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김익동,김풍택,박병철,유영구,이구희 慶北大學校 醫科大學 1991 慶北醫大誌 Vol.32 No.1
Spondylolisthesis has become one of the major causes of the lower back pain in the orthopedic field. The treatment of spondylolisthesis has been a matter of debate among orthopedic surgeons since Neugebauer's report in 1888. Since then, many methods of treatment have been introduced. The posterolateral fusion, first described by Watkins, is the established method with a satisfactory result in the great majority of patients. We reviewed 26 patients who were surgically treated by posterolateral fusion at the department of orthopedic surgery, Kyungpook National University Hospital from January 1983 to December 1988. We obtained the following results; 1. The age distribution was from 34 to 65 years of age and prevalent decade was fifth. 2. 18 cases(69%) were female. 3. The isthmic type was 19 cases(73%), degenerative type in 7 cases(27%). 4. The level of the lesion was L4-5 in 13 cases(50%), L5-Sl in 10 cases(38%), L3-4 in 3 cases. 5. The most common clinical symptom was low back pain(26 cases, 100%) and next common symptom was sciatica(20 cases, 77%). 6. By Myerding's grading, grade 1 were 15 cases(58%), grade 2, 9 cases(35%), and grade 3,2 cases. 7. The posterolateral fusion with instrumentation was done in 20 case and combined laminectomy was done in 14 cases. 8. The postoperative result was evaluated by Gill's criteria. 1) Overall results were excellent in 14 cases(54%), good in 8 cases(31%), fair in 3 cases, unsatisfactory in 1 case. 2) The result of isthmic type was better than that of degenerative type. 3) The result of grade 1 was better than that of higher grade type. 4) No significant change in follow-up result was found between posterolateral fusion with and without instrumentation, but it was possible to do earlier social activity in fusion with instrumentation. 5) The improvement of functional result was not affected by the degree of initial reduction, but in early postoperative period, the more complication was developed in the more reduced group.
근위경골 양면 절골술의 치험 - 2례 예비 , 중간보고 -
박병철,김익동,김풍택,박일형,유영구,이구희 대한슬관절학회 1991 대한슬관절학회지 Vol.3 No.1
The osteoarthritis of the knee often accompanies varus deformity and patellofemoral symptoms. This pattern of osteoarthritis can be successfully corrected by the biplane osteotomy of the proximal tibia. We experienced two cases of knee osteoarthritis with varus deformity and patello femoral symptom, which was satisfactorily corrected by the simplified biplane osteotomy of proxjmal tibia. Thus we report our experience as to rationa1e and surgical technique of the biplane osteotomy.