Pub Date : 2019-09-01DOI: 10.4184/jkss.2019.26.3.105
C. Jeon, Nam-Su Chung, Han-Dong Lee, Hee-Woong Chung
{"title":"Delayed-Onset Leg Weakness Caused by Posterior Migration of a Herniated Disc to the Thecal Sac Mimicking Epidural Hematoma in a Flexion-Distraction Injury of the Lumbar Spine: A Case Report","authors":"C. Jeon, Nam-Su Chung, Han-Dong Lee, Hee-Woong Chung","doi":"10.4184/jkss.2019.26.3.105","DOIUrl":"https://doi.org/10.4184/jkss.2019.26.3.105","url":null,"abstract":"","PeriodicalId":430424,"journal":{"name":"Journal of Korean Society of Spine Surgery","volume":"51 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120914518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-01DOI: 10.4184/jkss.2019.26.3.111
Dae-Geun Kim, Young-Min Jo
Journal of Korean Society of Spine Surgery. www.krspine.org. pISSN 2093-4378 eISSN 2093-4386 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. 111 J Korean Soc Spine Surg. 2019 Sep;26(3):111-115. https://doi.org/10.4184/jkss.2019.26.3.111 Case Report
{"title":"Paraspinal Ancient Schwannoma of the Dorsal Ramus Nerve: A Case Report","authors":"Dae-Geun Kim, Young-Min Jo","doi":"10.4184/jkss.2019.26.3.111","DOIUrl":"https://doi.org/10.4184/jkss.2019.26.3.111","url":null,"abstract":"Journal of Korean Society of Spine Surgery. www.krspine.org. pISSN 2093-4378 eISSN 2093-4386 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. 111 J Korean Soc Spine Surg. 2019 Sep;26(3):111-115. https://doi.org/10.4184/jkss.2019.26.3.111 Case Report","PeriodicalId":430424,"journal":{"name":"Journal of Korean Society of Spine Surgery","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116689095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-01DOI: 10.4184/jkss.2019.26.3.76
W. Kim, Dae Geon Song, Jae Won Lee, S. Chang, K. Park, Y. H. Kim, Sang Beom Ma, W. Choy
{"title":"The Effects of Sagittal Spino-Pelvic Alignment on the Clinical Symptoms of Thoracolumbar Kyphosis in Osteoporotic Patients","authors":"W. Kim, Dae Geon Song, Jae Won Lee, S. Chang, K. Park, Y. H. Kim, Sang Beom Ma, W. Choy","doi":"10.4184/jkss.2019.26.3.76","DOIUrl":"https://doi.org/10.4184/jkss.2019.26.3.76","url":null,"abstract":"","PeriodicalId":430424,"journal":{"name":"Journal of Korean Society of Spine Surgery","volume":"17 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123450537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-01DOI: 10.4184/jkss.2019.26.3.84
Sang-Il Kim, K. Ha, In-Soo Oh, Hyung-Youl Park, Kil-Ho Kang, W. Jeon, Young-Hoon Kim
{"title":"Surgical Extent of Metastatic Spine Tumor Excision and Its Effects on Postoperative Ambulatory Function: Comparison of Extensive Wide versus Palliative Excision Surgery","authors":"Sang-Il Kim, K. Ha, In-Soo Oh, Hyung-Youl Park, Kil-Ho Kang, W. Jeon, Young-Hoon Kim","doi":"10.4184/jkss.2019.26.3.84","DOIUrl":"https://doi.org/10.4184/jkss.2019.26.3.84","url":null,"abstract":"","PeriodicalId":430424,"journal":{"name":"Journal of Korean Society of Spine Surgery","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128793006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-01DOI: 10.4184/jkss.2019.26.3.94
J. H. Kim, Young Kyu Kim
{"title":"Acute and Delayed Epidural Hematoma After Total Spondylectomy for a Metastatic Spinal Tumor: A Case Report","authors":"J. H. Kim, Young Kyu Kim","doi":"10.4184/jkss.2019.26.3.94","DOIUrl":"https://doi.org/10.4184/jkss.2019.26.3.94","url":null,"abstract":"","PeriodicalId":430424,"journal":{"name":"Journal of Korean Society of Spine Surgery","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122996869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-01DOI: 10.4184/JKSS.2019.26.2.50
Tae Kyun Kim, Hyun Kyu Yu, S. Oh, Yu Mi Kim, D. Shim
