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Matti-Russe술식을 이용한 주상골 불유합의 치료
안상로,정진선,박원,우영길 충남대학교 의과대학 지역사회의학연구소 1993 충남의대잡지 Vol.20 No.2
13 Cases of scaphoid nonunion had been treated by original Matti-Russe procedure and followed up more than 2 years, from September 1990 to September 1993, at the Department of Orthopedic Surgery, Chung Nam National University Hospital. The results were as follows ; 1. Scaphoid nonunion occurs between 21 to 40 years of age( 13 cases ) and 13 cases were all male. 2. Most commonly, the site of fracture were confined to middle one third in 9 cases( 69 %), and fracture line were transverse in 6 cases( 46% ). 3. Radiological union was obtained with DISI deformity correction and normalization of intrascaphoid angle in all cases. 4. The result of treatment were excellent in 8 cases( 61%), good in 4 cases( 31%) and fair in 1 case( 8%)
경추경 나사못을 이용한 퇴행성 요추 전방 전위증의 수술적 치료
윤승호,이준규,박원,김경태,우영길 대한척추외과학회 1994 대한척추외과학회지 Vol.1 No.2
Degenerative spondylolisthesis is a forward slippage of one vertebra to another due to degen- erative arthritic changes in the facet joint without isthmic defect. This do not respond to the rou- tine conservative treatment. Regarding the surgical procedures, it is now generally accepted that decompression with or without spinal fusion. Authors reviewed 15 cases of the degenerative spondylolishtesis who were surgically managed with decompression and posterior fusion with CD(Cotrel-Dubousset) instrumentation at department of orthopedic surgery, Chungnam National University Hospital from July 1991 to October 1993. The results were follows: 1.The cases were 2 males and 13 females having age from 38 to 61 years(average 49.3yrs). Follow up duration was average 16 months. 2.The vertebral slippage was occurred at L3-4 2 cases, L4-5 8 cases, L5-S1 5 cases. 3.Slippage percentage was average 18.5% and instability was found at 9 cases(60%) 4.In 11 cases, there were stenosis and nerve root compression on preoperative myelogram with computed tomography. In MRI, 15 cases were appeared degenerative change of interverte- bral disc. 5.Reducibility was 60% (9 cases). 6.The patients were rated according to the criteria by Gill etc.. Follow up results were exellent in 4 cases, good in 8 cases and fair in 3 cases. 7.In postoperative 1 year, there was no instability on plain flexion and extention lateral view. So we might conclude that surgical treatment with decompression and posterior fusion give good results to the degenerative spondylolishtesis.