• Neurospine
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• 제15권4호
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• pp.296-305
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• 2018

Cervical disc arthroplasty (CDA), or total disc replacement, has emerged as an option in the past two decades for the management of 1- and 2-level cervical disc herniation and spondylosis causing radiculopathy, myelopathy, or both. Multiple prospective randomized controlled trials have demonstrated CDA to be as safe and effective as anterior cervical discectomy and fusion, which has been the standard of care for decades. Moreover, CDA successfully preserved segmental mobility in the majority of surgical levels for 5-10 years. Although CDA has been suggested to have long-term efficacy for the reduction of adjacent segment disease in some studies, more data are needed on this topic. Surgery for CDA is more demanding for decompression, because indirect decompression by placement of a tall bone graft is not possible in CDA. The artificial discs should be properly sized, centered, and installed to allow movement of the vertebrae, and are commonly 6 mm high or less in most patients. The key to successful CDA surgery includes strict patient selection, generous decompression of the neural elements, accurate sizing of the device, and appropriately centered implant placement.

• Journal of Acupuncture Research
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• 제29권5호
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• pp.139-149
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• 2012

Objectives : The aim of this study was to investigate clinical features of the patients admitted to the department of acupuncture and moxibustion in an oriental medicine hospital in order to provide clinical preliminary data for advancement of acupuncture and moxibustion Methods : Total 526 patients were admitted to the department of Acupuncture and Moxibustion in Dunsan Oriental Hospital of Daejeon University from September 1st, 2011 to August 31st, 2012. Of these patients 11 were discharged on the day that they were admitted and the remaining 526 patients who were hospitalized for over 2 days were investigated this study. We analyzed inpatients by discharge progress notes and medical records, using PASW statistics 18.0 for statistical analysis. Results : 1. There were 361 females(62.9%) and 213 males(37.1%). The age distribution was skewed to 40s and 50s and the average age of the patients was 42.91 years. 2. The prevalence of the diseases groups was in the order of musculoskeletal disease, neuromuscular disease, neuro-psychological disease, and EENT disease. The musculoskeletal disease and neuromuscular disease together made up 92% of all diseases. 3. The prevalence of individual diagnosis was in the order of Bell's palsy, cervical sprain, lumbar sprain, herniated lumbar disc, herniated cervical disc, and lumbar spinal stenosis. 4. There were 261 patients with single diagnosis and 193 with two and 120 with three or more diagnoses. The days of hospitalization significantly increased with the number of diseases the patients were diagnosed with. Conclusions : With high concentration of patients seen in certain disease groups, continuous efforts needed to expand the usage of acupuncture and moxibustion treatments to other disease groups and to explore and develop other diverse treatment methods for better outcome of the disease treated.

• Journal of Chest Surgery
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• 제39권6호
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• pp.440-448
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• 2006

서론: 하행 흥부 대동맥 및 흉복부 대동맥 수술은 척수 손상을 포함한 신경학적 손상의 가능성이 높은 수술로서 이에 대한 상당한 주의를 요한다. 이 연구의 목적은 하행 흉부 대동맥 및 흉복부 대동맥 수술 후의 척수 손상과 뇌 손상의 발생빈도와 위험요소를 알아봄으로써 신경학적 손상을 예방하는데 기여하고자 한다. 대상 및 방법: 1995년 10월부터 2005년 7월까지 하행 흉부 대동맥 및 흉복부 대동맥 수술을 시행 받은 33명의 환자를 후향적으로 분석하였다. 하행 흉부 대동맥 수술은 23예, 흉복부 대동맥 수술은 10예였고, 원인 질환으로는 대동맥 박리증이 23예, 대동맥류가 10예였다. 신경학적 손상에 대한 위험인자를 알아내기 위해 수술 전 및 수술 중 변수에 대한 단변량 및 다변량 분석을 시행하였다. 결과: 하지마비가 2예(6.1%)에서 발생하였고 이 중 1예는 영구적 손상이었다. 뇌 손상은 7예 (21%)에서 발생하였고 영구적 뇌 손상은 4예(12%), 일시적 뇌 손상은 3예 발생하였다 척수 손상에 대한 위험인자로는 흉복부 대동맥질환 분류의 Crawford II III형(p=0.011)과 늑간 동맥 문합을 시행한 환자군(p=0.040)으로 나타났다. 뇌 손상에 대한 위험인자로는 심폐기 가동시간이 200분 이상(p=0.023), 좌심방 vent를 시행한 환자군(p=0.005)으로 나타났으며 좌심실 부분 바이패스(left heart partial bypass)는 뇌 손상을 예방하는 인자로서 의미 있게 나타났다(p=0.032). 결론: 하행 흥부 대동맥 및 흉복부 대동맥 수술 후에 발생하는 신경학적 손상 중에서 뇌 손상의 발생빈도가 척수 손상에 비해 높았다. 좌심실 부분 바이패스를 시행한 군에서는 뇌 손상이 발생하지 않았으며 뇌 보호 측면에서 유리한 것으로 나타났다. 또한 척수 손상의 위험이 높은 Crawford II III형 환자나 늑간 동맥 문합이 필요한 환자들에서는 척수 보호를 위한 별도의 조치와 세심한 주의가 필요하다.

