Pub Date : 2018-12-01DOI: 10.4184/JKSS.2018.25.4.160
Y. Ahn, S. Im, B. Park
Study Design: Retrospective study of prospectively-collected data. Objectives: To determine the factors associated with conversion from conservative to surgical treatment in single-level lumbar spinal stenosis patients. Summary of Literature Review: Various reports have presented clinical outcomes after the surgical and nonsurgical treatment of spinal stenosis. However, few reports have investigated factors predicting conversion to surgery during the course of conservative treatment. Materials and Methods: We analyzed 40 patients who visited our hospital from May 2010 to May 2015 and were traceable for at least 3 years after being advised to undergo surgery following 3 months of conservative treatment. Of these patients, 20 underwent surgery and 20 did not. We then investigated the factors associated with conversion to surgical treatment. Clinical assessments were conducted using a questionnaire, and the overall area of the spinal canal and the muscle area within the spinal canal were measured using magnetic resonance imaging. Results: The average area of the spinal canal was 81.40±53.61 mm 2 in the surgical group, compared to 127.75±82.55 mm 2 in the nonsurgical group (p=0.042). The muscle area in the spinal canal was 5.17±1.30 cm 2 in the surgical group, whereas it was 6.40±1.56 cm 2 in the nonsurgical group (p=0.010). The patients in the surgical group were more likely to have experienced repetitive strain and to have frequently visited health clubs (p=0.047, p=0.037, respectively). However, regular stretching was more common in the nonsurgical group (p=0.028). Conclusions: The factors associated with conversion to surgical treatment were a narrow spinal canal, a small muscle area within the spinal canal, visiting health clubs, repetitive sprain, and not stretching. A small muscle area within the spinal canal can be considered as a key factor related to surgical conversion.
研究设计:前瞻性收集资料的回顾性研究。目的:探讨单节段腰椎管狭窄症患者从保守治疗转向手术治疗的相关因素。文献综述:各种各样的报道报道了椎管狭窄手术和非手术治疗后的临床结果。然而，很少有报道调查了在保守治疗过程中预测转向手术的因素。材料与方法:我们对2010年5月至2015年5月来我院就诊的40例患者进行分析，这些患者在保守治疗3个月后建议行手术，可追溯至少3年。在这些患者中，20人接受了手术，20人没有。然后我们调查了与转手术治疗相关的因素。采用问卷进行临床评估，采用磁共振成像测量椎管总面积和椎管内肌肉面积。结果:手术组椎管平均面积为81.40±53.61 mm2，非手术组为127.75±82.55 mm2，差异有统计学意义(p=0.042)。手术组椎管肌肉面积为5.17±1.30 cm 2，非手术组为6.40±1.56 cm 2 (p=0.010)。手术组患者出现重复性劳损和频繁去健身俱乐部的可能性更大(p=0.047, p=0.037)。然而，常规拉伸在非手术组更为常见(p=0.028)。结论:椎管狭窄、椎管内肌肉面积小、经常去健身俱乐部、反复扭伤和未进行伸展等因素与转行手术治疗相关。椎管内的小肌肉区域可以被认为是与手术转换相关的关键因素。
{"title":"Factors Associated with Conversion from Conservative to Surgical Treatment in Single-Level Lumbar Spinal Stenosis Patients","authors":"Y. Ahn, S. Im, B. Park","doi":"10.4184/JKSS.2018.25.4.160","DOIUrl":"https://doi.org/10.4184/JKSS.2018.25.4.160","url":null,"abstract":"Study Design: Retrospective study of prospectively-collected data. Objectives: To determine the factors associated with conversion from conservative to surgical treatment in single-level lumbar spinal stenosis patients. Summary of Literature Review: Various reports have presented clinical outcomes after the surgical and nonsurgical treatment of spinal stenosis. However, few reports have investigated factors predicting conversion to surgery during the course of conservative treatment. Materials and Methods: We analyzed 40 patients who visited our hospital from May 2010 to May 2015 and were traceable for at least 3 years after being advised to undergo surgery following 3 