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Failed Back Surgery Syndrome에서 만족스러운 치료 결과에 영향을 주는 요인들
이창명,윤승환,조준,문창택,장상근,Lee, Chang-Myung,Youn, Seung-Hwan,Cho, Joon,Moon, Chang-Taek,Chang, Sang-Keun 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.2
Objective : The authors retrospectively analysed the factors affecting the favorable outcomes in the treatment of the Failed Back Surgery Syndrome(FBSS) or six years. Method : From March 1991 to December 1996, seventy-five patients were diagnosed as FBSS and its incidence was 3.4% of admitted patients with back pain in our department. We analysed the demographic data, etiologies, clinical menifestations, outcomes according to methods of operation, numbers of previous surgery, and time intervals between initial operation and final operation. Result : The most common etiology and previous surgical method of FBSS were insufficient surgery(54.7%) and partial laminectomy(53.3%). Patients were managed as followings ; Total laminectomy and spinal fusion with instrument in 41 cases(54.7%), total laminectomy without fusion in 23 cases(30.7%), and only partial laminectomy in 11 cases(14.7%). The overall treatment outcome was satisfactory in 48 cases(64%). Satisfactory results were observed in those patients who were treated by spinal fusion after complete laminectomy(34 cases), who had underwent only one operation previously(45 cases), and when the time interval between the initial operation and reoperation is shorter than 12 months(43 cases). Conclusion : The treatment outcome in FBSS was favorable in cases of the complete total laminectomy and spinal fusion with instrument, only one previous back surgery, and short time interval between initial and final operations.
문창택,조준,손형권,이창명,윤승환,장상근 건국대학교 의과학연구소 1999 건국의과학학술지 Vol.8 No.-
Subdural empyema is a fulminating, purulent bacterial infection located between the dura and arachnoid membrane. It is a neurosurgical emergency and the mortality of which continues to be as high as 40% in mordern reported series. Early diagnosis, adequate antibiotic therapy and surgical treatment play important roles in the successful management of subdural empyema. Recently, we have experienced a case of a traumatic subdural empyema treated by craniotomy and ventriculo-peritoneal shunt operation and report this case with reviewing the literatures.