• Journal of Chest Surgery
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• 제37권12호
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• pp.1022-1024
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• 2004

국균은 사람에서 발견되는 진균중 가장 흔한 것이기는 하나 낮은 병원성을 갖고 있다. 국균의 호흡기 감염은 국균종, 기관지폐 국균증,괴사성 및 침습형 폐 국균증의 유형으로 분류된다. 이중 괴사성 및 침습형 폐 국균증은 장기 이식 후 면역억제 치료를 받고 있거나, 항암요법을 받는 자, 혈액 이상자 또는 후천성 면역 결핍증 환자 같이 면역 저하자에서 주로 발생하며 정상적인 면역 능력이 있는 자에서는 발병률이 매우 낮다. 본원에서는 정상 면역 능력을 갖은 자에서 흉추에 침범한 침습형 페 국균증을 1예 치험하였기에 보고하는 바이다.

• 대한두경부종양학회지
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• 제16권1호
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• pp.73-76
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• 2000

Neurilemmomas are uncommon benign tumors originating from the schwann cells of various cranial nerves, spinal nerves, and autonomic nerves. About 25% of the disease is found in the head and neck region and the most common single site of origin is known to be the acoustic nerve. However neurilemmomas of the peripheral segment of the lingual nerve are extremely rare neoplasms. We recendy experienced a case of a benign neurilemmoma of the lingual nerve and this case may be the second to be reported in the literature.

• Childhood Kidney Diseases
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• 제2권1호
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• pp.90-94
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• 1998

Hinman syndrome is a condition representing urinary voiding dysfunction in the neurologically intact child. The syndrome is probably caused by acquired behavioral and psychosocial disorders manifested by bladder and/or bowel dysfunction mimicking neurologic disease. Clinically, the symptom complex may include day and night time enuresis, encopresis, constipation, and recurrent urinary tract infections. Cystoscopy frequently demonstrates normal vesicourethral anatomy. Voiding films usually demonstarate a carrot-shaped proximal urethra with a persistent narrowing at the external sphincter. The bladder is large and often appears trabeculated with a thickened wall and significant postvoid residual. A 13-year-old male child was admitted due to fever, urinary tract infection, enuresis and flank pain. His neurologic examination was normal. Renal sonograms showed moderate hydronephrosis. Voiding cystourethrograms showed a huge, trabeculated bladder without vesicourethral reflux and urethral valves. No abnormal findings was found in spinal MRI.

• 대한정형도수물리치료학회지
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• 제18권1호
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• pp.1-10
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• 2012

Thoracic kyphosis is occasionally used to describe someone with accentuated thoracic curvature, hyperkyphosis is preferred since kyphosis itself refers to the normal sagittal angle of thoracic curvature. The angle of thoracic kyphosis tends to increase with age resulting in hyperkyphosis in some individuals. The persons who suffer from hyperkyphosis are at increased risk for a variety of adverse health outcomes that include musculoskeletal alteration, physical functional limitations, poor quality of life, falls, and even earlier mortality. Hyperkyphosis may develop from vertebral fractures, degenerative disc disease, either muscle weakness, decreased mobility and sensory deficits. The gold-standard orthopaedic technique for assessment of thoracic kyphosis is standing lateral spine radiographs. Other clinical measures are Debrunner kyphometer, inclinometer, flexicurve ruler, arcometer, flexible electrogoniometer and spinal mouse.

• 대한수의학회지
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• 제59권4호
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• pp.213-217
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• 2019

Five paraplegic dogs were diagnosed with thoracolumbar intervertebral disc disease with more than 50% compression of spinal cord. Because the lesions were determined to be disc extrusion on magnetic resonance imaging, a hemilaminectomy was initially performed, however, protruded discs were confirmed during surgery. To remove the protruded disc, modified partial lateral corpectomy (mini-PLC) was additionally performed. All dogs recovered to full ambulation within a median of 44 days without temporary deterioration or vertebral instability. Mini-PLC as described here enables successful removal of the protruded disc, while preserving vertebral stability in dogs for whom the use of hemilaminectomy is inevitable.

• The Korean Journal of Pain
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• 제9권2호
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• pp.412-414
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• 1996

Herpes zoster is an infection by the varicella zoster virus in a partly immune compromised person such as old age, cancer, immune deficiency disease. When either the upper lumbar or sacral segments are involved, serious urinary retention caused by central spread of herpes zoster from dorsal root ganglion can occur. The urinary disturbance appears to have been due to motor dysfunction of detrusor muscle, trigone muscle, and internal sphincter. We experienced two cases of zoster affecting different segments of the spinal cord and resulting in urinary retention.

• The Korean Journal of Pain
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• 제10권1호
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• pp.127-130
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• 1997

A 67-year old man with a history of cardiac disease underwent epidural catheterization for pain control of postherpetic neuralgia. Patient had severe back pain and pus discharge at catheter insertion site after dischange from medical part. Patient received anticoagulant therapy with $Aspirin^{(R)}$ and $Coumadin^{(R)}$ prescribed for 15 days in medical part. Magnetic resonance imaging(MRI) showed a diffuse $T_{4-7}$ anterior epidural mass compressing the spinal cord. Emergency surgical exploration revealed a thoracic epidural hematoma without abcess formation. Operation was successful and patient recovered satisfactory without any sequelae.