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퇴행성 요추 질환에서 후방경유 추체간 유합술과 360° 고정술의 비교
이녹영,오성훈,이우택,배재성,이형중,김영수,고용,김광명,오석전,Lee, Nok Young,Oh, Seong Hoon,Rhee, Woo Tack,Bae, Jae Seong,Yi, Hyeong Joong,Kim, Young Soo,Ko, Yong,Kim, Kwang Myung,Oh, Suck Jun 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.10
Objectives : The goal of operation for degenerative lumbar diseases is to relieve radiculopathy and low back pain and to prevent further degeneration. The authors analyzed the surgical results of posterior lumbar interbody fusion(PLIF) and $0^{\circ}$ fixation to evaluate the proper treatment policy in spinal stenosis, degenerative spondylolisthesis and low grade isthmic spondylolisthesis. Material and Methods : The authors performed PLIF on 92 patients and $0^{\circ}$ fixation on 138 patients with spinal stenosis, degenerative spondylolisthesis and low grade isthmic spondylolisthesis. We retrospectively studied clinical outcomes and subjective satisfaction of these patients by several criteria such as visual analog scale(VAS), Prolo's economic and functional outcome scale, medication usage after operation and questionaire for overall outcome. Result : Pre- and postoperative VAS on back pain and leg pain showed decrease of pain from 6.5, 6.7 to 2.2, 2.4 in PLIF group and from 7.0, 7.2 to 2.5, 2.7 in $0^{\circ}$ fixation group. Excellent and good outcomes on Prolo's scale were 81.5% in PLIF group and 82.6% in $0^{\circ}$ fixation group. Medication usage after operation was reduced in 79.3% of PLIF group and in 78.3% of $0^{\circ}$ fixation group. Patients' self-reported overall success of their procedure showed 82% in PLIF group and 84% in $0^{\circ}$ fixation group. Conclusion : Both PLIF and $0^{\circ}$ fixation showed good outcomes and provided biomechanically stable fusion in spinal stenosis, degenerative spondylolisthesis and low grade isthmic spondylolisthesis. Therefore, only PLIF seems necessary and considered a proper surgical treatment for these disorders.
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이녹영,김재민,백광흠,신형식,김영수,고용,오성훈,오석전,김남규,김광명 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.12
From January 1990 to January 1996, we analyzed outcome according to the distribution of aneurysms the type of surgical treatment the timing of operation, and the patient's pre-operative status in a total of 54 cases of multiple intracranial aneurysms. The frequency of multiple intracranial aneurysms was 13.4% and the sex ratio was 1 : 2 with female being predominant. The frequency of aneurysmal location was MCA(35.0%), P-comm, artery(25.0%) and A-comm artery (15.0%) in that order. The number of ruptured aneurysms was in the order of MCA aneurysms A-comm aneurysms, and F-comm aneurysms. The size of ruptured aneurysms was 6-10mm if 34 cases(64.2%). The unilateral distribution of aneurysms was 31 cases(57.4%) and the bilateral was f8 cases(42.6%). Depending on how many times the patient had the operation, there were 29(57.4%) cases of complete single operation, 17 cases(31.5%) of complete two-stage operation, and 8 cases(14.8%) of partial operation. Surgical outcome was good(GOS≤4) in 42 cases(77.8%). and six patients(11.1%) expired. Based on the results of the above study we have concluded that initial Hunt-Hess grade has a close relationship with the outcome, but the operation type, the timing of operation, the number and distribution of aneurysms do not significantly effect the outcome.
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이녹영,김영수,백광흠,김재민,고용,오성훈,오석전,김남규,김광명 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.12
The rhabdomyosarcoma(RMS), a leading malignant soft tissue tumor in the pediatric population, occurs most commonly in the craniocervical region RMS has involved the temporal bone approximately 7% in the literature. Petrous bone invasion was very rare and the overall outcome was always fatal, in spite of the efficacy of multimodality therapy until recent years. The authors report a case of primary RMS in the temporal bone invading petrous bone and the result of multimodality treatment.
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