• Title/Summary/Keyword: 척추 수술

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Cervical Spondylomyelopathy in Small-Breed Dogs (소형 품종 견에서 경추의 척추척수증)

  • Kang, Byung-Jae;Ryu, Hak-Hyun;Park, Sung-Su;Kim, Wan-Hee;Yoon, Jung-Hee;Kweon, Oh-Kyeong
    • Journal of Veterinary Clinics
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    • v.27 no.2
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    • pp.179-182
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    • 2010
  • Cervical spondylomyelopathy (CSM) is rarely identified in small-breed dogs. Two neutered female Pekingese dogs (less than 5 kg of body weight) with primary complaints of neck pain and paretic gait were presented. These cases were diagnosed as CSM secondary to vertebral instability through cervical survey radiography, myelography, computed tomography (CT) and CT-myelography. The combinatory treatments of ventral slot decompression, cancellous bone graft and external coaptation were performed. Clinical condition of both dogs remarkably improved and no complications or recurrence occurred following the surgical procedures. In small-breed dogs with CSM, the combination of decompression through ventral slot and stabilization through bone fusion is an effective treatment.

Cauda Equina Syndrome after Percutaneous Balloon Kyphoplasty for Pathologic Compression Fracture (병적 척추체 압박 골절 환자에서 경피적 풍선 척추 성형술 시행 후 발생한 마미 증후군)

  • Park, Sung Jun;Park, Myung Hoon;Park, Jae Woo;Cho, Kyu Jung
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.1
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    • pp.90-94
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    • 2020
  • Percutaneous balloon kyphoplasty is an option for pain relief in pathological vertebral compression fractures. Complications related to cement leakage through cortical defects have been reported. On the other hand, dural compression due to retropulsion of the tumor mass is rarely reported. The authors report a case of a 65-year female patient who had cauda equina syndrome after a percutaneous balloon kyphoplasty in a pathological vertebral fracture, even though epidural compression were not found prior to surgery. Magnetic resonance imaging revealed retropulsion of the tumor mass into the spinal canal through the disrupted posterior vertebral cortex.

Surgical Treatment of Eosinophilic Granuloma in Cervical Spine - 3 Cases Report - (경추에서 발생한 호산구 육아종의 수술적 치료 - 3예 보고 -)

  • Chung, Jae-Yoon;Lee, Jae-Joon;Kim, Jong-Seon;Jung, Sung-Taek
    • The Journal of the Korean bone and joint tumor society
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    • v.12 no.2
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    • pp.171-175
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    • 2006
  • The involvement in the spine of eosinophilic granuloma is not common. Especially, involvement of cervical spine and posterior neural arch is quite rare. In addition, radiographic findings including magnetic resonance images of eosinophilic granuloma are manifested as vertebral body collapse, loss of pedicle and paravertebral soft mass formation; it must be differentiated with other conditions, such as malignant bone tumor, metastatic cancer or tuberculous spondylitis. We experienced three cases of eosinophilic granuloma involving posterior neural arch of C4, C7, and body of C4 respectively, which were performed surgical treatment and achieved complete healing. We report these cases with review of literatures.

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Experience of spinal stenosis, herniation of intervertebral disk patients with low back pain under non-surgical treatment (비수술적 요법을 받는 척추관협착증, 추간판탈출증 환자의 요통 경험)

  • Kang, Myoung-Mi;Kim, Ae-Kyung
    • Journal of Digital Convergence
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    • v.19 no.8
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    • pp.385-396
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    • 2021
  • The purpose of the study was to explore the process of experience of spinal stenosis, herniation of intervertebral disk patients with low back pain under non-surgical treatment. 10 participants attended in-depth individual interview. Data analyzed using the Grounded theory methodology of Corbin and Strauss(2015). A core category emerged as 'Compromise with my body in the swamp of pain'. Central phenomenon was 'Constrained life by severe pain'. The process of the low back pain experience included three phases: 'cognition', 'coping', and 'adaptation'. This finding will be helpful for understanding the low back pain experience and be as fundamental data as for developing and applying nursing intervention program according to the low back pain experience process.