{"title":"Use of an Epidural Steroid Sponge for Postoperative Pain Control in Lumbar Discectomy","authors":"Tae Kyun Kim, Hyun Kyu Yu, S. Oh, Yu Mi Kim, D. Shim","doi":"10.4184/JKSS.2019.26.2.50","DOIUrl":"https://doi.org/10.4184/JKSS.2019.26.2.50","url":null,"abstract":"","PeriodicalId":430424,"journal":{"name":"Journal of Korean Society of Spine Surgery","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133712602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-01DOI: 10.4184/JKSS.2019.26.2.63
Su-Keon Lee, Seung-Hwan Lee, B. Park, Bong-Seok Yang, Ji-Hyeon Kim, H. Lee
Study Design: Case report. Objectives: We report a case of Ogilvie’s syndrome following posterior decompression surgery in a spinal stenosis patient who presented with acute abdominal distension, nausea, and vomiting. Summary of Literature Review: Ogilvie’s syndrome is a rare and potentially fatal disease that can easily be mistaken for postoperative ileus, and is also known as acute colonic pseudo-obstruction. Early recognition and diagnosis enable treatment prior to bowel perforation and requisite abdominal surgery. Materials and Methods: An 82-year-old woman presented with 6 months of worsening back pain with walking intolerance due to weakness in both legs. She had hypertension, asthma, and Cushing syndrome without bowel or bladder symptoms. Further workup demonstrated the presence of central spinal stenosis on magnetic resonance imaging. The patient underwent an L2-3 laminectomy and posterior decompression. Surgery was uneventful. Results: The patient presented with acute abdominal distension, nausea, and vomiting on postoperative day 1. The patient was initially diagnosed with adynamic ileus and treated conservatively with bowel rest, reduction in narcotic dosage, and a regimen of stool softeners, laxatives, and enemas. Despite this treatment, her clinical course failed to improve, and she demonstrated significant colonic distension radiographically. Intravenous neostigmine was administered as a bolus with a rapid and dramatic response. Conclusion: Ogilvie’s syndrome should be included in the differential diagnosis of postoperative ileus in patients developing prolonged unexplained abdominal distension and pain after lumbar spinal surgery. Early diagnosis and initiation of conservative management can prevent major morbidity and mortality due to bowel ischemia and perforation.
{"title":"Ogilvie's Syndrome after Lumbar Spinal Surgery","authors":"Su-Keon Lee, Seung-Hwan Lee, B. Park, Bong-Seok Yang, Ji-Hyeon Kim, H. Lee","doi":"10.4184/JKSS.2019.26.2.63","DOIUrl":"https://doi.org/10.4184/JKSS.2019.26.2.63","url":null,"abstract":"Study Design: Case report. Objectives: We report a case of Ogilvie’s syndrome following posterior decompression surgery in a spinal stenosis patient who presented with acute abdominal distension, nausea, and vomiting. Summary of Literature Review: Ogilvie’s syndrome is a rare and potentially fatal disease that can easily be mistaken for postoperative ileus, and is also known as acute colonic pseudo-obstruction. Early recognition and diagnosis enable treatment prior to bowel perforation and requisite abdominal surgery. Materials and Methods: An 82-year-old woman presented with 6 months of worsening back pain with walking intolerance due to weakness in both legs. She had hypertension, asthma, and Cushing syndrome without bowel or bladder symptoms. Further workup demonstrated the presence of central spinal stenosis on magnetic resonance imaging. The patient underwent an L2-3 laminectomy and posterior decompression. Surgery was uneventful. Results: The patient presented with acute abdominal distension, nausea, and vomiting on postoperative day 1. The patient was initially diagnosed with adynamic ileus and treated conservatively with bowel rest, reduction in narcotic dosage, and a regimen of stool softeners, laxatives, and enemas. Despite this treatment, her clinical course failed to improve, and she demonstrated significant colonic distension radiographically. Intravenous neostigmine was administered as a bolus with a rapid and dramatic response. Conclusion: Ogilvie’s syndrome should be included in the differential diagnosis of postoperative ileus in patients developing prolonged unexplained abdominal distension and pain after lumbar spinal surgery. Early diagnosis and initiation of conservative management can prevent major morbidity and mortality due to bowel ischemia and perforation.","PeriodicalId":430424,"journal":{"name":"Journal of Korean Society of Spine Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129225369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-01DOI: 10.4184/JKSS.2019.26.2.56
