Korean Journal of Spine最新文献_第7页

The Factors That Affect Improvement of Neurogenic Bladder by Severe Lumbar Disc Herniation in Operation 影响重度腰椎间盘突出症术后神经源性膀胱改善的因素

Korean Journal of Spine Pub Date : 2016-09-01 DOI: 10.14245/kjs.2016.13.3.124

Joon Bok Jeon, S. Yoon, Do Keun Kim, Ji-yong Kim

{"title":"The Factors That Affect Improvement of Neurogenic Bladder by Severe Lumbar Disc Herniation in Operation","authors":"Joon Bok Jeon, S. Yoon, Do Keun Kim, Ji-yong Kim","doi":"10.14245/kjs.2016.13.3.124","DOIUrl":"https://doi.org/10.14245/kjs.2016.13.3.124","url":null,"abstract":"Objective This study analyzed retrospectively the bladder function of patients after early surgery for cauda equina syndrome (CES) performed within 24 or 48 hours, or after 48 hours of the onset of autonomic symptoms. Methods We retrospectively reviewed the clinical data of 31 patients after decompression surgery for lumbar disc herniation (LDH) who had been diagnosed with CES between January 2001 and December 2014 at Inha University Hospital. The following factors were assessed to evaluate the influence of time to surgery: bladder function, rectal incontinence, sexual dysfunction, LDH level, and degree of spinal canal compression. Results After decompression, the outcome group was categorized into normal bladder function and abnormal bladder function. The patients operated on within 48 hours showed an improved postoperative outcome. Among 16 patients operated on within 48 hours, 13 (81%) recovered normal bladder function. In contrast, among 15 patients with decompression after 48 hours, 6 (40%) recovered normal bladder function. Among 21 patients with mild bladder dysfunction at admission, 16 (76%) recovered normal bladder function after decompression. Conclusion Our study suggests that patients who have decompression surgery within 48 hours of the onset of bladder dysfunction, improve their chances of recovering bladder function than those who have a late operation (>48 hours). Also, patients with mild bladder dysfunction are more likely to recover bladder function after decompression, than patients with severe bladder dysfunction.","PeriodicalId":17867,"journal":{"name":"Korean Journal of Spine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78371673","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: 4

Radiologic Changes of Operated and Adjacent Segments after Anterior Cervical Microforaminotomy 颈椎前路微椎间孔切开术后手术及邻近节段的影像学变化

Korean Journal of Spine Pub Date : 2016-09-01 DOI: 10.14245/kjs.2016.13.3.134

J. Ahn, M. Park, S. Kim, S. Chung, Do Sung Lee, K. Park

{"title":"Radiologic Changes of Operated and Adjacent Segments after Anterior Cervical Microforaminotomy","authors":"J. Ahn, M. Park, S. Kim, S. Chung, Do Sung Lee, K. Park","doi":"10.14245/kjs.2016.13.3.134","DOIUrl":"https://doi.org/10.14245/kjs.2016.13.3.134","url":null,"abstract":"Objective Anterior cervical microforaminotomy (ACMF) is a motion-preserving surgical procedure. The purpose of this study is to assess radiologic changes of operated and adjacent segments after ACMF. Methods We retrospectively reviewed 52 patients who underwent ACMF between 1998 and 2008. From X-ray film-based changes, disc height and sagittal range of motion (ROM) of operated and adjacent segments were compared at preoperative and last follow-up periods. Radiological degeneration of both segments was analyzed as well. Results The mean follow-up period was 48.2 months. There were 78 operated, 52 upper adjacent, and 38 lower adjacent segments. There were statistically significant differences in the ROM and disc height of operated segment between preoperative and last follow-up periods. However, there were no statistically significant differences in the ROM and disc height of adjacent segment between both periods. Radiological degenerative changes of operated segments were observed in 30%. That of adjacent segments was observed in 11 and 11% at upper and lower segments, respectively. Conclusion After mean 4-year follow-up periods, there were degenerative changes of operated segments. However, ACMF preserved motion and prevented degenerative changes of adjacent segments.","PeriodicalId":17867,"journal":{"name":"Korean Journal of Spine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86452225","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: 2

A 20-Year-Old Retained Surgical Gauze Mimicking a Spinal Tumor: A Case Report 20年手术纱布残留模拟脊柱肿瘤一例报告

Korean Journal of Spine Pub Date : 2016-09-01 DOI: 10.14245/kjs.2016.13.3.160

Sungjoon Lee, Bomi Kim, Jung Soo Kim, B. Choi

引用次数: 8

Postlaminectomy Bilateral Lumbar Intraspinal Synovial Cysts 椎板切除术后双侧腰椎椎管内滑膜囊肿

Korean Journal of Spine Pub Date : 2016-09-01 DOI: 10.14245/kjs.2016.13.3.157

S. Cho, J. H. Lee, C. Chough

引用次数: 3

Cervical Myelopathy Caused by Intracranial Dural Arteriovenous Fistula. 颅内硬脑膜动静脉瘘致颈椎病。

