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분절 척추경 나사 고정술 및 감염술을 이용한 King 제5형 청소년기형 특발성 척추측만증의 치료
석세일,김진혁,김원중,이상민,유일,이창섭,정의룡,고재근 대한척추외과학회 1998 대한척추외과학회지 Vol.5 No.2
Study design : This is a retrospective study. Objectives : To verify the efficacy of the separate curve derotation technique by segmental pedicle screw fixation in King type V adolescent idiopathic scoliosis(AIS). Summary of background data : King type V AIS is commonly treated by fusion of both the upper and the lower thoracic curve. However, both curves fusion often leads to undesirable shoulder asymmetry by relative overcorrection of the more flexible lower thoracic curve. Methods : Fourteen patients subjected to both curve fusion with segmental pedicle screw fixation by separate curve derotation were analyzed after a minimum follow-up of 2 years. The group comprised 11 females and 3 males with a mean age of 15.9 years. All patients had upper left thoracic and lower right thoracic curve pattern. The upper thoracic curve was 46.2±10.3° with a flexibility of 39.6%. The lower thoracic curve was 54.3±14.5° with a flexibility of 59.1 %. Preoperatively, shoulder was level in 4, left elevated in 8 and right elevated in 2 patients. Results : At the final follow up, the upper thoracic curve was corrected to 21.5±8.7° showing a correction of 52.8%. The lower thoracic curve was corrected to 20.0±0.6° showing a correction of 63.5 %. All the patients had improvement of shoulder height difference and trunk balance clinically and radiologically. Conclusions : Segmental pedicle screw fixation and separate derotation is an effective method of restoring shoulder symmetry and maintainig trunk balance in King type V AIS.
요배통을 동반한 골조송증 환자에 대한 Elcatonin의 효과에 대한 연구 -이중맹검법(Double-Blind Study)-
석세일 ( Se Il Suk ),이상훈 ( Sang Hoon Lee ),구경회 ( Kyung Hoi Koo ) 대한외상학회 1989 大韓外傷學會誌 Vol.2 No.1
Calcitonin, which prevents bone loss by inhibitory action on bone resorption, has been introduced in therapeutics for osteoporosis. While may studies revealed its analgesic effect on lumbago. whether or not calcitonin is capable of improving osteoporosis still remains to be investigated. The efficacy of calcitonin on lumbago and osteoporosis was evaluated with randomized double-blind. placebo controlled method in 56 patients with osteoporosis, who suffered lumbago. 10 unit elcatonin or placebo (lml saline) was injected intramuscularly, two times a week for 4 weeks. The patients were interviewed for evaluation of low back pain before treatment, 2weeks, 4weeks, 8weeks and 12weeks after beginning treatment. Also bone mass was measured with single photon absorptiometry, before and 12weeks after beginning treatment.