척추강 협착증 환자의 척추의 미란이 동반된 부골화된 요추 추간판 탈출증 : 증례 보고 Case Report

송경진,송경진 의과학연구소 1990 全北醫大論文集 Vol.14 No.3

We experienced 47 years old female patient with 4 years low back pain with sciatica and abnormal slow shuffling gait. On myelograghy we diagnosed as spinal stenosis induced by degenerative spondylosis and disc hemiation. But on C-T we could find vertebral erosion with abnormal shifting of theral sac by soft tissue mass. With fenestration, adhesiolysis and mass removal partent became pain free and normal gait.

고령의 퇴행성 요추부 질환에서 척추경 나사못을 이용한 요추부 유합술 후 수술주위기간 합병증 - 후외방 유합술과 후방 요추체간 유합술의 비교 연구

송경진,임영진,송지훈,함동훈 대한척추외과학회 2008 대한척추외과학회지 Vol.15 No.3

Study Design: This is a retrospective study that focused on the perioperative complications when performing posterior arthrodesis for treating degenerative lumbar disorders in elderly patients. Objectives: We wanted to analyze the perioperative risk factors and the complications associated with posterior lumbar decompression and arthrodesis in patients who were sixty-five years of age or older. Summary of the Literature Review: Lumbar arthrodesis is commonly done in elderly patients to treat degenerative spine problems. These patients may be at an increased risk for complications because of their age and their associated medical conditions. Materials and Methods: We studied 111 patients who were over 65 years old and they were able to be followed up for more than 3 months after performing posterior arthrodesis during the recent 5 years. Sixty-one patients who had undergone posterolateral fusion (PLF) were classified as group A, and 50 patients who had undergone posterior lumbar interbody fusion (PLIF) using a PEEK cage were classified as group B. We analyzed their rates of complications and the causative factors, according to operative methods and age, and these complications occurred within 12 weeks after the operations. Results: Complications occurred for 43 patients of group A, and for 26 patients of group B. The differences in the rates of complications were statistically significant, and group A had a more complications than did group B. The relations between medical problems and the incidence of perioperative complications were statistically significant for both groups. Conclusions: Elderly patients with medical problems should be made aware that they are at an increased risk for surgical com plications, and attention should be paid to controlling the blood loss and limiting the operative time. The PLIF using a PEEK cage was identified as a procedure that could reduce the perioperative complications.

요배부 재수술의 치료 결과

송경진,김기남,김규형,송지훈,황병연 대한정형외과학회 2006 대한정형외과학회지 Vol.41 No.3

=목 적: 수술 후에도 증상의 호전이 없거나 증상이 재발한 환자에 대하여 재수술을 시행 후 재수술의 원인 및 이에 따른 치료 결과를 분석하여 적절한 치료 원칙을 제시하고자 한다.대상 및 방법: 1996년에서 2004년까지 요배부의 재수술이 필요하다고 판단되어 수술적 치료를 받은 환자 중 최소 1년 이상 추시되었던 97예를 대상으로 재수술의 원인 및 이에 따른 치료 방법과 그 결과에 대하여 Kirkaldy-Wilis 판정 기준에 따라 분석하였다.결 과: 97예 중 재발한 추간판 탈출증이 37예(이전 수술부위 35예, 다른 부위 2예)로 가장 많았으며, 척추관 협착증이 17예, 그 외 경막외 유착(9), 가관절증(9), 인접 분절 협착증(9), 감염(8), 요추 불안정성(4), 금속 고정물 실패(2) 등이 원인이었다. 치료는 91예에서 유합술을 시행하였으며, 6예는 감압술만을 시행하였다. 치료 결과는 재발한 추간판 탈출증의 경우에서 임상적 결과가 양호하였고 치료 방법으로는 유합술을 시행한 경우가 감압술만 시행한 경우보다 양호한 결과를 보였으며(p=0.002), 장 분절 유합보다는 단 분절 유합술을 시행한 경우가 더 만족스러운 결과를 보였다(p=0.043). 최종 추시 결과 97예 중 62예에서 양호 이상의 결과를 보였다.

Unusual Spinal Epidural Abscess without Predisposing Factors Treated Using a Minimally Invasive Technique

송경진,최병완,김규형,최병렬 대한정형외과학회 2009 대한정형외과학회지 Vol.44 No.6

Spinal epidural abscess (SEA) is an uncommon infectious disease that can have disastrous neurologic complications. Previous reports have identified underlying predisposing characteristics. Here, the authors report unusual 2 cases of multi-segment spinal epidural abscess, without predisposing conditions, which were successfully treated using a minimally invasive technique.

