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정을수,고삼규,김오룡,지용철,최병연,조수호 대한신경외과학회 1992 Journal of Korean neurosurgical society Vol.21 No.1
불안정 하경추손상의 치료로서 기구고정술이 Halo vest에 의한 고식적 치료법보다 효과적인 방법이라 할 수 있으며, 여러 가지의 내고정기구는 각기 특성을 가지고 있으므로 어느 한가지만으로 모든 유형의 손상에 다 적용할 수는 없다. 따라서 골절(손상) 양상이나 신경압박 부위 및 술자의 기호에 따라 알맞는 내고정기구를 택하여 보다 더 세밀한 시술을 함으로써 Halo Vest등의 고식적요법에 비해 좋은 결과를 얻을 수 있다. Recently various kinds of anterior or posterior cervical instruments have been used for stabilization of unstable cervical spinal injury. Every device has different characteristics, so none can cover all of the various types of unstable injuries. Forty six patients of unstable cervical spine fracture and subluxation underwent stabilizing operation using the anterior Caspar plate (6 cases) and the Roy-Camille posterior plate system (40 cases) during recent 3-years. Each approach employed depends on the site of compression and mechanism of injury. Six patients who had complete neurological injury expired after the surgery. The follow-up period for the 40 patients was from 5 to 32 months (average-17.5 months). During follow-up period, 16 out 22 patients (72.7%) who had a neurological deficit showed minimal to moderate improvement and only 4 patients (10%) complained of significant arm or neck pain. The only complication of instrumentation was 5 cases of screw breakout, but 3 of them did not have any problem. Radiologically 37 patients(92.5%) had firm fixation after surgery.
정을수,고삼규,김오룡,지용철,최병연,조수호 대한신경외과학회 1991 Journal of Korean neurosurgical society Vol.20 No.12
영남대학교 의과대학 신경외과학 교실에서는 향후 뇌동정맥 기형환자의 치료에 도움을 얻고자 최근 경험한 37례의 임상적, 방사선학적 소견 등을 후향성 조사 분석하여 아래와 같은 결과를 얻었다. 생산성이 높은 20-49세에 간질을 주소로 내원한 경우가 많았고, AVM의 크기가 작거나 유출정맥이 심부로 향할 때 출혈을, mixed type일때 간질을 주소로 내원한 경우가 않았다. 중간 크기일 경우 주로 eloquence 위치에 있고 유출정맥이 심부로 향했으며, 심부에 위치하거나 크기가 큰 경우 뇌동맥류의 동반이 많았으며, 수술후 치료 결과가 호전된 경우는 Grade가 낮은 경우가 많았고, 수술후 합병증은 low flow나 표재부에 위치한 경우에 간질이 많았고, 표재부에 있는 경우에 수술후 출혈이 많이 발생했다. Clinical and cerebral angiographic findings were reviewed retrospectively in thirty-seven patients with intracranial arterio-venous malformation(AVM). The results were as follow. Many patients who were in reproductive age had visited due to seizure(27%) and its angiographic findings were mixed Type(80%). Bleeding was predominant in the patients who had small sized nidus than medium or large one, and deep draining vein than superficial one. Medium sized AVM was located mainly in the anatomically deep portion(71%) and drained to deep portion also(71%). Associated aneurysm was more prevalent in deep seated or large sized AVM. Low grade AVM according to Spetzler's grading system showed good results of treatment. Postoperative hemorrhage or sizure were frequently found in patients who had superfically located AVM.
최병연,정을수,조수호,김선용,박복환 대한신경외과학회 1992 Journal of Korean neurosurgical society Vol.21 No.5
The authors report the problems of treatment in 37 consecutive cerebral arteriovenous malformations(AVM's) who underwent embolization, operation, combined treatment, or conservative care. The preoperative embolization is an integral part of the multidisciplinary treatment protocol for patients with cerebral AVM's. Life threatening intracerebral hematoma caused by bleeding from AVM's will be managed effectively with stereotactic Urokinase irrigation for urgently reducing the increased intracranial pressure and getting a time to change emergent to elective surgery. We also discussed the problems along the managements of cerebral AVM's.
요부 외측구역 협착증에서 단순감압술과 기구고정술을 병행한 요추체간 골유합술과의 임상적 비교
손병길,최은석,정을수,신종현,김명진,지용철 대한척추신경외과학회 2004 Neurospine Vol.1 No.1
Objective: The lumbar spinal canal can be devided into the central zone and the lateral zone. The divisions of the lateral zone are the subarticular, the foraminal, and the extraforaminal zone. A common causes of the operation for the spinal stenosis are related to the association with the spondylolisthesis and the central stenosis. There is a paucity of data, however, regarding the operative intervention in the lateral zone stenosis(LZS). Our aim was to analyze the surgical result by the anatomical type and the operative method. Methods: 72 patients of LZS excepting the association with the spondyolisthesis have been operated by six neurosurgeons of our hospital from 30th April, 1994 through 30th September, 2002. The patients had been interviewed about surgical result through telephone by third party persons. The surgical results were analyzed by the four score rating system: ① medication, ② ADL(Ability of daily living), ③ the degree of improvement, ④ the degree of satisfaction. Results: Among 72 patients, there were 25 males and 47 females. The age group of the patients were in their thirties(1), forties(9), fifties(21), sixties(36) and seventies(5). Surgical methods were used on decompression(22), posterior lumbar interbody fusion(PLIF) with cage(1) and PLIF with transpedicular screw fixation system(49). The types of stenosis were subarticular(24), foraminal(16) and extraforaminal(30) and double crush(2). The overall surgical results were Excellent(18), Good(34), Fair(19), and Poor(1). The Non-success rate according to the methods of surgery were decompression(34.8%), PLIF with transpedicular fixation system(24.4%). The overall success rate was(53/72: 73.6%). The success rate according to the types were subarticular(17/24: 70.8%), extraforaminal(21/30: 70%), and foraminal(12/16: 75%). Conclusion: It is suggested that the result was more favorable on the cases of lateral zone stenosis operated with PLIF and transpedicular fixation system. According to the method used, the success rate of decompression was worse than PLIF with transpedicular fixation system.
도은식,조수호,김오룡,정을수,최병연,지용철,한동로,배장호 영남대학교 의과대학 1990 Yeungnam University Journal of Medicine Vol.7 No.2
Astrocytoma in thalamus is not so frequent in incidence (1%). Moreover, bilateral thalamic tumor is rare. Certain tumors of the thalamus are considered resectable but most of thalamic tumors are thought to be untouchable. Bilateral thalamic astrocytoma with hydrocephalus was diagnosed by stereotactic biopsy and ventriculo-peritoneal shunt operation was done with result of improvement. We report a case of astrocytoma in the bilateral thalamus with literature review.