deteriorated after 12 hours despite the steroids, necessitating emergent decompressive laminectomy and hematoma removal. The patient's condition improved after the surgery from a preoperative motor score of 1/5 in the right leg and 4/5 in the left leg to brace-free ambulation (motor grade 5/5) 3-month postoperative. The patient was discharged with no neurologic deficits. Critical complications such as SSH can be fatal. Therefore, a patient undergoing lumbar puncture must be carefully observed. A hematoma that convincingly compresses the spinal cord or cauda equina on imaging results requires early surgical decompression and hematoma removal.","PeriodicalId":17867,"journal":{"name":"Korean Journal of Spine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/99/63/kjs-14-4-158.PMC5769933.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35709030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Epidural Metastasis in Malignant Thymoma Mimicking Epidural Abscess: Case Report and Literature Review. 模拟硬膜外脓肿的恶性胸腺瘤的硬膜外转移:1例报告及文献复习。

Korean Journal of Spine Pub Date : 2017-12-01 Epub Date: 2017-12-31 DOI: 10.14245/kjs.2017.14.4.162

Ji Yoon Kim, Young Seok Lee, Dong Ho Kang, Min Hye Kim, Jeong Hee Lee, Chul Hee Lee, In Sung Park

引用次数: 4

Whole Spine Disc Degeneration Survey according to the Ages and Sex Using Pfirrmann Disc Degeneration Grades. 用Pfirrmann椎间盘退变分级对年龄和性别的全脊柱椎间盘退变进行调查。

Korean Journal of Spine Pub Date : 2017-12-01 Epub Date: 2017-12-31 DOI: 10.14245/kjs.2017.14.4.148

Chang Hyun Oh, Seung Hwan Yoon

{"title":"Whole Spine Disc Degeneration Survey according to the Ages and Sex Using Pfirrmann Disc Degeneration Grades.","authors":"Chang Hyun Oh, Seung Hwan Yoon","doi":"10.14245/kjs.2017.14.4.148","DOIUrl":"https://doi.org/10.14245/kjs.2017.14.4.148","url":null,"abstract":"Objective: Pfirrmann disc grade is a useful scoring tool for evaluating disc degeneration, but normal values according to aging process has not been elucidated. This study was conducted to identify the prevalence and pattern of whole spine disc degeneration according to ages and gender differences.Methods: Total 653 patients (336 male and 317 female patients, 48.1±58.7 years old) who took whole spine magnetic resonance images were enrolled in this study. There were 19 cases in their 2nd decades and 74 cases in 3rd decades, 141 cases in 4th decades, 129 cases in 5th decades, 139 cases in 6th decades, and 93 cases in 7th decades, 58 cases in over 8th decades. Pfirrmann disc grades were measured according to sex and ages by 2 neurosurgeons that were blind to this study.Results: All spinal disc degeneration grades were correlated with ageing. The Pfirrmann disc grades of degeneration in all spine levels showed the statistically significant difference according to the ages (p<0.001). The common Pfirrmann disc grades according to the ages were grade 3 among 2nd to 5th decades, and grade 4 was more common than 6th decades. The lower cervical level (C2-3 to C4-5) and lumbar level (L1-2 to L5-S1) were happened relatively early severe disc degeneration compared to other levels. The intersexual differences were increased after 6th decades.Conclusion: Disc degeneration is natural course after one's 2nd decades. And its incidence and grade were increased with age, and more affected by sexual difference after 6th decades.","PeriodicalId":17867,"journal":{"name":"Korean Journal of Spine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.14245/kjs.2017.14.4.148","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35708551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 39

Proximal Junctional Kyphosis and Proximal Junctional Failure Following Adult Spinal Deformity Surgery. 成人脊柱畸形手术后近端关节后凸和近端关节功能衰竭。

Korean Journal of Spine Pub Date : 2017-12-01 Epub Date: 2017-12-31 DOI: 10.14245/kjs.2017.14.4.126

Seung-Jae Hyun, Byoung Hun Lee, Jong-Hwa Park, Ki-Jeong Kim, Tae-Ahn Jahng, Hyun-Jib Kim