회계정보특성이 정보이용자의 인지된 용이성에 미치는 영향

송경진 한국콘텐츠산업학회 2023 콘텐츠와 산업 Vol.5 No.2

제 6형 Schatzker 경골과 골절의 수술적 치료 결과

송경진,이광복,문승진,이주홍 대한골절학회 2004 대한골절학회지 Vol.17 No.1

한국 의료관광산업의 활성화 전략: 해외 사례분석을 중심으로

송경진 사단법인 한국융합기술연구학회 2025 아시아태평양융합연구교류논문지 Vol.11 No.1

본 연구는 해외 의료관광산업을 분석하여 한국 의료관광산업의 활성화를 위한 전략적 방안을 제시하는 데 중점을 둔다. 전 세계적으로 건강권에 대한 관심이 증가함에 따라 수준 높은 의료 서비스를 이용하며 여가를 즐기려는 의료관광이 활성화되고 있다. 특히 아시아 국가들을 중심으로 의료관광이 급속히 확대되고 있으나, 한국은 높은 수준의 의료 서비스와 한류 문화로 형성된 긍정적 이미지라는 경쟁력을 보유하고 있음에도 불구하고, 글로벌 시장에서 경쟁우위를 확보하지 못하고 있는 상황이다. 이에 의료관광산업이 활성화된 여러 국가의 사례를 분석하고, 결과를 바탕으로 한국의 개선 방안에 대해 제언한다. 한국이 의료관광산업에서 글로벌 선도국으로 자리매김하기 위해서는 제도적 개선과 인프라 확충이 필수적이다. 이를 위해 본 연구는 의료관광 비자 발급 간소화, 의료기관과 공항 간 접근성 강화, 다국어 통역 서비스 확대, 맞춤형 의료관광 패키지 개발 등의 주요 개선점을 제안한다. 더불어, 스마트 기술을 활용한 AI 플랫폼을 개발하여 환자 편의를 극대화하고, 지역 특화형 의료관광 클러스터를 조성함으로써 지역 경제와의 시너지를 창출하는 방안을 강조한다. 정부와 지자체의 적극적인 정책 지원과 산업 간 협력이 이루어진다면, 한국은 의료관광산업의 세계적인 선도 국가로 도약할 수 있을 것이다. This study analyzes the global medical tourism industry to propose strategic measures for revitalizing Korea's medical tourism industry. As global interest in health rights increases, medical tourism, which enables individuals to access high-quality healthcare services while enjoying leisure activities, has rapidly grown. While the medical tourism industry has expanded significantly, particularly in Asian countries, Korea has yet to secure a competitive edge in the global market despite its strengths, such as advanced medical services and the positive image of the Korean Wave. To address this, the study analyzes cases from countries with well-established medical tourism industries and proposes improvement measures for Korea based on the findings. Korea must implement institutional reforms and enhance its infrastructure to position itself as a global leader in the medical tourism industry. This study suggests key improvements such as simplifying the medical visa issuance process, improving accessibility between medical institutions and airports, expanding multilingual translation services, and developing customized medical tourism packages. Moreover, it emphasizes the importance of developing AI-powered platforms utilizing smart technologies to maximize patient convenience and establishing region-specific medical tourism clusters to generate synergy with local economies. With active policy support from the government and local authorities, as well as cross-industry collaboration, Korea has the potential to emerge as a global leader in the medical tourism industry.

