Korean Journal of Spine最新文献_第2页

Comparison of Cervical Alignment and Clinical Outcomes in Patients with Os Odontoideum versus Non-Os Odontoideum after Atlantoaxial Fixation. 寰枢椎固定后齿状突与非齿状突患者颈椎对中及临床结果的比较。

Korean Journal of Spine Pub Date : 2017-12-01 Epub Date: 2017-12-31 DOI: 10.14245/kjs.2017.14.4.143

Farid Yudoyono, Jiin Kang, Yoon Ha

{"title":"Comparison of Cervical Alignment and Clinical Outcomes in Patients with Os Odontoideum versus Non-Os Odontoideum after Atlantoaxial Fixation.","authors":"Farid Yudoyono, Jiin Kang, Yoon Ha","doi":"10.14245/kjs.2017.14.4.143","DOIUrl":"https://doi.org/10.14245/kjs.2017.14.4.143","url":null,"abstract":"Objective: The purpose of this study was to compare the effect of atlantoaxial fixation on cervical alignment and clinical outcomes in patients with os odontoideum (OO) versus non-os odontoideum (non-OO).Methods: A total of 119 patients who underwent atlantoaxial fixation for instability were identified between January 1998 and January 2014. Inclusion criteria included age more than 21 years and diagnosis of OO and non-OO. There were 22 OO patients, and 20 non-OO patients. Measuring the Oc-C1 Cobb angle, C1-2 Cobb angle, C2-7 Cobb angle, and C2-7 sagittal vertical axis (SVA) was assessed. Clinical outcome was assessment of suboccipital pain was determined using a visual analogue scale (VAS), and Japanese Orthopedic Association (JOA) scores were obtained in all patients pre- and postoperatively.Results: The preoperative C1-2 angle in the OO group (26.02°±10.53°) was significantly higher than the non-OO group (p=0.04). After C1-2 fixation, the OO group had significantly higher kyphotic change in the C1-2 angle (ΔC1-2) (3.2°±7.3° [OO] vs. -1.46°±7.21° [non-OO]) (p=0.04), and higher decrease in postoperative C2-7 SVA (ΔC2-7 SVA) (5.64±11.56 mm [OO] vs. -0.51± 6.57 mm [non-OO]) (p=0.04). Both groups showed improvements in the health related quality of life (HRQOL) after surgery based on the VAS and JOA score (p<0.001).Conclusion: After fixation, kyphotic angular change in atlantoaxial joint and decrease C2-7 SVA were marked in the OO group. Both the OO and non-OO groups improved in neurological function and outcome after surgery.","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/12/76/kjs-14-4-143.PMC5769938.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35708550","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

Solitary Osteochondroma Presenting as a Dumbbell Tumor Compressing the Cervical Spinal Cord. 孤立性骨软骨瘤表现为压迫颈脊髓的哑铃状肿瘤。

Korean Journal of Spine Pub Date : 2017-09-01 Epub Date: 2017-09-30 DOI: 10.14245/kjs.2017.14.3.99

Ju Hyung Lee, Sung Han Oh, Pyung Goo Cho, Eun Mi Han, Je Beom Hong

{"title":"Solitary Osteochondroma Presenting as a Dumbbell Tumor Compressing the Cervical Spinal Cord.","authors":"Ju Hyung Lee, Sung Han Oh, Pyung Goo Cho, Eun Mi Han, Je Beom Hong","doi":"10.14245/kjs.2017.14.3.99","DOIUrl":"https://doi.org/10.14245/kjs.2017.14.3.99","url":null,"abstract":"We report a case of a solitary osteochondroma as a dumbbell tumor compressing the spinal cord and its surgical strategy. The patient is a 16-year-old female with longstanding posterior neck pain and left arm abduction weakness. She was examined by plain X-ray, three-dimensional-computed tomography, magnetic resonance imaging, and vertebral angiography. The analyses indicated a calcified extradural mass compressing the cord in the C3-4 portion extending into the neural and vertebral foramen with eroded vertebral body. The tumor was successfully excised using a modified combined anterior and posterior approach. Histopathologic study of the resected material confirmed the diagnosis. The postoperative assessment was followed by clinical and radiologically therapy for 5 years after surgery. Osteochondroma arises from enchondral bone but it rarely involves the spine, especially not as s dumbbell type. In this patient, the tumor may have arisen from the neural arch and extended into the extradural and extraforaminal space over a long period. We successfully removed the dumbbell tumor with a combined anterior oblique and posterior approach. However, further observation is essential because of the possibility of recurrence and sarcomatous change.","PeriodicalId":17867,"journal":{"name":"Korean Journal of Spine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/73/88/kjs-14-3-99.PMC5642089.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35595014","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: 4

Incarceration of Spinal Nerve Root through Incidental Durotomy as a Cause of Sciatica. 偶然硬膜切开引起的脊神经根嵌顿是坐骨神经痛的病因。

Korean Journal of Spine Pub Date : 2017-09-01 Epub Date: 2017-09-30 DOI: 10.14245/kjs.2017.14.3.103