{"title":"Proximal Junctional Kyphosis and Proximal Junctional Failure Following Adult Spinal Deformity Surgery.","authors":"Seung-Jae Hyun, Byoung Hun Lee, Jong-Hwa Park, Ki-Jeong Kim, Tae-Ahn Jahng, Hyun-Jib Kim","doi":"10.14245/kjs.2017.14.4.126","DOIUrl":"https://doi.org/10.14245/kjs.2017.14.4.126","url":null,"abstract":"The purpose of this review is the current understanding of proximal junctional kyphosis (PJK) and proximal junctional failure (PJF) following adult spinal deformity (ASD) surgery. We carried out a systematic search of PubMed for literatures published up to September 2017 with \"proximal junctional kyphosis,\" \"proximal junctional failure,\" and \"adult spinal deformity\" as search terms. A total of 98 literatures were searched. The 37 articles were included in this review. PJK is multifactorial in origin and likely results from variable risk factors. PJF is a progressive form of the PJK spectrum including bony fracture, subluxation between UIV and UIV+1, failure of fixation, neurological deficit, which may require revision surgery for proximal extension of fusion. Soft tissue protections, adequate selection of the UIV, prophylactic rib fixation, hybrid instrumentation such as hooks, vertebral cement augmentation at UIV and UIV+1, adequate selection material of rods and age-appropriate spinopelvic alignment goals are strategies to minimize PJK and PJF. The ability to perform aggressive global realignment of spinal deformities has also led to the discovery of new complications such as the PJK and PJF. Continuous research on PJK and PJF should be proceeded in order to comprehend the pathophysiology of these complications.","PeriodicalId":17867,"journal":{"name":"Korean Journal of Spine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.14245/kjs.2017.14.4.126","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35708589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 101

Myelography in the Assessment of Degenerative Lumbar Scoliosis and Its Influence on Surgical Management. 脊髓造影评估退行性腰椎侧凸及其对手术治疗的影响。

Korean Journal of Spine Pub Date : 2017-12-01 Epub Date: 2017-12-31 DOI: 10.14245/kjs.2017.14.4.133

George McKay, Peter Alexander Torrie, Wendy Bertram, Priyan Landham, Stephen Morris, John Hutchinson, Roland Watura, Ian Harding

{"title":"Myelography in the Assessment of Degenerative Lumbar Scoliosis and Its Influence on Surgical Management.","authors":"George McKay, Peter Alexander Torrie, Wendy Bertram, Priyan Landham, Stephen Morris, John Hutchinson, Roland Watura, Ian Harding","doi":"10.14245/kjs.2017.14.4.133","DOIUrl":"https://doi.org/10.14245/kjs.2017.14.4.133","url":null,"abstract":"Objective: Myelography has been shown to highlight foraminal and lateral recess stenosis more readily than computed tomography (CT) or magnetic resonance imaging (MRI). It also has the advantage of providing dynamic assessment of stenosis in the loaded spine. The advent of weight-bearing MRI may go some way towards improving assessment of the loaded spine and is less invasive, however availability remains limited. This study evaluates the potential role of myelography and its impact upon surgical decision making.Methods: Of 270 patients undergoing myelography during 2006-2009, a period representing peak utilisation of this imaging modality in our unit, we identified 21 patients with degenerative scoliosis who fulfilled our inclusion criteria. An operative plan was formulated by our senior author based initially on interpretation of an MRI scan. Subsequent myelogram and CT myelogram investigations were scrutinised, with any additional abnormalities noted and whether these impacted upon the operative plan.Results: From our 21 patients, 18 (85.7%) had myelographic findings not identified on MRI. Of note, in 4 patients, supine CT myelography yielded additional information when compared to supine MRI in the same patients. The management of 7 patients (33%) changed as a result of myelographic investigation. There were no complications of myelography of the total 270 analysed.Conclusion: MRI scan alone understates the degree of central and lateral recess stenosis. In addition to the additional stenosis displayed by dynamic myelography in the loaded spine, we have also shown that static myelography and CT myelography are also invaluable tools with regards to surgical planning in these patients.","PeriodicalId":17867,"journal":{"name":"Korean Journal of Spine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b6/fe/kjs-14-4-133.PMC5769939.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35708548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Sudden Paraplegia Caused by Nontraumatic Cervical Disc Rupture: A Case Report. 非外伤性颈椎间盘破裂致突发性截瘫1例。

