Hip & pelvis

The Korean Hip Society (대한고관절학회)
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Immature Heterotopic Ossification in the Iliacus Muscle in Spinal Cord Injury - A Case Report -

척수 손상에서 발생한 장골근내의 미성숙 이소성 골화 - 증례 보고 -

  • Park, Jong-Seok (Department of Orthopedic Surgery, Cheonan Hospital, College of Medicine, Soonchunhyang University Cheonan) ;
  • Kim, Jun-Bum (Department of Orthopedic Surgery, Cheonan Hospital, College of Medicine, Soonchunhyang University Cheonan) ;
  • Kim, Woo-Jong (Department of Orthopedic Surgery, Cheonan Hospital, College of Medicine, Soonchunhyang University Cheonan) ;
  • Choi, Sang-Wook (Department of Orthopedic Surgery, Cheonan Hospital, College of Medicine, Soonchunhyang University Cheonan) ;
  • Cho, Sang-Ik (Department of Orthopedic Surgery, Cheonan Hospital, College of Medicine, Soonchunhyang University Cheonan) ;
  • Jang, Byung-Woong (Department of Orthopedic Surgery, Cheonan Hospital, College of Medicine, Soonchunhyang University Cheonan)
  • 박종석 (순천향대학교 천안병원 정형외과) ;
  • 김준범 (순천향대학교 천안병원 정형외과) ;
  • 김우종 (순천향대학교 천안병원 정형외과) ;
  • 최상욱 (순천향대학교 천안병원 정형외과) ;
  • 조상익 (순천향대학교 천안병원 정형외과) ;
  • 장병웅 (순천향대학교 천안병원 정형외과)
  • Published : 2011.06.30
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Abstract

Heterotopic ossification (HO) is a frequent complication associated with spinal cord injury and can lead to significant problems during rehabilitation. Surgical resection of HO could be applied to patients who do not respond to conservative treatment. To reduce the risk of recurrence after the operation, radiation therapy and NSAID or bisphosphonate administration may be utilized. We report the case of a 48-year-old male with a T3-sparing spinal cord injury who underwent successful treatment of immature HO in the iliacus muscle with a combination of surgical resection, radiation therapy, and NSAID administration.

이소성 골화는 척수 손상과 연관되어 발생 할 수 있는 합병증이며, 환자의 재활 치료에 심각한 문제를 야기할 수 있다. 수술적 절제는 보존적 치료에 실패한 경우에 시행한다. 수술 후 재발의 위험성을 줄이기 위해, 방사선 조사, 비스테로이드 소염제 또는 bisphosphonate를 이용한 치료를 병행한다. 저자들은 흉추 3번의 불완전 척수 손상이 있는 48세 남자 환자에서 장골근 내에 발생한 미성숙 이소성 골화를 수술적 절제와 방사선 조사 및 비스테로이드 소염제를 병행 치료하여 좋은 결과를 얻었기에 이를 보고하는 바이다.

Keywords

References

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