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요추 경막외 지방종증 : 3례 보고 Three Cases Report
최원식,김환정,김규현,옹상석,박종현 대한척추외과학회 1998 대한척추외과학회지 Vol.5 No.1
Study Design : The authors identified three cases of epidural spinal lipomatosis not associated with steroid use and endocrine disease. Objectives : To discuss the clinical manifestation, diagnosis and treatment of this rare epidural lipomatosis with neurologic symptoms. Summary of Background Data : Idiopathic spinal epidural lipomatosis rarly found and MRI is the most helpful diagnostic tool. Treatment is decompressive laminectomy, debulking of fat and weight reduction. Methods : Three epidural lipomatosis with neurologic symptoms were discussed. Presurgical clinical & laboratory findings, imaging studies and pathologic findings of surgical specimens were evaluated. Result : One case was treated with laminectomy and debulking of fat, the other two cases were treated with laminectomy and debulking of fat combined with treatment of other diseases of spine. Postoperatively neurologic symptoms were relieved and remained so in the last follow up more than two years postoperative. Conclusion : The authors report three cases of epidural compression of the thecal sac caused by idiopathic spinal epidural lipomatosis without history of steroid use or endocrinopathy and reviewed the literature.
최원식,Choe, Won-Sik 한국과학기술단체총연합회 1998 과학과 기술 Vol.31 No.6
산의 한쪽면 전체가 꼭대기부터 아래까지 시뻘겋게 깍이고 은행나무가 시원한 그늘을 드리웠던 그 자리에는 연립주택이 들어서 나무들이 내뿜는 향기대신 시멘트 냄새만 진동한다. 우리도 서양적 개발주의에 휩쓸려 나무와 숲에 대한 경건성을 상실해 버렸다. 숲을 인간의 본향으로 여겼던 동양적 감각을 회복하는 것이 시급하다.
Anterior Pelvic Plating and Sacroiliac Joint Fixation in Unstable Pelvic Ring Injuries
최원식,김갑중,이상기,박현종 연세대학교의과대학 2012 Yonsei medical journal Vol.53 No.2
Purpose: To analyze the effectiveness of anterior pelvic plating and subsequent percutaneous sacroiliac joint screw fixation in patients with unstable pelvic ring injuries. Materials and Methods: Thirty-two patients were included with twenty-one males and eleven females. The mean age was 41 years (range, 19-76). The mean follow-up period was 51 months (range, 36-73). According to AO-OTA classification, there were 11 cases of B2 injuries, 8 cases of B3 injuries, 9 cases of C1 injuries, 2 cases of C2 injuries and 2 cases of C3 injuries. In the posterior lesions,there were 20 cases of sacral fractures and 12 cases of sacroiliac joint disruptions or dislocations. Anterior pelvic plating and subsequent percutaneous sacroiliac joint fixation were performed. Results: The clinical results were 16 cases of excellent, 10 cases of good, 4 cases of moderate and 2 cases of poor functional results. The 2 cases out of 7 moderate reductions had poor functional results with residual neurologic symptoms. The radiological results were 16 cases of anatomic, 9 cases of nearly anatomic and 7 cases of moderate reduction. All patients were healed except 3 cases of nonunion at the pubic ramus. The complications encountered were 3 cases of screw loosening, 2 cases of anterior plate breakage and 1 case of postoperative infection. Conclusion: In patients with unstable pelvic ring injuries, anterior pelvic plating and subsequent percutaneous sacroiliac joint screw fixation may be a useful surgical option. The radiological results and residual neurologic symptoms had effects on its functional results.