Korean Journal of Spine最新文献_第4页

Pyogenic Vertebral Osteomyelitis: Clinical Features, Diagnosis, and Treatment. 化脓性椎体骨髓炎:临床特征、诊断和治疗。

Korean Journal of Spine Pub Date : 2017-06-01 Epub Date: 2017-06-30 DOI: 10.14245/kjs.2017.14.2.27

Ji-Woong Kwon, Seung-Jae Hyun, Sang-Hyun Han, Ki-Jeong Kim, Tae-Ahn Jahng

引用次数: 35

Clinical Results of Odontoid Fractures according to a Modified, Treatment-Oriented Classification. 根据改良的治疗导向分类治疗齿状突骨折的临床结果

Korean Journal of Spine Pub Date : 2017-06-01 Epub Date: 2017-06-30 DOI: 10.14245/kjs.2017.14.2.44

Eui-Jin Cho, Se-Hoon Kim, Won-Hyung Kim, Sung-Won Jin, Seung-Hwan Lee, Bum-Joon Kim, Sung-Gon Ha, Sang-Dae Kim, Dong-Jun Lim

{"title":"Clinical Results of Odontoid Fractures according to a Modified, Treatment-Oriented Classification.","authors":"Eui-Jin Cho, Se-Hoon Kim, Won-Hyung Kim, Sung-Won Jin, Seung-Hwan Lee, Bum-Joon Kim, Sung-Gon Ha, Sang-Dae Kim, Dong-Jun Lim","doi":"10.14245/kjs.2017.14.2.44","DOIUrl":"https://doi.org/10.14245/kjs.2017.14.2.44","url":null,"abstract":"Objective: Odontoid fracture is common in cervical injury, representing about 20% of total cervical fractures. Classic odontoid fracture classification focused on anatomy of fracture site has no treatment recommendation and a modified treatment-oriented classification of odontoid fracture was suggested in 2005. We reviewed our odontoid fracture patients to assess the feasibility and efficacy of Grauer's classification.Methods: Between October 2000 and September 2015, we collected data from patients who came to our institute for odontoid fracture. Demographic data of patients was reviewed, and neck visual analog scale (VAS) score and fusion rate were assessed by reviewing electronic medical records retrospectively.Results: Sixty-nine patients out of a total of eighty two odontoid fracture patients were reviewed according to Grauer's classification. Neck VAS of all subtypes in odontoid fracture classification were decreased at last follow-up (p=0.001). Overall fusion rate was 88.4% at last follow-up. Concordance rate between Grauer's recommendation and our treatment was 69.9%, especially in type II with the concordance higher than 80%. Complication was minimal representing 7.2%, only in types I and III.Conclusion: In this study, there were statistically significant improvement in all subtypes in terms of neck VAS at the last follow up, especially in types II and III. Grauer's classification appears to be meaningful to decide treatment plan for odontoid fractures, especially type II odontoid fracture.","PeriodicalId":17867,"journal":{"name":"Korean Journal of Spine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.14245/kjs.2017.14.2.44","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35166267","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: 9

The Therapeutic Effects of Combination Therapy with Curcumin and Alendronate on Spine Fusion Surgery in the Ovariectomized Rats. 姜黄素与阿仑膦酸钠联合治疗去卵巢大鼠脊柱融合手术疗效观察。

Korean Journal of Spine Pub Date : 2017-06-01 Epub Date: 2017-06-30 DOI: 10.14245/kjs.2017.14.2.35