months of conservative treatment. Of these patients, 20 underwent surgery and 20 did not. We then investigated the factors associated with conversion to surgical treatment. Clinical assessments were conducted using a questionnaire, and the overall area of the spinal canal and the muscle area within the spinal canal were measured using magnetic resonance imaging. Results: The average area of the spinal canal was 81.40±53.61 mm 2 in the surgical group, compared to 127.75±82.55 mm 2 in the nonsurgical group (p=0.042). The muscle area in the spinal canal was 5.17±1.30 cm 2 in the surgical group, whereas it was 6.40±1.56 cm 2 in the nonsurgical group (p=0.010). The patients in the surgical group were more likely to have experienced repetitive strain and to have frequently visited health clubs (p=0.047, p=0.037, respectively). However, regular stretching was more common in the nonsurgical group (p=0.028). Conclusions: The factors associated with conversion to surgical treatment were a narrow spinal canal, a small muscle area within the spinal canal, visiting health clubs, repetitive sprain, and not stretching. A small muscle area within the spinal canal can be considered as a key factor related to surgical conversion.","PeriodicalId":430424,"journal":{"name":"Journal of Korean Society of Spine Surgery","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114992299","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 : 2018-09-01DOI: 10.4184/JKSS.2018.25.3.115
H. Shin, Jong Kuen Park, Eugene Kim, Jai-Hyung Park, Se-Jin Park, S. Ha, H. Jeong
{"title":"Risk Factors for Wound Infection in Spinal Surgery: A Focus on Diabetes Mellitus","authors":"H. Shin, Jong Kuen Park, Eugene Kim, Jai-Hyung Park, Se-Jin Park, S. Ha, H. Jeong","doi":"10.4184/JKSS.2018.25.3.115","DOIUrl":"https://doi.org/10.4184/JKSS.2018.25.3.115","url":null,"abstract":"","PeriodicalId":430424,"journal":{"name":"Journal of Korean Society of Spine Surgery","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127211303","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 : 2018-09-01DOI: 10.4184/JKSS.2018.25.3.91
H. Shin, W. Nam, Dong-Soo Kim, J. Kim, Sung-Kyu Kim, T. Ahn, Sung-Soo Kim
{"title":"Overview of the Management of Chronic Non-Cancer Pain in Patients with Spinal Disease","authors":"H. Shin, W. Nam, Dong-Soo Kim, J. Kim, Sung-Kyu Kim, T. Ahn, Sung-Soo Kim","doi":"10.4184/JKSS.2018.25.3.91","DOIUrl":"https://doi.org/10.4184/JKSS.2018.25.3.91","url":null,"abstract":"","PeriodicalId":430424,"journal":{"name":"Journal of Korean Society of Spine Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121840593","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 : 2018-09-01DOI: 10.4184/JKSS.2018.25.3.108
Ju-Yeong Heo, Ji-Hoon Park, Min-Wook Kim, Sang Min Lee, Sung-An Lim, Hong-Suk Choi, Yong-Soo Choi
{"title":"Relationship between Lumbar Extensor Muscle Degeneration Classification and Osteoporotic Vertebral Compression Fracture","authors":"Ju-Yeong Heo, Ji-Hoon Park, Min-Wook Kim, Sang Min Lee, Sung-An Lim, Hong-Suk Choi, Yong-Soo Choi","doi":"10.4184/JKSS.2018.25.3.108","DOIUrl":"https://doi.org/10.4184/JKSS.2018.25.3.108","url":null,"abstract":"","PeriodicalId":430424,"journal":{"name":"Journal of Korean Society of Spine Surgery","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116267256","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 : 2018-09-01DOI: 10.4184/JKSS.2018.25.3.99
Jung‐Hoon Kim, Dong-Hyok Kim