D. Chang, Gang-Un Kim, S. Suk, D. Lim, In Taek Oh, Ki-Youl Nam, Jin-Hyok Kim, Young-Hoon Kim, K. Ha
curve, the location and rotation of the apical vertebrae, and osteophyte location were examined. Results: The prevalence of thoracic scoliosis was 2.4% (621 patients), and female patients (3.0%, 375 of 12471) showed a higher prevalence than male patients (1.8%, 246 of 13654) (p<0.001). Right curvature was present in 445 patients and left curvature in 176 patients. In each age group, the prevalence and degree of thoracic scoliosis were 1.1% (14.2°±3.2°), 2.3% (17.4°±7.7°), 2.5% (17.0°±8.9°), 1.9% (15.8°±5.9°), 1.3% (15.5°±6.6°), 2.1% (18.0°±13.6°), 2.9% (14.3°±3.6°), and 6.1% (16.2°±4.8°), respectively. The mean curvature in all scoliosis patients was 16.0°±7.0°. The angle of the curve was significantly different by sex (15.4°±7.1° for males, 16.8°±7.6° for females). The average curve angle of patients with thoracic scoliosis was 16.0°±7.0°, among whom it was 10°-20° in 533 patients, 20°-30° in 64, 30°-40° in 11, and over 40° in 13. Conclusions: This study could be used as a reference point for the study and treatment of thoracic scoliosis.
{"title":"Prevalence of Thoracic Scoliosis in Koreans Using Simple Chest Radiography","authors":"D. Chang, Gang-Un Kim, S. Suk, D. Lim, In Taek Oh, Ki-Youl Nam, Jin-Hyok Kim, Young-Hoon Kim, K. Ha","doi":"10.4184/JKSS.2019.26.2.56","DOIUrl":"https://doi.org/10.4184/JKSS.2019.26.2.56","url":null,"abstract":"curve, the location and rotation of the apical vertebrae, and osteophyte location were examined. Results: The prevalence of thoracic scoliosis was 2.4% (621 patients), and female patients (3.0%, 375 of 12471) showed a higher prevalence than male patients (1.8%, 246 of 13654) (p<0.001). Right curvature was present in 445 patients and left curvature in 176 patients. In each age group, the prevalence and degree of thoracic scoliosis were 1.1% (14.2°±3.2°), 2.3% (17.4°±7.7°), 2.5% (17.0°±8.9°), 1.9% (15.8°±5.9°), 1.3% (15.5°±6.6°), 2.1% (18.0°±13.6°), 2.9% (14.3°±3.6°), and 6.1% (16.2°±4.8°), respectively. The mean curvature in all scoliosis patients was 16.0°±7.0°. The angle of the curve was significantly different by sex (15.4°±7.1° for males, 16.8°±7.6° for females). The average curve angle of patients with thoracic scoliosis was 16.0°±7.0°, among whom it was 10°-20° in 533 patients, 20°-30° in 64, 30°-40° in 11, and over 40° in 13. Conclusions: This study could be used as a reference point for the study and treatment of thoracic scoliosis.","PeriodicalId":430424,"journal":{"name":"Journal of Korean Society of Spine Surgery","volume":"2016 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128036726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-01DOI: 10.4184/JKSS.2019.26.2.40
W. Son, M. Ahn, G. Lee
Study Design: Retrospective study. Objectives: In the current study, we aimed to (1) evaluate the early and late therapeutic effects of selective nerve root block (SNRB) for cervical radiculopathy, and (2) to determine the optimal time point for predicting the long-term effectiveness of cervical SNRB. Summary of Literature Review: Although SNRB is an important option for cervical radiculopathy, various studies of cervical SNRB have failed to specify its efficacy, especially long-term effectiveness. Materials and Methods: We retrospectively enrolled 35 patients with cervical radiculopathy who were regularly followed-up