Korean Journal of Spine最新文献_第10页

Predictors of Outcome in Patients with Cervical Spondylotic Myelopathy Undergoing Unilateral Open-Door Laminoplasty 单侧开门椎板成形术治疗脊髓型颈椎病患者预后的预测因素

Korean Journal of Spine Pub Date : 2015-12-01 DOI: 10.14245/kjs.2015.12.4.261

Ji-won Shin, Sung-Won Jin, Se-Hoon Kim, J. Choi, Bum-Joon Kim, Sang-Dae Kim, D. Lim

{"title":"Predictors of Outcome in Patients with Cervical Spondylotic Myelopathy Undergoing Unilateral Open-Door Laminoplasty","authors":"Ji-won Shin, Sung-Won Jin, Se-Hoon Kim, J. Choi, Bum-Joon Kim, Sang-Dae Kim, D. Lim","doi":"10.14245/kjs.2015.12.4.261","DOIUrl":"https://doi.org/10.14245/kjs.2015.12.4.261","url":null,"abstract":"Objective This study aimed to analyze prognostic factors affecting surgical outcomes of expansive laminoplasty for cervical spondylotic myelopathy (CSM). Methods Using the Frankel scale and Japanese Orthopaedic Association (JOA) scale, we retrospectively reviewed the outcomes of 45 consecutive patients who underwent modified unilateral open-door laminoplasty using hydroxyapatite spacers and malleable titanium miniplates between June 2008 and May 2014. The patients were assigned to the good and poor clinical outcome groups, with good outcome defined as a JOA recovery rate >75%. Results The mean preoperative JOA scale was significantly higher in the good outcome group (14.95±3.21 vs. 10.78±6.07, p<0.001), whereas the preoperative cervical range of motion (ROM) in this group was significantly lower (29.89°±10.11 vs. 44.35°± 8.88, p<0.001). In univariate analysis, a high preoperative JOA scale (odds ratio (OR) 1.271, 95% confidence interval (CI) 1.005-1.607) and low preoperative cervical ROM(OR 0.858, 95% CI 0.786-0.936) were statistically correlated with good outcomes. Furthermore, these factors demonstrated an independent association with clinical outcomes (preoperative JOA scale: OR 1.344, 95% CI 1.019-1.774, p=0.036; preoperative cervical ROM: OR 0.860, 95% CI 0.788-0.940, p=0.001). Conclusion In this study, a high preoperative JOA scale was associated with good clinical outcome after laminoplasty, whereas a higher preoperative cervical spine ROM was associated with poor clinical outcome. This may suggests that cervical mobility and preoperative neurological status affect clinical outcomes of laminoplasty.","PeriodicalId":17867,"journal":{"name":"Korean Journal of Spine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82490919","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: 15

Fully Endoscopic Interlaminar Detethering of Spinal Cord in Tethered Cord Syndrome: A Case Report and Technical Description 脊髓栓系综合征的全内窥镜椎间松解术:1例报告和技术描述

Korean Journal of Spine Pub Date : 2015-12-01 DOI: 10.14245/kjs.2015.12.4.287

M. S. Gürbüz, S. Aydın, D. Bozdoğan

引用次数: 3

Idiopathic Spontaneous Intramedullary Hemorrhage: A Report of a Rare Case of Repeated Intramedullary Hemorrhage with Unknown Etiology 特发性自发性髓内出血:罕见病因不明的反复髓内出血1例报告