Young-Jin Kim

引用次数: 5

Long-term Clinical and Radiological Outcomes after Central Decompressive Laminoplasty for Lumbar Spinal Stenosis. 腰椎管狭窄的中央减压椎板成形术后的长期临床和影像学结果。

Korean Journal of Spine Pub Date : 2017-09-01 Epub Date: 2017-09-30 DOI: 10.14245/kjs.2017.14.3.71

Jun-Hwan Kim, Young-Joon Kwon

{"title":"Long-term Clinical and Radiological Outcomes after Central Decompressive Laminoplasty for Lumbar Spinal Stenosis.","authors":"Jun-Hwan Kim, Young-Joon Kwon","doi":"10.14245/kjs.2017.14.3.71","DOIUrl":"https://doi.org/10.14245/kjs.2017.14.3.71","url":null,"abstract":"Objective: There are many technical modifications of decompressive lumbar laminectomy. The purpose of this study was to report long-term clinical and radiological outcomes of central decompressive laminoplasty (CDL), the corresponding author's own modification of lumbar laminectomy for lumbar spinal stenosis (LSS).Methods: Among 100 patients who underwent CDL by a single surgeon between December 2010 and March 2014, 68 patients were included in this study. Mean follow-up time was 37.7 months. Clinical and radiological data were gathered prospectively and reviewed retrospectively. Clinical outcome was measured by using visual analog scale (VAS) for back/buttock and leg, and the Oswestry Disability Index (ODI). Radiological outcome was measured by neutral slippage percentage, dynamic slippage percentage, and dynamic intervertebral angel on sagittal X-ray. Outcomes after CDL were assessed by changes of clinical and radiological parameters from the baseline. Mixed effect model with random patients' effect as used to test for differences in the repeated measured clinical and radiological data.Results: The patients had no serious complications with an uneventful recovery during the early postoperative period. In the early postoperative period, VAS scores for back/buttock and leg improved significantly and were kept with time (p<0.001). ODI also improved significantly during the postoperative follow-up period (p<0.001). The radiologic parameters were well maintained and showed no progression of instability. During the follow-up, a case of herniated disc at same level recurrence was noted after lifting trauma, and 2 adjacent foraminal stenosis needed additional surgery.Conclusion: CDL provides long-term pain relief and functional restoration without progression of radiological instability.","PeriodicalId":17867,"journal":{"name":"Korean Journal of Spine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.14245/kjs.2017.14.3.71","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35439034","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: 7

Spontaneous Epidural Hematoma Associated with Venous Phlebolith in Cervical Spine and Possible Pathogenesis. 颈椎自发性硬膜外血肿伴静脉静脉结石及其可能的发病机制。

Korean Journal of Spine Pub Date : 2017-09-01 Epub Date: 2017-09-30 DOI: 10.14245/kjs.2017.14.3.96

Dong Hwan Kim, Dong Ha Kim, Kyoung Hyup Nam, Byung Kwan Choi, In Ho Han

{"title":"Spontaneous Epidural Hematoma Associated with Venous Phlebolith in Cervical Spine and Possible Pathogenesis.","authors":"Dong Hwan Kim, Dong Ha Kim, Kyoung Hyup Nam, Byung Kwan Choi, In Ho Han","doi":"10.14245/kjs.2017.14.3.96","DOIUrl":"https://doi.org/10.14245/kjs.2017.14.3.96","url":null,"abstract":"Although the etiology of spontaneous spinal epidural hematoma (SSEH) is unclear, SSEH is known to be associated with anticoagulants, coagulopathy, vascular malformation, hypertension, and pregnancy. However, no report has been issued on the relation between SSEH and venous phlebolith. Here, the authors present an extremely rare case of SSEH associated with phlebolith in the cervical spine and suggest a possible pathogenesis. A 36-year-old man without any relevant medical history presented with neck pain and numbness and severe radiating pain on the left arm. Magnetic resonance imaging showed epidural hematoma at the C5-7 level, and computed tomography revealed a calcified nodule in the left epidural hemorrhage at C6 level. During left partial laminectomy, epidural venous plexus, and thick epidural hematoma were found, and hematoma removal revealed a white, ovoid, smooth, hard mass of diameter 3 mm. Histopathologic examination confirmed the mass as a venous phlebolith. The presence of a calcified solitary nodule in dorsal epidural space indicates the presence of phlebolith and the risk of SSEH. In such cases, the authors recommend spine surgeons should take into consideration the possibility of epidural hemorrhage.","PeriodicalId":17867,"journal":{"name":"Korean Journal of Spine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5e/35/kjs-14-3-96.PMC5642097.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35595013","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

Ganglioneuroma of the Sacrum. 骶骨神经节神经瘤。

Korean Journal of Spine Pub Date : 2017-09-01 Epub Date: 2017-09-30 DOI: 10.14245/kjs.2017.14.3.106

Donguk Lee, Woo Jin Choe, So Dug Lim

引用次数: 15

Single Stage Posterior Approach for Total Resection of Presacral Giant Schwannoma: A Technical Case Report. 单期后路全切除骶前巨大神经鞘瘤一例技术病例报告。