for at least 1 year after SNRB. Clinical outcomes were evaluated using a visual analogue scale (VAS) for pain intensity and the modified Kim’s method for patient satisfaction at regular follow-up intervals. In the correlation analysis, stepwise multiple linear regression was used to identify selected and unselected factors. Results: The average VAS score decreased over time (p<0.05); the values just before the injection and at 1 week, 3 weeks, and 1 year of follow-up were 6.11, 3.29, 2.89, and 1.37, respectively. In the stepwise multiple regression analysis, the 1-week VAS score was related to the initial VAS score, the 3-week VAS score was related to the 1-week VAS score, and the last VAS score was related to the 3-week VAS score and symptom duration before the injection. The degree of satisfaction at the 1-year follow-up point was significantly associated with the 3-week VAS score (p=0.011). Conclusions: The current study showed that pain intensity at the 3-week time point after cervical SNRB might be the optimal time point for predicting long-term effectiveness.
{"title":"When is the Optimal Time Point for Predicting the 1-Year Follow-up Outcome of Selective Nerve Root Block for Cervical Radiculopathy?","authors":"W. Son, M. Ahn, G. Lee","doi":"10.4184/JKSS.2019.26.2.40","DOIUrl":"https://doi.org/10.4184/JKSS.2019.26.2.40","url":null,"abstract":"Study Design: Retrospective study. Objectives: In the current study, we aimed to (1) evaluate the early and late therapeutic effects of selective nerve root block (SNRB) for cervical radiculopathy, and (2) to determine the optimal time point for predicting the long-term effectiveness of cervical SNRB. Summary of Literature Review: Although SNRB is an important option for cervical radiculopathy, various studies of cervical SNRB have failed to specify its efficacy, especially long-term effectiveness. Materials and Methods: We retrospectively enrolled 35 patients with cervical radiculopathy who were regularly followed-up for at least 1 year after SNRB. Clinical outcomes were evaluated using a visual analogue scale (VAS) for pain intensity and the modified Kim’s method for patient satisfaction at regular follow-up intervals. In the correlation analysis, stepwise multiple linear regression was used to identify selected and unselected factors. Results: The average VAS score decreased over time (p<0.05); the values just before the injection and at 1 week, 3 weeks, and 1 year of follow-up were 6.11, 3.29, 2.89, and 1.37, respectively. In the stepwise multiple regression analysis, the 1-week VAS score was related to the initial VAS score, the 3-week VAS score was related to the 1-week VAS score, and the last VAS score was related to the 3-week VAS score and symptom duration before the injection. The degree of satisfaction at the 1-year follow-up point was significantly associated with the 3-week VAS score (p=0.011). Conclusions: The current study showed that pain intensity at the 3-week time point after cervical SNRB might be the optimal time point for predicting long-term effectiveness.","PeriodicalId":430424,"journal":{"name":"Journal of Korean Society of Spine Surgery","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116928448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-01DOI: 10.4184/JKSS.2019.26.2.33
Byung-Wan Choi, Seung Chul Kim
{"title":"Analysis of Preoperative Factors Affecting Postoperative Spinal Canal Expansion after Posterior Decompression for the Treatment of Multilevel Cervical Myelopathy","authors":"Byung-Wan Choi, Seung Chul Kim","doi":"10.4184/JKSS.2019.26.2.33","DOIUrl":"https://doi.org/10.4184/JKSS.2019.26.2.33","url":null,"abstract":"","PeriodicalId":430424,"journal":{"name":"Journal of Korean Society of Spine Surgery","volume":"248 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122103374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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