http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
- 中文 을 입력하시려면 zhongwen을 입력하시고 space를누르시면됩니다.
- 北京 을 입력하시려면 beijing을 입력하시고 space를 누르시면 됩니다.
RISS 인기검색어
- 검색키워드
- 저자 : 조계남 (검색결과 21 건)
- 무료
- 기관 내 무료
- 유료
-
-
골다공증이 있는 요추 척추관 협착증에서 후방 추체간 유합술의 유용성
조계남,윤형구,전호승,전승주,김우성 대한척추외과학회 1999 대한척추외과학회지 Vol.6 No.3
연구 계획 : 골다공증이 있는 요추 척추관 협착증을 후방 감압술 및 후방 추체간 유합술로 치료한 2 2례를 대상으 로 방사선학적 및 임상적 결과를 분석하였다. 연구 목적 : 골다공증이 있는 요추 척추관 협착증에서 불안정성이나 변형이 동반되었거나 전주 결손이 있어 후방 기기술을 요하는 경우에, 감압술 시에 얻은 자가골을 충전한 cage를 이용하여 후방 추체간 유합술을 추가하는 것이 유용한 지를 알아보고자 하였다. 대상 및 방법 : 1996년 6월부터 1998년 7월까지 Jikei씨 골다공증 분류상 제 I, II/III 등급에 속하는 요추 척추관 협 착증 환자에서 후방 감압술 및 후방 추체간 유합술을 시행한 22례를 대상으로 하였으며, 평균 추시기간은 1.4년이었다. 척추관 협착증에 분절 불안정 척추, 변형, 추간판 탈출증이 있고 추간판 간격이 현저히 감소된 경우나 척추 전방 전위증을 동반한 경우를 추체간 유합술의 적응증으로 삼았다. 방사선학적 평가는 술 전, 술 후 및 최종 추시시의 요추 측면 방사선 사진을 이용하여 Cobb 방법을 이용한 유합 분절의 시상각과, 추간판 높이의 술 후 교정도 및 추시 중 복원의 소실 정도를 측정하였고, 최종 추시 시의 임상적 결과의 판정은 Kirkaldy-Willis 기준을 사용하였다. 결과 : 유합 분절의 술 전, 술 후 및 최종 추시 시의 평균 시상각은 7.8°, 17.8°, 16.7°로 술 후 평균 10°의 교정 ( p < 0.05 )을 얻었고, 최종 추시 시의 교정의 소실은 평균 2.8°( p > 0.05 )였으며, 각 시기별 추간판 높이의 변화는 평균 24.7%, 46%, 42.1%로 술 후 평균 21.3 %의 교정( p < 0.05 )을 얻었고, 최종 교정의 소실은 평균 3.9 % ( p > 0.05 )였다. 임상 적 결과는 우수 2례, 양호 16례, 보통 4례를 보였고, 18례( 81.8 % )에서 양호 이상의 만족스러운 결과를 보였다. 수술 중의 합병증으로는 경막 파열이 1례, 불완전 신경근 손상이 1례였으며, 술 후 합병증으로는 지속적인 하지 동통이 1례, 불유합이 1례에서 발생되었다. 결론 : 골다공증이 있는 요추 척추관 협착증에서 분절 불안정성 척추, 척추 전방 전위증, 추간판 절제술 후나 시상 각의 복원 후 전주 결손이 뚜렷하거나 변형이 동반되어 후방 기기술을 해야하는 경우에, cage를 이용한 후방 추체 간 유합술을 추가하는 술식은, 조기에 나사못의 이완을 방지하고 복원된 시상각 및 추간판 높이와 변형의 교정을 효과적으로 유지할 수 있고, 임상적으로 만족스러운 결과를 예상할 수 있는 하나의 대안이 될 수 있을 것으로 사료 되는 바이다. Study Design : The preoperative and postoperative lateral radiograms and clinical results were analyzed in 22 cases of lumbar spinal stenosis with osteoporosis treated by posterior decompression and posterior lumbar interbody fusion. Objectives : To assess the efficiency of the cage-instrumented posterior lumbar interbody fusion in lumbar spinal stenosis with osteoporosis. Summary of Literature Review : Problems in surgical treatment of osteoporotic spinal stenosis were early screw loosening and early reversal to the original deformity because of insufficient mechanical stability in the bone-screw interface, and special strategy is essential for transpedicle screwing to sustain axial and screw cut-up load applied by flexion-extension motion in vivo. Materials and Methods : We reviewed 22 cases of lumbar spinal stenosis with osteoporosis(Jikei grade I, II/III) from June 1996 to July 1998 with an average follow up period of 1.4 years. Inclusion criteria was combined segmental instability, deformity, spondylolisthesis and herniated nucleus pulposus with significant disc space narrowing. We asssessed the radiographic results of sagittal angle correction(SAC) of the instrumented segment and disc height restoration(DHR) on the preoperative, postoperative and last follow up lumbar lateral views, and clinical results according to the Kirkaldy-Willis criteria. Results : Postoperative mean SAC gain was 10°(p<0.05) and mean SAC loss at last follow up was 1.1°(p>0.05). Postoperative mean DHR gain was 21.3%(p<0.05) and mean SAC loss at last follow up was 3.9%(p>0.05). The clinical result was analyzed as 2 excellent(9.1%), 16 good(72.7%), 4 fair(18.2%) and no poor. There were 2 intraoperative complications of a dural tear and a nerve root injury and 2 postoperative complications of a transient radiculopathy and a pseudoarthrosis. Conclusions : Cage-instrumented posterior lumbar interbody fusion can be an option for the lumbar spinal stenosis with osteoporosis requiring instrumentation because of instability, deformity or postdiscectomy anterior column deficiency.
