http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
하기용,Wee, Dennis,장정호,김완호 대한척추외과학회 1997 대한척추외과학회지 Vol.4 No.1
Study Design : A retrospective analysis was performed on 19 patients, aged 70 years or over, who had decompressive surgery with or without fusion for degenerative lumbar stenosis. Objective : To analyze the result of spinal surgery in elderly patients with degenerative lumbar stenosis and to present possible complication following surgery. Summary of Background Data : In elderly patients who had degenerative lumbar stenosis, decompression is the most important factor in relieving symptoms and that the addition of spinal fusion would increase the postoperative morbidity. The long-term outcome of decompressive surgery in the elderly does not differ from that reported for younger patients. Methods : All patients were divided into 2 groups by surgical method. One group, consisting of 8 patients, underwent decompressive laminectomy and the other group, consisting of 11 patients, underwent decompressive laminectomy and fusion with instruments. The comparative analysis was performed between decompressive group and fusion group. Results : Overall, 72.5% of the patients had an excellent and a good results. There was no differences of overall clinical outcome between two surgical groups. As a complication, there was no significant complication in a decompressive group. In a fused group, however, significant complication developed. One patients died of unknown origin immediately after surgical intervention for failed back surgery syndrome. Radiographic nonunion and fracture adjacent to fused segments developed in one, respectively. Conclusions : Extra-careful preoperative evaluation must be done in order to recognize and minimize perioperative complications associated with major surgeries in more fragile patients especially who had failed back surgery syndrome. Wide decompressive laminectomy for spinal stenosis with segmental instability should be performed with fusion concomitantly to prevent postoperative instability regardless of patient's age.