Dae-Chul Cho, Kyoungsu Ryu, Kyoung-Tae Kim, Joo-Kyung Sung

{"title":"The Therapeutic Effects of Combination Therapy with Curcumin and Alendronate on Spine Fusion Surgery in the Ovariectomized Rats.","authors":"Dae-Chul Cho, Kyoungsu Ryu, Kyoung-Tae Kim, Joo-Kyung Sung","doi":"10.14245/kjs.2017.14.2.35","DOIUrl":"https://doi.org/10.14245/kjs.2017.14.2.35","url":null,"abstract":"Objective: The purpose of this study was to evaluate the therapeutic effects of combination therapy with curcumin and alendronate on spine fusion surgery in ovariectomized rats.Methods: Thirty-two female Sprague-Dawley rats (12 weeks old) underwent bilateral ovariectomy (OVX). Eight weeks after surgery, animals underwent intertransverse spine fusion at L4-5. The rats were randomly distributed amongst 4 groups; untreated OVX group, curcumin administered group, alendronate administered group, and the combination therapy group. At 8 weeks after fusion surgery, the animals were sacrificed and the fusion mass was assessed by manual palpation, radiographic scan, and micro-computed tomographic scan. In addition, mechanical strength was determined by a 3-point bending test.Results: Based on the results of manual palpation testing and 3-dimensional micro-computed tomography scanning, solid bone fusion rate was 50% (4 of 8) in the OVX group, 75% (6 of 8) in the alendronate-only and curcumin-only group, and 87.5% (7 of 8) in the combination therapy group, respectively. The combination therapy group had a higher fusion rate compared with the other treatment groups, though not statistically significantly (p>0.05). And the combination therapy group had a significant increase in fusion volume at 8 weeks after spine fusion surgery compared with curcumin-only group (p=0.039). The 3-point bending test showed that combination therapy group had a significantly greater maximal load value compared to that of curcumin-only group (p=0.024).Conclusion: The present study demonstrated that additional treatment of curcumin and alendronate after spine fusion surgery in rat can promote higher fusion volume, and improve bone mechanical strength.","PeriodicalId":17867,"journal":{"name":"Korean Journal of Spine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f4/5a/kjs-14-2-35.PMC5518429.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35166264","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

Late-Developing Metastatic Malignant Melanoma in the Thoracic Spine Originating from Choroidal Melanoma. 起源于脉络膜黑色素瘤的胸椎晚期转移性恶性黑色素瘤。

Korean Journal of Spine Pub Date : 2017-06-01 Epub Date: 2017-06-30 DOI: 10.14245/kjs.2017.14.2.53

Jun Kyu Hwang, Kyung Hyun Kim, Ji Sup Kim, Sung Jun Ahn, Sung Uk Kuh

引用次数: 3

Destruction of the C2 Body due to Cervical Actinomycosis: Connection between Spinal Epidural Abscess and Retropharyngeal Abscess. 颈椎放线菌病对C2体的破坏:脊髓硬膜外脓肿与咽后脓肿之间的联系。

Korean Journal of Spine Pub Date : 2017-03-01 Epub Date: 2017-03-31 DOI: 10.14245/kjs.2017.14.1.20

Dong Min Kim, Seok Won Kim

引用次数: 5

Delayed Epidural Mucin Collection after Surgery for Spinal Metastatic Pancreatic Adenocarcinoma. 脊髓转移性胰腺腺癌术后延迟硬膜外黏液收集。

Korean Journal of Spine Pub Date : 2017-03-01 Epub Date: 2017-03-31 DOI: 10.14245/kjs.2017.14.1.11

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

{"title":"Delayed Epidural Mucin Collection after Surgery for Spinal Metastatic Pancreatic Adenocarcinoma.","authors":"Dong Ha Kim, Dong Hwan Kim, Hwan Soo Kim, Kyoung Hyup Nam, Byung Kwan Choi, In Ho Han","doi":"10.14245/kjs.2017.14.1.11","DOIUrl":"https://doi.org/10.14245/kjs.2017.14.1.11","url":null,"abstract":"A rare case of delayed large epidural mucin collection causing neurologic deficit after surgery for metastatic pancreatic cancer is reported. A 65-year-old man presented with intractable upper-thoracic back pain radiating to the chest and gait disturbance. He had a history of subtotal pancreatectomy due to intraductal papillary mucinous neoplasm (IPMN) of the pancreas and concurrent chemotherapy. Eight months after pancreatectomy, multiple thoracic spinal metastasis was diagnosed with routine up positron emission tomography-computed tomography. Radiotherapy for spinal metastasis and subsequent chemotherapy was carried out. Sixteen months after pancreatectomy, gait disturbance occurred and follow-up thoracic magnetic resonance imaging (MRI) showed aggravation of metastasis at T2 and T4 compressing the spinal cord. We performed a decompressive laminectomy with subtotal resection of the tumor masses and pedicle screw fixation at C7-T6. Neurologic status improved after the operation. Histopathologic examinations revealed the tumor as metastatic mucin producing adenocarcinoma. Three months after surgery, motor weakness and pain was reappeared. MRI showed large amount of epidural fluid collection. We performed wound revision and there was large amount of gelatinous fluid at the epidural space. We suggest that postoperative mucin collection and wound problems should be considered after surgery for mucin producing metastatic pancreatic tumor.","PeriodicalId":17867,"journal":{"name":"Korean Journal of Spine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9f/c7/kjs-14-1-11.PMC5402857.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34911871","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