-
-
-
흉요추 방출성 골절의 보존적 치료 또는 후방기기술 후 치료 결과에 미치는 인자들
윤형구,전호승,조계남,강승일 대한척추외과학회 1998 대한척추외과학회지 Vol.5 No.2
Study Design : This study assessed the final functional results after treatment of thoracolumbar burst fractures and compared the relationship between the results and the parameters of reduction and state of the fractures. Objectives : To define prognostic factors affecting the final results and to present some precautions to minimize the treatment failure. Summary of Literature Review : In the treatment of the thoracolumbar burst fractures in which flexion loads are predominant, the sagittal contour is crucial to achieve permanent pain-free stability, but definitive therapeutic guidelines have remained a controversal topic. Materials and Methods : We reviewed 37 thoracolumbar burst fractures with an average follow up period of 1.8 years: group I consisting of 20 cases treated conservatively and group 2 consisting of 17 cases treated surgically with posterior instrumentation. Finally functional results were analyzed with the Denis' pain and work scores, and were compared between groups on anterior body height and local kyphosis. Results : A satisfactory pain score less than or equal to P3 was in 15(75%) in group 1 and 15(88.2%) in group 2(p>0.05), but satisfactory work score less than or equal to W3 was in 12(60%) in group I and in 14(82.4%) in group 2(p<0.05). But, some loss of body height and local kyphosis in group 1 was not reversely related with functional outcomes. Eight cases in group 1 showing unsatisfactory result in work scores were analyzed as 4 osteoporosis(Jikei grade I, Ⅱ /Ⅲ), 3 associated compression fracture of the contiguous vertebra and one combined osteoporosis and compression fracture, showing significant loss of vertebral height and increase of kyphosis(p<0.01). Conclusions : Functional results of group 1 showing loss of vertebral height less than 50% and increased kyphosis less than 200 were comparable to those of group 2. The osteoporosis and associated compression fracture of adjacent vertebra were the risk group to develop posttraumatic kyphosis and might be added to the surgical indication of the thoracolumbar burst fractures.
-
-
척추에 발생한 다발성 골수염 : 증례 보고 A case report
조덕연,김응하,고은성,조계남 대한척추외과학회 1994 대한척추외과학회지 Vol.1 No.2
Vertebral osteomyelitis is a relatively uncommon condition which continues to pose diagnos- tic pitfalls. We describe a case of discontinuous multi-level thoracic vertebral osteomyelitis of unknown etiology in a previously healthy person. Initial clinical suspicion was a metastatic tumor to the spine, based on the findings of scintigraphic & MR imagings, till final histopatho- logic confirmation by open biopsy. In our experience, vertebral osteomyelitis, even though pre- senting with non-specific symptoms and atypical radiologic picture, should be in the possible tentative diagnosis by early suspicion.
-
윤형구(Hyung Koo Yoon),전승주(Seung Ju Jeon),전호승(Ho Seung Jeon),조계남(Kye Nam Cho),강철원(Chul Weon Kang) 대한골절학회 2000 대한골절학회지 Vol.13 No.1
Purpose : The purpose of our study is to determine the incidence of spontaneous recovery from neural injuries associated with supracondylar fractures of the humerus and to assess the results of electromyographic study and nerve conduction velocity. Materi
-
-
윤형구(Hyung Koo Yoon),전호승(Ho Seung Jeon),조계남(Kye Nam Cho),전승주(Seung Ju Jeon),정강우(Kang Woo Chung) 대한골절학회 2001 대한골절학회지 Vol.14 No.1
Purpose: The results of treatment of tibial plateau fractures by extensive soft tissue exposure were less satisfactory even if anatomical reduction was achieved. The purpose of this study is to assess the functional and radiological results of the treatment of tibial plateau fractures by cannulated screw fixation to decrease soft tissue injury and operation time. Materials and Methods: From January 1996 to February 2000, 19 patients were treated by limited open reduction and internal fixation by cannulated screw. According to scoring of Rasmussen, the functional results were rated. Results: In all cases, Bony union was obtained and according to scoring of Rasmussen, excellent in 1 case, good in 14, fair in 4 cases. There were 2 cases of limitation of joint motion and 2 cases of persistant pain as sequale. Conclusion: We considered that if accurate preoperative evaluation was done, Cannulated screw fixaction was easier and faster method than other methods for treatment of tibial plateau fractures.
연관 검색어 추천
이 검색어로 많이 본 자료
활용도 높은 자료