인체의 신비와 건강VIII-허리

  • KOREA ASSOCIATION OF HEALTH PROMOTION
    • 건강소식
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    • v.31 no.8 s.345
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    • pp.6-13
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    • 2007
  • 허리는 요추(허리척추뼈), 척추골사이의 디스크(추간판), 척추와 디스크 주위의인대, 척수와 신경, 요추의 근육, 골반과 복부내의 기관들로 구성되어 있다. 우리 몸에서 고장이 잘 나는 곳은 움직임이 많은 곳이다. 사지도 움직임이 많은 관절에 고장이 잘 생긴다. 척추의 움직임이 많은 곳은 허리이다. 허리는 매우 불안정하여 전 인구의 약80%가 한번은 통증을 경험한다고 한다. 이러한 허리통증은 일반적으로 일상생활에서의 잘못된 자세와 생활습관에 기인하는 경우가 많다. 수술이나 치료 후에도 자세와 생활습관을 교정하지 못하면 재발의 경우가 있는 등 환자 자신이 허리통증에 대한 이해와 노력이 없으면 궁극적인 치료를 기대하기 어려우므로 환자 자신의 관심과 노력이 무엇보다 중요하다.이번 호에서는 인체의 신비 허리에 대해 척추전문에스병원 이승철원장과 경희대학교 동서신의학병원 척추센터 김기택 교수의 도움말로 알아본다.

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Minimally Invasive Lateral Lumbar Interbody Fusion: Indications, Outcomes and Complications (최소 침습적 외측 요추간 유합술: 적응증, 결과, 합병증)

  • Soh, Jaewan;Lee, Jae Chul
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.3
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    • pp.203-210
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    • 2019
  • The aim of this review was to evaluate minimally invasive lateral lumbar interbody fusion on the latest update. Lumbar interbody fusion was introduced recently. This study performed, a literature review of the indications, clinical outcomes, fusion rate, and complications regarding recently highlighted minimally invasive lateral lumbar interbody fusion. The indications of lateral lumbar interbody fusion are similar to the conventional anterior and posterior interbody fusion in degenerative lumbar diseases. In particular, lateral lumbar interbody fusion is an effective minimally invasive surgery in spinal stenosis, degenerative spondylolisthesis, degenerative adult deformity, degenerative disc disease and adjacent segment disease. In addition, the clinical outcomes and fusion rates of lateral lumbar interbody fusion are similar compared to conventional lumbar fusion. On the other hand, non-specific complications including hip flexor weakness, nerve injury, vascular injury, visceral injury, cage subsidence and pseudohernia have been reported. Lateral lumbar interbody fusion is a very useful minimally invasive surgery because it has advantages over conventional anterior and posterior interbody fusion without many of the disadvantages. Nevertheless, nonspecific complications during lateral lumbar interbody fusion procedure remain a challenge to be improved.

Comparative Analysis of Medical Use of Spine Specialty Hospitals and Nonspecialty Hospitals (척추전문병원과 비전문병원의 의료이용 비교분석)

  • Young-Noh Lee;Yun-Ji Jeong;Kwang-Soo Lee
    • Health Policy and Management
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    • v.34 no.1
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    • pp.26-37
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    • 2024
  • Background: The purpose of this study was to compare and analyze the differences in charges and length of stay per case between spine specialty hospitals and non-specialty hospitals, and to identify the factors that influenced them. Methods: This study used claims data from the Health Insurance Review and Assessment Service, including inpatient visits from January 2021 to December 2022. The healthcare facility status data was used to identify the characteristics of study hospitals. Multilevel analysis was conducted to identify factors associated with the charges and Poisson regression analysis was conducted to analyze the length of stay between spine specialty hospitals and non-specialty hospitals. There were 32,015 cases of spine specialty hospitals and 17,555 cases of non-specialty hospitals. Results: For four of five common spinal surgeries, specialty hospitals shaped longer length of stay than those of non-specialty hospitals. Multilevel and Poisson regression analysis revealed that regardless of the type of surgery, higher age and higher Charlson comorbidity index scores were significantly associated with an increase in both the charges per case and length of stay (p<0.05). However, when hospitals were located in metropolitan areas, there was a significant decrease (p<0.05). Conclusion: This study found that specialty hospital had higher inpatient charges and loner length of stay contrary to the previous study results. Further studies will be needed to find which contribute to the differences.