Korean Journal of Spine Pub Date : 2017-12-01 Epub Date: 2017-12-31 DOI: 10.14245/kjs.2017.14.4.155

Sung Min Kim, Byeong Sam Choi, Sungjoon Lee

{"title":"Sudden Paraplegia Caused by Nontraumatic Cervical Disc Rupture: A Case Report.","authors":"Sung Min Kim, Byeong Sam Choi, Sungjoon Lee","doi":"10.14245/kjs.2017.14.4.155","DOIUrl":"https://doi.org/10.14245/kjs.2017.14.4.155","url":null,"abstract":"A 38-year-old man visited our Emergency Department for sudden onset paraplegia that occurred 1 hour ago. He felt a piercing pain in the posterior neck and became paraplegic while he was watching television, lying down on a sofa. Neurological examination showed motor power grades II-III in both arms and grade 0 in both legs. His cervical magnetic resonance imaging (MRI) showed a large ruptured disc at the C5-6 level, severely compressing the spinal cord. Emergency anterior cervical discectomy and fusion at C5-6 were performed. Because extensive cord swelling was observed on postoperative MRI, laminoplasty from C3 to C6 was performed 3 days after the initial operation. At a postoperative 8-month follow-up, the motor power was improved to grade III-IV- for both hands and grade IV- for both legs. Nontraumatic cervical disc rupture causing acute paraplegia is a very rare but possible event. Immediate neurologic assessment and thorough imaging studies to allow accurate diagnosis are crucial. Emergency surgical decompression is important and may lead to good neurological outcomes.","PeriodicalId":17867,"journal":{"name":"Korean Journal of Spine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f5/47/kjs-14-4-155.PMC5769932.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35709029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Expressing Cobb Angle as Linear Measurement in Scoliosis and Its Significance: A Clinical and Geometrical Analysis of Scoliosis. 用Cobb角表示脊柱侧凸的线性测量及其意义:脊柱侧凸的临床和几何分析。

Korean Journal of Spine Pub Date : 2017-12-01 Epub Date: 2017-12-31 DOI: 10.14245/kjs.2017.14.4.139

Kishore Puthezhath

{"title":"Expressing Cobb Angle as Linear Measurement in Scoliosis and Its Significance: A Clinical and Geometrical Analysis of Scoliosis.","authors":"Kishore Puthezhath","doi":"10.14245/kjs.2017.14.4.139","DOIUrl":"https://doi.org/10.14245/kjs.2017.14.4.139","url":null,"abstract":"Objective: The aim of this study was to formulate an objective clinical and geometric relationship between Cobb angle and the difference between the lengths of convex and concave sides (convexo-concave vertebral difference) of the structural curve in scoliosis. Is it possible to express Cobb angle in such a way that it could be visualized as a length, especially while planning for surgical correction of scoliosis?Methods: Thirty consecutive patients below the age of 19 years with a scoliosis of Cobb angle more than 10 degrees were included in the study. Convexo-concave vertebral difference of the structural curve was measured. Its relationship with the measure of Cobb angle was studied.Results: Author obtained a significant linear correlation between the convexo-concave vertebral differences and the Cobb angle. Using the formula Y=2d.Sin (X/2) the convexo-concave vertebral difference could be predicted. The difference thus obtained gives a quantitative measure of the maximum length of correction possible in the structural curve.Conclusion: It is possible to express the Cobb angle as a function of linear measurement. The author proposes that this would aid the surgeons to accurately and predictably achieve the desired scoliosis correction.","PeriodicalId":17867,"journal":{"name":"Korean Journal of Spine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.14245/kjs.2017.14.4.139","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35708549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1