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박용숙,김영백,김경태 대한척추신경외과학회 2009 Neurospine Vol.6 No.1
Objective: Several types of interspinous process (ISP) devices have the common goal of limiting lumbar extension. In this study, we selected patients aged older than 60 years with lumbar spinal stenosis and assessed whether ISP devices are more beneficial in elderly patients with lumbar spinal stenosis than simple decompression. Methods: Eighteen patients were treated with the Interspinous U device, and 17 patients were treated with decompression alone during the same period. Clinical results were assessed using the pre- and postoperative visual analogue scale (VAS) and activities of daily living (ADL). Radiologic results were assessed according to pre-and postoperative anterior disc height, posterior disc height, foraminal height, spondylolisthesis, segmental coronal angle and lordotic angle at the treated level. Results: The mean age of the patients in the interspinous device group was 66.9 years (range 60-78 years), and the mean age of the patients in the decompression group was 70.6 years (range 60-80 years). The mean pre- and postoperative VAS scores were 8.5 and 3.8, respectively, in interspinous devices group and 7.7 and 2.5 in the decompression group. Both groups of patients showed significant improvement in their VAS and ADL scores in comparison with their preoperative scores. Radiologically, there were no significant differences in anterior and posterior disc height or foraminal height in the interspinous devices group. Coronal and lordotic angles were reduced postoperatively in the device group but not in the decompression group. Listhesis at the treated level was significantly aggravated in both groups. Conclusions: The ISP device was helpful in alleviating pain and improving ADL performance in elderly patients with lumbar spinal stenosis. It corrected segmental scoliosis and restricted extension. However Interspinous U may induce spondylolisthesis and do not prevent further displacement of preexisting spondylolisthesis. There should be careful selection to apply of this device in elderly patients. Objective: Several types of interspinous process (ISP) devices have the common goal of limiting lumbar extension. In this study, we selected patients aged older than 60 years with lumbar spinal stenosis and assessed whether ISP devices are more beneficial in elderly patients with lumbar spinal stenosis than simple decompression. Methods: Eighteen patients were treated with the Interspinous U device, and 17 patients were treated with decompression alone during the same period. Clinical results were assessed using the pre- and postoperative visual analogue scale (VAS) and activities of daily living (ADL). Radiologic results were assessed according to pre-and postoperative anterior disc height, posterior disc height, foraminal height, spondylolisthesis, segmental coronal angle and lordotic angle at the treated level. Results: The mean age of the patients in the interspinous device group was 66.9 years (range 60-78 years), and the mean age of the patients in the decompression group was 70.6 years (range 60-80 years). The mean pre- and postoperative VAS scores were 8.5 and 3.8, respectively, in interspinous devices group and 7.7 and 2.5 in the decompression group. Both groups of patients showed significant improvement in their VAS and ADL scores in comparison with their preoperative scores. Radiologically, there were no significant differences in anterior and posterior disc height or foraminal height in the interspinous devices group. Coronal and lordotic angles were reduced postoperatively in the device group but not in the decompression group. Listhesis at the treated level was significantly aggravated in both groups. Conclusions: The ISP device was helpful in alleviating pain and improving ADL performance in elderly patients with lumbar spinal stenosis. It corrected segmental scoliosis and restricted extension. However Interspinous U may induce spondylolisthesis and do not prevent further displacement of preexisting spondylolisthesis. There should be careful selection to apply of this device in elderly patients.
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박용숙 유럽헌법학회 2023 유럽헌법연구 Vol.- No.41
In the public health crisis situation that occurred with the onset of the 2020 novel coronavirus infection (COVID-19) pandemic, Korea is evaluated as having succeeded in initial response compared to other countries. At the time, the government's active strategy to respond to infectious diseases, called preemptive testing, tracking, and treatment(3T), attracted global attention. The success of these infectious disease response policies can be said to have played a significant role in scientific advisory. However, it is questionable whether the current scientific advisory system can effectively deal with another crisis in the future. Therefore, a review of overseas scientific advisory is required. In particular, in Japan, since various problems with the method of scientific consultation were pointed out at the time of the Great East Japan Earthquake in 2011, systematization and theorization in this regard have progressed considerably. However, it has been pointed out that Japan's scientific advisory related to Corona 19 did not function sufficiently in an emergency. Therefore, in this paper, we drew implications in Korea by examining Japan's infectious disease response system and scientific advisory at the time of COVID-19.
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