Korean Journal of Spine Pub Date : 2016-06-01 Epub Date: 2016-06-30 DOI: 10.14245/kjs.2016.13.2.67

Won Young Kim, Jin Bum Kim, Taek Kyun Nam, Young Baeg Kim, Seung Won Park

{"title":"Cervical Myelopathy Caused by Intracranial Dural Arteriovenous Fistula.","authors":"Won Young Kim, Jin Bum Kim, Taek Kyun Nam, Young Baeg Kim, Seung Won Park","doi":"10.14245/kjs.2016.13.2.67","DOIUrl":"https://doi.org/10.14245/kjs.2016.13.2.67","url":null,"abstract":"Intracranial dural arteriovenous fistula (dAVF) usually results in various problems in the brain. But it can be presented as a myelopathy, which may make early diagnosis and management to be difficult. We recently experienced a case of cervical myelopathy caused by intracranial dAVF. A 60-year-old man presented with a 3-year history of gait disturbance due to a progressive weakness of both legs. Neurological examination revealed spastic paraparesis (grade IV) and Babinski sign on both sides. Magnetic resonance imaging showed serpentine vascular signal voids at C2-T1 on T2-weighted image with increased signal intensity and swelling of spinal cord at C1-C4. We performed a brain computed tomography angiography and found intracranial dAVF with multiple arteriovenous shunts. Venous drainages were noted at tentorial veins and cervical perimedullary veins. After Onyx embolization, the patient showed gradual improvement in motor power and gait disturbance. The venous drainage pattern is a well-known prognostic factor of dAVF. In our case, the intracranial dAVF drained to spinal perimedullary vein, which seemed to result in the ischemic myelopathy. Although it is rare condition, it sometimes can cause serious complications. Therefore, we should keep in mind the possibility of intracranial dAVF when a patient presents myelopathy. ","PeriodicalId":17867,"journal":{"name":"Korean Journal of Spine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f9/50/kjs-13-67.PMC4949170.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34587531","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: 10

Leading a Patient of Ankylosing Spondylitis to Death by Iatrogenic Spinal Fracture. 医源性脊柱骨折致强直性脊柱炎患者死亡。

Korean Journal of Spine Pub Date : 2016-06-01 Epub Date: 2016-06-30 DOI: 10.14245/kjs.2016.13.2.80

Jae-Sang Oh, Jae-Won Doh, Jai-Joon Shim, Kyeong-Seok Lee

引用次数: 6

Diffuse Large B-Cell Lymphoma Mimicking Schwannoma of Lumbar Spine. 腰椎模拟神经鞘瘤的弥漫性大b细胞淋巴瘤。

Korean Journal of Spine Pub Date : 2016-06-01 Epub Date: 2016-06-30 DOI: 10.14245/kjs.2016.13.2.71

Seung-Kook Kim, Sun-Ho Lee, Eun-Sang Kim, Whan Eoh

引用次数: 7

Spontaneous Anterior Thoracic Spinal Cord Herniation through Dura Defect: A Case Report. 自发性胸前段脊髓硬脑膜缺损疝1例。

Korean Journal of Spine Pub Date : 2016-06-01 Epub Date: 2016-06-30 DOI: 10.14245/kjs.2016.13.2.77

Kyung-Ho Jeong, Hyun-Woo Lee, Young-Min Kwon

{"title":"Spontaneous Anterior Thoracic Spinal Cord Herniation through Dura Defect: A Case Report.","authors":"Kyung-Ho Jeong, Hyun-Woo Lee, Young-Min Kwon","doi":"10.14245/kjs.2016.13.2.77","DOIUrl":"https://doi.org/10.14245/kjs.2016.13.2.77","url":null,"abstract":"Thoracic spinal cord herniation is a rare disease cause of progressive myelopathy. Magnetic resonance image is a useful tool to diagnose preoperatively. Operation is a treatment of option. Sixty-six-year-old female visited Dong-A University Medical Center for progressive gait disturbance with falling tendency to right side. She had radiating pain and tingling sense on both leg. Sense of touch and temperature was decreased below T6 level. Both hip and knee motor power were grade IV. Magnetic resonance imaging scan showed anterior displacement of the spinal cord at T4-T5 vertebral level. Under the diagnosis of thoracic spinal cord herniation with dura defect, operation was performed for the patient with intraoperative neuromonitoring. Laminectomy at T4 and T5 level was done, and intradural exploration of the spinal cord revealed dura defect about 25mm×8mm in size. Spinal cord was released under microscope and dura defect was repaired with Lyoplant. The patient's symptom improved after the surgical procedure, but touch and temperature sense under T6 level had unchanged. ","PeriodicalId":17867,"journal":{"name":"Korean Journal of Spine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/63/dc/kjs-13-77.PMC4949173.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34746746","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

Clinical Features of Herniated Disc at Cervicothoracic Junction Level Treated by Anterior Approach. 前路治疗颈胸交界处椎间盘突出症的临床特点。