{"title":"Survival Rate and Risk Factor Analysis in Patients Who Experience a New Fracture after Kyphoplasty","authors":"Jung‐Hoon Kim, Dong-Hyok Kim","doi":"10.4184/JKSS.2018.25.3.99","DOIUrl":"https://doi.org/10.4184/JKSS.2018.25.3.99","url":null,"abstract":"","PeriodicalId":430424,"journal":{"name":"Journal of Korean Society of Spine Surgery","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124809680","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 : 2018-09-01DOI: 10.4184/JKSS.2018.25.3.140
Jung Soo Lee, D. Ahn, W. S. Shin, I. Yoo, Ho Young Lee
{"title":"Spinal Subarachnoid Hematoma after Spinal Anesthesia: A Case Report","authors":"Jung Soo Lee, D. Ahn, W. S. Shin, I. Yoo, Ho Young Lee","doi":"10.4184/JKSS.2018.25.3.140","DOIUrl":"https://doi.org/10.4184/JKSS.2018.25.3.140","url":null,"abstract":"","PeriodicalId":430424,"journal":{"name":"Journal of Korean Society of Spine Surgery","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123465033","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 : 2018-09-01DOI: 10.4184/JKSS.2018.25.3.133
Ji-Yoon Ha, Jun-Seok Lee, Yong-soo Cho, Ki-Won Kim
{"title":"Acute Lumbar Paraspinal Compartment Syndrome after Weightlifting: A Case Report","authors":"Ji-Yoon Ha, Jun-Seok Lee, Yong-soo Cho, Ki-Won Kim","doi":"10.4184/JKSS.2018.25.3.133","DOIUrl":"https://doi.org/10.4184/JKSS.2018.25.3.133","url":null,"abstract":"","PeriodicalId":430424,"journal":{"name":"Journal of Korean Society of Spine Surgery","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130689570","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 : 2018-09-01DOI: 10.4184/JKSS.2018.25.3.122
W. Song, Young-Sang Lee, B. Park, Jeong-Muk Kim, Chan-Woong Byun
{"title":"Comparison of Postoperative Pain Control Methods in Patients with Spinal Stenosis after Posterior Spinal Decompression","authors":"W. Song, Young-Sang Lee, B. Park, Jeong-Muk Kim, Chan-Woong Byun","doi":"10.4184/JKSS.2018.25.3.122","DOIUrl":"https://doi.org/10.4184/JKSS.2018.25.3.122","url":null,"abstract":"","PeriodicalId":430424,"journal":{"name":"Journal of Korean Society of Spine Surgery","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130637035","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 : 2018-09-01DOI: 10.4184/JKSS.2018.25.3.128
Yu-Hun Jung, Young-Sang Lee, Dong-Chan Eun, Joonha Lee
{"title":"Diagnosis of C2 Spondylotic Radiculopathy by Physical Examination and Imaging Studies and Treatment by Microscopic Posterior Foraminotomy: A Case Report","authors":"Yu-Hun Jung, Young-Sang Lee, Dong-Chan Eun, Joonha Lee","doi":"10.4184/JKSS.2018.25.3.128","DOIUrl":"https://doi.org/10.4184/JKSS.2018.25.3.128","url":null,"abstract":"","PeriodicalId":430424,"journal":{"name":"Journal of Korean Society of Spine Surgery","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129482749","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 : 2018-06-01DOI: 10.4184/JKSS.2018.25.2.41
D. Ha, D. Shim, Tae Kyun Kim, S. Oh, Seung Min Kim
{"title":"Radiological Results of the Double-Balloon Inflation Technique during Kyphoplasty","authors":"D. Ha, D. Shim, Tae Kyun Kim, S. Oh, Seung Min Kim","doi":"10.4184/JKSS.2018.25.2.41","DOIUrl":"https://doi.org/10.4184/JKSS.2018.25.2.41","url":null,"abstract":"","PeriodicalId":430424,"journal":{"name":"Journal of Korean Society of Spine Surgery","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126697792","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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