술 전 경추 시상면 정렬과 운동범위가 전방 경추 유합술후의 인접관절 퇴행성 변화에 대해 영향을 미치는가? - 중기 추시 연구 -

송경진,이광복,임종한 대한척추외과학회 2014 대한척추외과학회지 Vol.21 No.1

Study Design: Retrospective study. Objectives: The purpose of this study was to investigate whether preoperative sagittal alignment and range of motion (ROM) affectadjacent segment degeneration (ASD) and disease after anterior arthrodesis in degenerative cervical spinal disorders. Summary of Literature Review:There is no study about the relationship between preoperative ROM and sagittal alignment and thedevelopment of ASD yet. Materials and Methods: We took a retrospective approach to study 136 patients who underwent an anterior arthodesis for less than 2segments with PEEK cage and plate construct method for degenerative cervical diseases and who have a minimum of 3 years of followup. We analyzed ASD and cervical ROM, such as less than 40°(group A) and more than 40°(group B) and sagittal alignment, such aslordosis or kyphosis with less than 10°(group a), 10°~30°(group b) and more than 30°(group c). Adjacent segment degeneration wasgraded according to Park’s classification and Hillibrand method. Results: There was no statistically significant difference between group A(1.35±0.48) and group B (1.44±0.50) in the correlation betweenthe cervical ROM and the variation of disc height(p=0.07). Concerning the relationship between the ROM and osteophyte formation onadjacent segment, no statistically significant difference has been found between group A(1.64±0.88) and group B(1.43±0.67) (p=0.06). The disc height change at the final follow up after cervical sagittal alignment showed no statistically significant difference among thegroups: Group A presented with 1.53±0.50, group B with 1.30±0.46 and group C with 1.40±0.50.(p=0.08) Regarding sagittal alignment andosteophyte change, there was no statistically significant difference among the groups as group A showed an average of 1.33±0.48, groupBan average of 1.56±0.88 and group Can average of 1.60±0.82(p=0.07). Conclusion: Although the preoperative sagittal alignment and ROM did not significantly affect adjacent segment degeneration anddiseases in a mid-term follow-up evaluation after anterior arthrodesis with PEEK cage and plate in degenerative cervical spinal disorders,we think a future study is required with a sufficient number of patients and a long term follow-up because there were borderlinestatistical significances shown in the present study. 연구계획:후향적 연구목적: 퇴행성 경추질환에서 전방 유합술 후 수술 전 경추시상면 정렬과 운동 범위가 인접 분절의 퇴행성 변화와 인접 분절 질환에 대한 영향에 대하여알아보고자 하였다. 선행문헌의 요약: 현재까지 술전시상면 정렬과 운동범위와 인접분절 퇴행성 변화에 대한 연구가 없었다. 대상 및 방법: 퇴행성 경추 질환에 대하여 PEEK 케이지 및 금속판 이용한 2분절 이하의 전방 유합술을 시행 후, 3 년 이상 추시가 가능했던 136명의 환자를 대상으로 후향적 연구를 시행하였다. 경추의 운동 범위를 40도 미만(A군), 40도 이상(B군)으로, 경추시상면 정렬은 후만 또는 전만 10도 이하(a군),10-30도 전만(b군), 30도 이상(c군)으로 구분하여 인접 분절 퇴행성 변화와 인접분절 질환 발생과의 연관성에 대하여Chi-square test를 이용하여비교 분석하였다. 결과: 경추의 운동 범위와 디스크 높이의 변화의 관계는 A군에서 1.35±0.48점, B군 1.44±0.50점으로 통계적으로 유의한 차이를 보이지 않았다(p=0.07). 운동 범위와 인접 분절의 골극 형성의 관계는 A군에서 평균 1.64±0.88점이며, B 군에서 평균 1.43±0.67점으로 통계학적으로 차이는 보이지 않았다(p=0.06). 경추의시상면 정렬에 따른 최종 추시시 디스크 높이의 변화는 a군에서 1.53±0.50점, b군 1.30±0.46점, c군에서 1.40±0.50점으로 통계적으로 유의한 차이를 보이지 않았다(p = 0.08). 시상면 정렬과 골극 변화의 관계에서 a군 평균은 1.33±0.48, b군 평균은 1.56±0.88, c군 평균은 1.60±0.82로, 통계학적으로 각 군 간의 의미있는 차이는 보이지 않았다(p =0.07). 결론: 비록 퇴행성 경추 질환에서 전방 유합술 후 중 중기추시 상 수술 전 시상면 정렬과 운동 범위가 인접 분절 퇴행성 변화와 인접 분절 질환 발생에 영향을 미치지 않았다.

Adjacent Segment Pathology Following Anterior Decompression and Fusion Using Cage and Plate for the Treatment of Degenerative Cervical Spinal Diseases

송경진,최병완,김종길 대한척추외과학회 2014 Asian Spine Journal Vol.8 No.6

Study Design: Retrospective study. Purpose: To analyze the incidence and prevalence of clinical adjacent segment pathology (CASP) following anterior decompression and fusion with cage and plate augmentation for degenerative cervical diseases. Overview of Literature: No long-term data on the use of cage and plate augmentation have been reported. Methods: The study population consisted of 231 patients who underwent anterior cervical discectomy and fusion (ACDF) with cage and plate for degenerative cervical spinal disease. The incidence and prevalence of CASP was determined by using the Kaplan-Meier survival analysis. To analyze the factors that influence CASP, data on preoperative and postoperative sagittal alignment, spinal canal diameter, the distance between the plate and adjacent disc, extent of fusion level, and the presence or absence of adjacent segment degenerative changes by imaging studies were evaluated. Results: CASP occurred in 15 of the cases, of which 9 required additional surgery. At 8-year follow-up, the average yearly incidence was 1.1%. The rate of disease-free survival based on Kaplan-Meier survival analysis was 93.6% at 5 years and 90.2% at 8 years. No statistically significant differences in CASP incidence based on radiological analysis were observed. Significantly high inci¬dence of CASP was observed in the presence of increased adjacent segment degenerative changes (p <0.001). Conclusions: ACDF with cage and plate for the treatment of degenerative cervical disease is associated with a lower incidence in CSAP by 1.1% per year, and the extent of preoperative adjacent segment degenerative changes has been shown as a risk factor for CASP.

Current Concepts of Anterior Cervical Discectomy and Fusion: A Review of Literature

송경진,최병열 대한척추외과학회 2014 Asian Spine Journal Vol.8 No.4

Anterior cervical discectomy and fusion (ACDF) is a safe and effective procedure for degenerative cervical spinal disease unresponsive to conservative management and its outstanding results have been reported. To increase fusion rates and decrease complications, numerous graft materials, cage, anterior plating and total disc replacement have been developed, and better results were reported from those, but still there are areas that have not been established. Therefore, we are going to analyze the treatment outcome with the various procedure through the literature review and determine the efficacy of ACDF.