Korean Journal of Spine Pub Date : 2016-06-01 Epub Date: 2016-06-30 DOI: 10.14245/kjs.2016.13.2.53

Jun Gue Lee, Hyeun Sung Kim, Chang Il Ju, Seok Won Kim

{"title":"Clinical Features of Herniated Disc at Cervicothoracic Junction Level Treated by Anterior Approach.","authors":"Jun Gue Lee, Hyeun Sung Kim, Chang Il Ju, Seok Won Kim","doi":"10.14245/kjs.2016.13.2.53","DOIUrl":"https://doi.org/10.14245/kjs.2016.13.2.53","url":null,"abstract":"Objective: The anterior approach for C7-T1 disc herniation may be challenging because of obstruction by the manubrium and the narrow operative field. This study aimed to investigate the clinical and neurological outcomes of anterior approach for C7-T1 disc herniation.Methods: We retrospectively evaluated 13 patients who underwent the anterior approach for C7-T1 disc herniation by a single surgeon within a period of 11 years (2003-2014). The minimum follow-up duration was 6 months. We describe the clinical presentation, radiographic findings, neurological outcome, and related complications.Results: Of 372 patients with single-level anterior discectomy and fusion or artificial disc replacement for cervical disc herniation, 13 (3.5%) had C7-T1 disc herniation. The main clinical presentation was unilateral motor weakness in intrinsic hand muscles (11 patients), along with numbness, pain, and tingling sensation that radiate down the arm to the little finger. Most of the patients improved after surgery via the anterior approach. Ten patients underwent successful anterior discectomy and fusion by the standard supramanubrial Smith-Robinson approach, but 2 needed additional manubriotomy and sternotomy. In 1 patient, we performed surgery at a wrong level because the correct level was difficult to identify intraoperatively. Two patients had transient vocal dysfunction, but none had major complications related to injuries of the great vessels such as the thoracic duct or esophagus.Conclusion: For patients who require direct anterior decompression for C7-T1 disc herniation, the anterior approach is relatively feasible. However, care should be taken to overcome physical constraints by the manubrium and slope.","PeriodicalId":17867,"journal":{"name":"Korean Journal of Spine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.14245/kjs.2016.13.2.53","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34587528","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

Clinical and Radiological Comparison between Ipsilateral and Contralateral Side Canal Decompression Using an Unilateral Laminotomy Approach. 单侧椎板切开术对侧与同侧椎管减压的临床及影像学比较。

Korean Journal of Spine Pub Date : 2016-06-01 Epub Date: 2016-06-30 DOI: 10.14245/kjs.2016.13.2.41

Woong Bae Park, Jae Taek Hong, Sang Won Lee, Jae Hoon Sung, Seung Ho Yang, Il Sub Kim

{"title":"Clinical and Radiological Comparison between Ipsilateral and Contralateral Side Canal Decompression Using an Unilateral Laminotomy Approach.","authors":"Woong Bae Park, Jae Taek Hong, Sang Won Lee, Jae Hoon Sung, Seung Ho Yang, Il Sub Kim","doi":"10.14245/kjs.2016.13.2.41","DOIUrl":"https://doi.org/10.14245/kjs.2016.13.2.41","url":null,"abstract":"Objective: To compare the clinical and radiological outcome of both sides using the unilateral approach.Methods: Unilateral laminotomy was performed to achieve bilateral decompression. Thirty-nine patients who underwent this procedure were analyzed prospectively using the Oswestry Disability Index (ODI), the visual analog scale (VAS) pain score to evaluate symptoms in both legs, and the radiological morphometric index to calculate the anteriorposterior diameter and midcanal width. The incidence of complications from this approach was then evaluated.Results: The mean follow-up time was 12.2 months. The mean ODI was 48.4 preoperatively and 14.2 postoperatively. The mean dural sac widening of the ipsilateral side (187.0%) was significantly larger (p<0.01) than that of the the contralateral side (145.6%). The VAS improvement ratio ([preoperative VAS score-postoperative VAS score]/[preoperative VAS score]×100) for the pain in each leg was 75.4%(ipsilateral side) and 73.7%(contralateral side). While the VAS improvement ratio for pain in each side was significantly reduced, the difference in the VAS ratio between sides was statistically insignificant (p=0.64). There were 2 cases (5.1%) of dural tearing during the procedure, 1 case (2.6%) of transient paresthesia of nerve roots, and 2 cases (5.1%) of transient paresthesia of the contralateral nerve root. The transient paresthesias of nerve roots never lasted more than 2 weeks.Conclusion: This technique allows for significant decompression of the contralateral canal and excellent clinical outcomes without troublesome complications. Although ipsilateral the dural sac widening was significantly larger than contralateral side, the difference in the clinical outcome between sides was statistically insignificant.","PeriodicalId":17867,"journal":{"name":"Korean Journal of Spine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4e/95/kjs-13-41.PMC4949165.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34587526","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