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Intestinal parasite infections in the inhabitants along the Hantan River, Chorwon-gun
Myung-Sung Park(박명성),Sun-Woong Kim(김선웅),Yong-Sang Yang(양용상),Chan-Hum Park(박찬흠),Won-Tae Lee(이원태),Chang-Uck Kim(김창억),Eun-Mi Lee(이은미),Soo-Ung Lee(이수응),Sun Huh(허선) 대한기생충학열대의학회 1993 The Korean Journal of Parasitology Vol.31 No.4
흉추부 황색인대 골화증 : 환자 16예의 임상적 분석 A Clinical Analysis of 16 Cases
현명훈,김남규,백광흠,신형식,김재민,고용,오성훈,오석전,김광명 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.8
The authors are reporting 16 cases of ossification of the thoracic ligamentum flavum. Thoracic ossified ligamentum flavum cause myelopathy as a result of pressure on the spinal cord and nerve roots The prominent sysmptoms were numbness of the foot or leg motor weakness sphincter disturbance and exaggerated tendon reflexes The male to female ratio was 13:8 and the 5th decade was the most prevalent age group. The predominant regions involved were T9-T10 and T10-T11 Total laminectomy was performed in all patients and the prognosis was good in most cases. The thoracic ossified ligamentum flavum and neurologic disorders due to compression of the thoracic vertebrae by other diseases do not show much of a difference in terms of symptoms In the past due to the lack of knowledge of this disease treatment was performed inapproapriately However at the present with the improvement of CT and MRI and the increased recognition of this disease we believe that good prognosis can be made if appropriate treatment is delivered at the time of diagnosis
환추축성 불안정증에 대한 경관절 나사못 고정법의 임상적, 생체역학적 분석평가
백광흠,오성훈,신형식,김재민,김광명 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.2
Transarticular screw fixation augmented with interspinous wiring technique for atlantoaxial instability was analyzed to provide immediate multidirectional rigid fixation and increase likelihood of fusion of C1-2 for atlantoaxial instability in several biomechanical studies. Transarticular screw fixation eliminates anterior, posterior translation at C1-2 and reduce flexion and extension movement. Interspinous wiring eliminates the residual flexion and extension movement. 13 patients with atlantoaxial instability were operated with posterior atlantoaxial facet screws fixation augmented with an interspinous C1-2 strut graft and posterior wire fixation technique. One patient died postoperatively from cardiac problem. All surviving patients restored C1-2 alignment and stability without complication due to instrumentation and osseous unions have developed even 2 cases of screw breakage developed. This technique was analyzed to be superior to wiring or clamp fixation biomechanically and leads to success without external orthosis in several series. But precaution is needed to avoid the vertebral artery injury.
백광흠,신형식,김재민,오성훈,김광명 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.2
A technique combining usual interlaminar approach and paraspinal intertransverse approach for exposing far-lateral disc herniations without disrupting the facet is described. This approach is useful because disc fragments can be removed from both intraspinal and paraspinal route with easy retraction and under short skin incision. This approach prevents reherniation by complete removing of residual nucleus pulposus. At the end of procedure the foramen can be explored in order to verify that foramen is opened. This approach is useful especially in operating the double herniations and extruded far lateral disc herniations.
추궁절제수술후에 발생한 의인성 가성수막척수류 : 증례보고 Report of Cases
백광흠,김용석,김재민,고용,오성훈,오석전,김남규,김광명,박동우 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.10
Two unique cases of delayed nerve root herniation and entrapment into the pseudomeningocele through an unrepaired dural laceration at lumbar laminectomy were reported. Both patients presented with recurred radiculopathy. 3 and 6 years after first operation respectively. Lumbar myelography showed an extradural pseudomeningocele pouch in case 1 while showing no abnormality in case 2. Lumbar MRI in case 1 showed tangled herniated nerve root in the pouch of pseudomeningocele. Lumbar myelographic CT of case 2 showed delayed partial filling of the pseudomeningocele pouch only.