Gas-Containing Cervical Epidural Abscess Accompanying Bacterial Meningitis in an Adult. 成人宫颈硬膜外脓肿伴细菌性脑膜炎1例。

Korean Journal of Spine Pub Date : 2017-03-01 Epub Date: 2017-03-31 DOI: 10.14245/kjs.2017.14.1.17

Dong Min Kim, Seok Won Kim

引用次数: 4

Determination of the Effect of Diameter of the Sac on Prognosis in 64 Cases Operated for Meningomyelocele. 64例脑膜脊膜膨出术中囊直径对预后影响的分析。

Korean Journal of Spine Pub Date : 2017-03-01 Epub Date: 2017-03-31 DOI: 10.14245/kjs.2017.14.1.7

Metehan Eseoğlu, Ahmet Eroğlu, Serkan Kemer, Mehmet Arslan

{"title":"Determination of the Effect of Diameter of the Sac on Prognosis in 64 Cases Operated for Meningomyelocele.","authors":"Metehan Eseoğlu, Ahmet Eroğlu, Serkan Kemer, Mehmet Arslan","doi":"10.14245/kjs.2017.14.1.7","DOIUrl":"https://doi.org/10.14245/kjs.2017.14.1.7","url":null,"abstract":"Objective: To examine the effect of meningomyelocele sac size on prognosis by retrospective review of 64 cases operated for meningomyelocele between January 2009 and December 2012.Methods: We evaluated newborn babies operated for meningomyelocele by retrospectively reviewing their files for head circumference, location and with of the defect, accompanying anomalies, treatments administered, drugs that mother used during pregnancy. Based on the defect size, 3 patient groups were created as 0-24 cm2 (group I), 25-39 cm2 (group II), and 40 cm2 and above (group III).Results: Throughout the study, 64 babies were evaluated. Mean head circumference was 37.4 cm (range, 30.7-50 cm). Based on their location, 49 of the defects (76.5%) were lumbar, 7 (10.9%) were thoracolumbar, 4 (6.2%) were thoracic, 3 (3.1%) were sacral, 1 (1.5%) was cervical. Mean size of the meningomyelocele sac was 4.7 cm×5.8 cm (range, 1 cm×1 cm-10 cm×8 cm), 13 of the babies (20.3%) had skin defect requiring flap. According to accompanying anomalies, 47 of the babies (73.4%) had hydrocephalus, 7 (10.9%) had club foot, 1 (1.5%) had diastematomyelia, 1 (1.5%) had tethered cord. Thirty-nine of the babies (60.9%) had paraplegia, 10 (15.6%) had paraparesis, 8 (12.5%) had monoplegia; neurological examination in the remaining 7 babies was normal.Conclusion: In our study, increased diameter of meningomyelocele sac was associated with greater amount of neural tissue within the sac, which worsens the prognosis. Sac localization was not changing prognosis but infection rates, hospitalization duration were increased in babies with bigger diameter of sacs.","PeriodicalId":17867,"journal":{"name":"Korean Journal of Spine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ac/7b/kjs-14-1-7.PMC5402860.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34911870","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

Application of Lateral Approach for the Removal of Migrated Interbody Cage: Taphole and Fixing Technique. 侧入路在移出椎间笼中的应用:开孔和固定技术。

Korean Journal of Spine Pub Date : 2017-03-01 Epub Date: 2017-03-31 DOI: 10.14245/kjs.2017.14.1.23

Jae Sung Eom, Ikchan Jeon, Sang Woo Kim

引用次数: 6

Delayed Spondylodiscitis Presenting as a Skip Lesion. 迟发性脊柱炎表现为跳跃性病变。

Korean Journal of Spine Pub Date : 2017-03-01 Epub Date: 2017-03-31 DOI: 10.14245/kjs.2017.14.1.14

Dong Min Kim, Seok Won Kim

引用次数: 1