Korean Journal of Spine Pub Date : 2015-12-01 DOI: 10.14245/kjs.2015.12.4.279

B. Choi, Sungjoon Lee

{"title":"Idiopathic Spontaneous Intramedullary Hemorrhage: A Report of a Rare Case of Repeated Intramedullary Hemorrhage with Unknown Etiology","authors":"B. Choi, Sungjoon Lee","doi":"10.14245/kjs.2015.12.4.279","DOIUrl":"https://doi.org/10.14245/kjs.2015.12.4.279","url":null,"abstract":"A 48-year-old woman presented with acute voiding difficulty, numbness and weakness of both lower extremities. Magnetic resonance imaging (MRI) showed an intramedullary hemorrhagic mass that extended from T9 to T10. T8-T10 laminotomy and surgical removal of the hemorrhagic mass was performed. The pathological diagnosis was hematoma. Her neurological status remained the same after the operation. At 5 days post-operation, the patient suddenly became paraplegic, and MRI that was immediately performed revealed a recurrent intramedullary hemorrhage. Emergent surgical evacuation was performed. Again, histological examination showed only hematoma, without any evidence of abnormal vessels or a tumor. A postoperative MRI revealed no abnormal lesions other than those resulting from postoperative changes. At a 9-month follow up, the patient could walk a short distance with the aid of a walker. Because spontaneous intramedullary hemorrhage with unknown etiology is very rare, it is essential to perform a meticulous inspection of the hemorrhagic site to find the underlying cause. Repeated hemorrhage can occur; therefore, close observation of patients after surgery is important in cases without an apparent etiology. Urgent surgical evacuation is important to improve outcomes in these cases.","PeriodicalId":17867,"journal":{"name":"Korean Journal of Spine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73046700","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: 8

Rapidly Progressive Gas-containing Lumbar Spinal Epidural Abscess. 快速进展性腰椎硬膜外脓肿。

Korean Journal of Spine Pub Date : 2015-09-01 Epub Date: 2015-09-30 DOI: 10.14245/kjs.2015.12.3.139

Jin Hyuk Bang, Keun-Tae Cho

引用次数: 11

Two Cases of Klippel-Feil Syndrome with Cervical Myelopathy Successfully Treated by Simple Decompression without Fixation. 单纯减压无固定成功治疗Klippel-Feil综合征合并颈椎病2例。

Korean Journal of Spine Pub Date : 2015-09-01 Epub Date: 2015-09-30 DOI: 10.14245/kjs.2015.12.3.225

Jin Bum Kim, Seung Won Park, Young Seok Lee, Taek Kyun Nam, Yong Sook Park, Young Baeg Kim

{"title":"Two Cases of Klippel-Feil Syndrome with Cervical Myelopathy Successfully Treated by Simple Decompression without Fixation.","authors":"Jin Bum Kim, Seung Won Park, Young Seok Lee, Taek Kyun Nam, Yong Sook Park, Young Baeg Kim","doi":"10.14245/kjs.2015.12.3.225","DOIUrl":"https://doi.org/10.14245/kjs.2015.12.3.225","url":null,"abstract":"Klippel-Feil syndrome (KFS) is a congenital developmental disorder of cervical spine, showing short neck with restricted neck motion, low hairline, and high thoracic cage due to multilevel cervical fusion. Radiculopathy or myelopathy can be accompanied. There were 2 patients who were diagnosed as KFS with exhibited radiological and physical characteristics. Both patients had stenosis and cord compression at C1 level due to anterior displacement of C1 posterior arch secondary to kyphotic deformity of upper cervical spine, which has been usually indicative to craniocervical fixation. One patient was referred due to quadriparesis detected after surgery for aortic arch aneurysmal dilatation. The other patient was referred to us due to paraparesis and radiating pain in all extremities developed during gynecological examinations. Decompressive C1 laminectomy was done for one patient and additional suboccipital craniectomy for the other. No craniocervical fixation was done because there was no spinal instability. Motor power improved immediately after the operation in both patients. Motor functions and spinal stability were well preserved in both patients for 2 years. In KFS patients with myelopathy at the C1 level without C1-2 instability, a favorable outcome could be achieved by a simple decompression without spinal fixation. ","PeriodicalId":17867,"journal":{"name":"Korean Journal of Spine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/60/ef/kjs-12-225.PMC4623191.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34194002","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

Epithelioid Sarcoma in the Cervical Spine: A Case Report. 颈椎上皮样肉瘤1例报告。

Korean Journal of Spine Pub Date : 2015-09-01 Epub Date: 2015-09-30 DOI: 10.14245/kjs.2015.12.3.165

