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경골과 골절의 수술적 치료 결과-임상적 결과에 영향을 주는 요인에 대한 분석-
성병년,박완수,신상열,우연기,이택건,박만제,이승기 대한골절학회 2002 대한골절학회지 Vol.15 No.1
목 적 : 경골과 골절의 수술적 치료에서 치료 결과에 영향을 미칠 수 있는 다양한 여러 요인 들에 대해 연구 분석하고자 하였다.대상 및 방법 : 1 9 9 1 년 1월부터 1 9 9 7 년 1 2월까지 수술적으로 치료한 2 9례를 대상으로 임상적 및 방사선학적 분석을 하였으며 추시 관찰 기간은 최소 1년이상이었다. 연령, 손상 원인, 골절의 분류, 동반 손상 유무 및 수술 방법에 따라 최종 치료 결과를 분석하였다.결 과 : 3 0대에서 5 0대까지가 1 9례중 1 8례로 Blokker 평가 기준에 의해 양호한 결과를 보였다. Schatzker분류 2형이 1 1례( 3 7 . 9 % ) 로 많았고, Ⅰ,Ⅱ,Ⅲ형이1 4례중 1 3례가 양호한 결과를 보였고, Ⅳ,Ⅴ,Ⅵ형이1 5례중 1 0례가 양호한 결과를 보였다. 동반손상은 1 8례중 1 2례가 양호한 결과를 보였다.
요추 경막외 지방종증 : 2례 보고 Two Cases Report
성병년,박찬지,박승준,김상욱,이택건 대한척추외과학회 1998 대한척추외과학회지 Vol.5 No.2
Study Design : We report two cases of symptomatic spinal epidural lipomatosis (SEL) associated with long-term use of steroid medication Objectives : The purpose of this study was to assess the clinical characteristics, diagnosis and treatment of symptomatic spinal epidural lipomatosis. Summary of literature review : Spinal epidural lipomatosis is a condition in which excess adipose tissue is deposited circumferentially about the spinal cord in the epidural space. It can present neurologic symptoms including back pain, radiculopathy or cauda equina. Magnetic resonance imaging is the most helpful dignostic means and should be used initially if suspected. Treatment is decompressive laminectomy and debulking of fat. Materials and methods : Two cases of lumbar epidural lipomatosis with neurologic symptoms were discussed and evaluated by physical examination , postmyelography CT and MRI. Results : Two cases were treated with decompressive laminectomy and debulking of fat. Increased accumulation of the fatty tissue was seen predominently in posterior and posterolateral epidural space of the spinal canal, displacing and compressing the lumbar spinal cord anteriorly. Both gross and histologic evaluation revealed overgrowth of unencapsulated normal appearing fat consistent with spinal epidural lipomatosis. One case was demonstrated gradual improvement in symtoms after operation but the other was died due to medical problems. Conclusion : The authors reviewed the literature and reported the results of operative treatment of patients with lumbago, radicular pain and intermitent claudication caused by epidural lipomatosis of lumbar spine and degenerative spinal stenosis.
성병년,박완수,이승기,박찬지,김동원,Seong, Byeong-Yeon,Park, Wan-Soo,Lee, Seung-Ki,Park, Chan-Ji,Kim, Dong-Won 대한족부족관절학회 2003 대한족부족관절학회지 Vol.7 No.1
Purpose: The purpose of this study fracture. Materials and Methods: The clinical and radiological analysis were performed on 19 cases of the talus neck fractures who had been treated with conservative treatment or variable methods of operative treatment. Each cases followed up more than 1 year and 6 months from May 1989 to June 2001. The clinical results were analyzed according to the age, cause of injury, fracture type of Hawkins classification, associated soft tissue injury, method of treatments, complications, and Hawkins scoring system. Results: According to Hawkins classification, type I was 6 cases(32%), type II was 5 cases(26%), typeIII was 7 cases(37%), and typeIV was 1 case(5%). In all cases, complete bony union was obtained. According to the Hawkins scoring system, 8 cases(42%) were excellent and good. Avascular necrosis was 4 cases(25%). Traumatic arthritis was 10 cases which were occurred in type II, III and IV. An ankle fusion was 1 case. Conclusion: In talar neck fractures, non-displaced fracture treated by the cast immobilization and displaced fracture treated by early open reduction and internal fixation were expected good results. The complications were 77% of traumatic arthritis and 31% of avascular necrosis in type II, III and IV. We should preoperatively explain to the patient for high complication rates of traumatic osteoarthritis and avascular necrosis in the talus neck fractures.
안상묵,김의한,정재삼,최희수,권재욱,성병년 순천향대학교 1987 논문집 Vol.10 No.1
A Malignant Schwannoma is rarely tumor. Since these tumors are derived from nerve sheathes and not from axons, there is controversy in regarding histogenesis and terminology. The diagnosis of malignant Schwannoma is very difficult. Because, similar morphologic pattern in that tumors of the smooth muscles and tumors originated from the nerve. There was no significant predilection in age and sex distribution. These tumor are occasionally associated with von Recklinghausens disease, and the exciion or amputation is recommended in the case of large or recurred tumor. regional lymph node excision is unnecessary. The authors have experienced one case of maligant Schwannoma in sciatic nerve not associated with von Recklinghausens disease.