Korean Journal of Spine Pub Date : 2017-09-01 Epub Date: 2017-09-30 DOI: 10.14245/kjs.2017.14.3.89

Byoung Hun Lee, Seung-Jae Hyun, Jong-Hwa Park, Ki-Jeong Kim

{"title":"Single Stage Posterior Approach for Total Resection of Presacral Giant Schwannoma: A Technical Case Report.","authors":"Byoung Hun Lee, Seung-Jae Hyun, Jong-Hwa Park, Ki-Jeong Kim","doi":"10.14245/kjs.2017.14.3.89","DOIUrl":"https://doi.org/10.14245/kjs.2017.14.3.89","url":null,"abstract":"The neurogenic tumor of frequent occurrence in the presacral area is a schwannoma. Giant presacral schwannoma has a risk for anterior surgical approach because of its massive size and proximity to abundant vascularity of presacral region. We report a single stage posterior approach for total resection of a giant presacral schwannoma. A 40-year-old female patient experienced left buttock pain and tingling sensation at left S1 dermatome. Magnetic resonance imaging showed that the presacral huge mass at S1-3 level with osseous extension and structural remodeling in left sacral ala. The presacral mass was ranging in maximum diameter from 8.0 to 8.6 cm. S2 foramen laminectomy was performed to expose the mass. The tumor capsule and the root were carefully dissected away. The tumor was removed while preserving the capsule by dissecting the plane between the inner wall of the capsule and the tumor. The single stage posterior approach for presacral giant schwannoma is feasible, and it can be a good surgical alternative to prevent pelvic organ or vascular damage and anterior approach related dystocia and infertility.","PeriodicalId":17867,"journal":{"name":"Korean Journal of Spine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cc/0d/kjs-14-3-89.PMC5642101.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35439037","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: 20

Pelvic Incidence Can Be Changed not only by Age and Sex, but also by Posture Used during Imaging. 骨盆发生率不仅会因年龄和性别而改变，也会因成像时的姿势而改变。

Korean Journal of Spine Pub Date : 2017-09-01 Epub Date: 2017-09-30 DOI: 10.14245/kjs.2017.14.3.77

Ji Won Moon, James Ki Shinn, Dalsung Ryu, Se-Yang Oh, Yu Shik Shim, Seung Hwan Yoon

{"title":"Pelvic Incidence Can Be Changed not only by Age and Sex, but also by Posture Used during Imaging.","authors":"Ji Won Moon, James Ki Shinn, Dalsung Ryu, Se-Yang Oh, Yu Shik Shim, Seung Hwan Yoon","doi":"10.14245/kjs.2017.14.3.77","DOIUrl":"10.14245/kjs.2017.14.3.77","url":null,"abstract":"Objective: Computed tomography (CT), rather than conventional 2-dimensional radiography, was used to scan and measure pelvic parameters. The results were compared with measurements using X-ray.Methods: Pelvic parameters were measured using both CT and X-ray in 254 patients who underwent both abdomino-pelvic CT and X-ray at the pelvic site. We assessed the similarity of the pelvic parameters between the 2 exams, as well as the correlations of pelvic parameters with sex and age.Results: The mean values of the subjects' pelvic parameters measured on X-ray were: sacral slope (SS), 31.6°; pelvic tilt (PT), 18.6°; and pelvic incidence (PI), 50.2°. The mean values measured on CT were: SS, 35.1°; PT, 11.9°; and PI, 47.0°. PT was found to be 4.07° higher on X-ray and 2.98° higher on CT in women, with these differences being statistically significant (p<0.001, p<0.001). PI was 4.10° higher on X-ray and 2.78° higher on CT in women, with these differences also being statistically significant (p<0.001, p=0.009). We also observed a correlation between age and PI. For men, this correlation coefficient was 0.199 measured using X-ray and 0.184 measured using CT. For women, this correlation coefficient was 0.423 measured using X-ray and 0.372 measured using CT.Conclusion: When measured using CT compared to X-ray, SS increased by 3.5°, PT decreased by 6.7°, and PI decreased by 3.2°. There were also statistically significant differences in PT and PI between male and female subjects, while PI was found to increase with age.","PeriodicalId":17867,"journal":{"name":"Korean Journal of Spine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/25/5a/kjs-14-3-77.PMC5642093.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35439035","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

Aortic Injury during Transforaminal Lumbar Interbody Fusion. 经椎间孔腰椎椎间融合术中主动脉损伤。

Korean Journal of Spine Pub Date : 2017-09-01 Epub Date: 2017-09-30 DOI: 10.14245/kjs.2017.14.3.118

Hee Jin Bae, Tack Geun Cho, Chang Hyun Kim, Ho Kook Lee, Jae Gon Moon, Jong Il Choi

引用次数: 9

Posterior Epidural Herniation of a Lumbar Disk Fragment at L2-3 That Mimicked an Epidural Hematoma. 腰2-3段腰椎间盘碎片后硬膜外突出，模拟硬膜外血肿。

Korean Journal of Spine Pub Date : 2017-09-01 Epub Date: 2017-09-30 DOI: 10.14245/kjs.2017.14.3.115

Jin-Sang Kil, Jong-Tae Park

引用次数: 11