Chungnam Lee, Woo Jin Choe, Nara Kim

引用次数: 4

Delayed Bilateral C5 Palsy following Circumferential Decompression and Fusion in Patient with Cervical Spondylotic Myelopathy. 脊髓型颈椎病患者经周向减压融合后迟发性双侧C5麻痹。

Korean Journal of Spine Pub Date : 2015-09-01 Epub Date: 2015-09-30 DOI: 10.14245/kjs.2015.12.3.200

Hyeong-Seok Jeon, Keung-Nyun Kim

引用次数: 6

Spontaneous Spinal Epidural Hematoma on the Ventral Portion of Whole Spinal Canal: A Case Report. 全椎管腹侧自发性脊髓硬膜外血肿1例。

Korean Journal of Spine Pub Date : 2015-09-01 Epub Date: 2015-09-30 DOI: 10.14245/kjs.2015.12.3.173

Hyun-Ho Lee, Sung-Choon Park, Young Kim, Young-Soo Ha

引用次数: 7

Posterior Spinal Reconstruction with Pedicle Screws, Multiple Iliac Screws and Wisconsin Spinal Wires in a Patient with Neurofibromatosis Scoliosis: A Case Report. 椎弓根螺钉、多个髂螺钉和威斯康星脊髓丝联合后路脊柱重建治疗神经纤维瘤性脊柱侧凸1例。

Korean Journal of Spine Pub Date : 2015-09-01 Epub Date: 2015-09-30 DOI: 10.14245/kjs.2015.12.3.181

Woong-Beom Kim, Young-Seop Park, Jong-Hwa Park, Seung-Jae Hyun

引用次数: 3

The Actual Level of Symptomatic Soft Disc Herniation in Patients with Cervical Disc Herniation. 颈椎间盘突出症患者症状性软椎间盘突出的实际水平。

Korean Journal of Spine Pub Date : 2015-09-01 Epub Date: 2015-09-30 DOI: 10.14245/kjs.2015.12.3.130

Su Yong Choi, Sang Gu Lee, Woo Kyung Kim, Seong Son, Tae Seok Jeong

{"title":"The Actual Level of Symptomatic Soft Disc Herniation in Patients with Cervical Disc Herniation.","authors":"Su Yong Choi, Sang Gu Lee, Woo Kyung Kim, Seong Son, Tae Seok Jeong","doi":"10.14245/kjs.2015.12.3.130","DOIUrl":"https://doi.org/10.14245/kjs.2015.12.3.130","url":null,"abstract":"Objective: The aim of this study was to predict the relationship between the symptomatic disc herniation level and the osteophyte level or decreased disc height in patients with cervical disc herniation.Methods: Between January 2011 and December 2012, 69 patients with an osteophyte of the cervical spine underwent surgery at a single center due to soft cervical disc herniation. Data including soft disc herniation level, osteophyte level in the posterior vertebral margin, Cobb's angle, and symptom duration were retrospectively assessed. The patients were divided into three groups according to the relationship between the degenerative change level and the level of reported symptoms.Results: Among the 69 patients, 48 (69.6%) showed a match between osteophyte level and soft disc herniation level. Disc herniation occurred at the adjacent segment to degenerative osteophyte level in 12 patients (17.4%) and at both the adjacent and the osteophyte level in nine (13.0%). There was no significant difference in Cobb's angle or duration among the three groups. Osteophyte type was not significant. The mean disc height of the prominent degenerative change level group was lower than the adjacent segment level, but this was not significant.Conclusion: Soft cervical disc herniation usually occurs at the level an osteophyte forms. However, it may also occur at segments adjacent to that of the osteophyte level. Therefore, in patients with cervical disc herniation, although a prominent osteophyte alone may appear on plain radiography, we must suspect the presence of soft disc herniation at other levels.","PeriodicalId":17867,"journal":{"name":"Korean Journal of Spine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/89/9a/kjs-12-130.PMC4623166.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34127162","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