Study Design: Analysis of lumbar spine radiograms of 1,496 Jeju islanders of Korea.
Purpose: To look into the age- and gender-matched incidences of morphological changes and their severities.
Overview Of Literature: There have been several prior research on the prevalence and severity of age-related diseases, both related and unrelated.
Background: Percutaneous pedicle screw fixation (PPSF) without fusion has been recently recommended in the treatment of thoracolumbar fracture to reduce the adverse effects associated with the conventional open approaches and to restore range of motion. However, those studies report on the thoracolumbar junction, and there is no report on lower lumbar fracture.
Purpose: To assess effectiveness of PPSF without fusion for treating lower lumbar burst (A3 and A4) fractures.
Study Design: Prospective case series.
Purpose: To assess the corporal morphology of the fused body and adjacent segment conditions.
Overview Of Literature: It is known that two fused vertebral bodies take the similar shape of the single body with inwaisting, with or without caudal flaring of the fused body, and that the fused body can cause the fusion disease at the adjacent segment that can be a risk factor for potential neurological compromise.
Backgroud: There are many studies on the vertebral body-to-canal ratio, the so-called Pavlov's ratio of the cervical spine. However, there are no studies on its relation with age to clarify each bony component's contribution to the spinal canal formation and its size. The aim of this study was to investigate differences and changes in the vertebral body-to-canal ratio according to age in an asymptomatic population.
View Article and Find Full Text PDFSurgery-related infections have not been irradicated until now. To solve this problem, it is important to know the relationship between bacterial anatomy and bacterial behavior in the tug-of-war between host and pathogen. In this article, bacterial anatomy and functional behavior, host phagocytic activity, immune system, nutrition and antibiotics are reviewed to win the war against the tiny invaders and leave the host unharmed.
View Article and Find Full Text PDFStudy Design: Retrospective study (level of evidence: level 3).
Purpose: To study the anatomy of the conus medullaris in Koreans.
Overview Of Literature: The anatomical position of the conus medullaris is well-documented in anatomy textbooks; however, the shape of the conus in the canal rarely described.
Study Design: A case study.
Purpose: To assess the chronological changes of the disease-related kyphosis after chemotherapy alone, secondly to clarify the role of growth cartilage in the healed lesion on kyphosis change, and to define the accurate prediction time in assessing residual kyphosis.
Overview Of Literature: None of the previous papers up to now dealt with the residual kyphosis, stability and remodeling processes of the affected segments.
Background: Several previous studies reported on the impact of upright standing and chair sitting on the sagittal spinopelvic alignment. However, there are no studies on the impact of the two Asian (Korean and Japanese) style floor-sitting positions on the sagittal spinopelvic alignment. The purpose of this study was to evaluate the impact of four different body postures (standing, chair sitting, kneel sitting, and cross-legged sitting) on the sagittal spinopelvic alignment.
View Article and Find Full Text PDFTraumatic absence of the entire radial shaft in children has not been reported though there are a few reports of adult cases. We report a 5-year-old boy with traumatic absence of the entire right radial shaft. The Define's reconstruction procedure was chosen to localize the surgery only to the distal forearm and avoid further additional damage to the forearm muscles.
View Article and Find Full Text PDFEven in an era of remarkable medical advances, there is an issue of why tuberculosis remains in the list of disastrous diseases, afflicting humans and causing suffering. There has not been a plausible answer to this, and it has been suggested that clinicians and medical scientists could presently not win the war against the tubercle bacilli. With regards to this issue, based on the authors' own clinical and research experiences, in this review, the available literature was revisited in order to address the raised questions and to provide recent information on characteristics of tubercle bacilli and possible ways to more effectively treat tuberculosis.
View Article and Find Full Text PDFBackground: The sacrococcygeal morphology of Arabs and Europeans has been studied using computed tomography (CT) or magnetic resonance imaging to determine the cause of coccydynia. Studies have suggested differences in sacrococcygeal morphology among ethnic groups. However, there are no data on the sacrococcygeal anatomy of Koreans.
View Article and Find Full Text PDFStudy Design: Cervical spine radiograms of 460 Jeju islanders.
Purpose: To investigate the age-matched incidences and severity of the cervical disc degeneration and associated pathologic findings.
Overview Of Literature: Several related studies on the incidences of disc and Luschka's and facet joint degeneration have provided some basic data for clinicians.
Study Design: Retrospective case series.
Purpose: To assess the effect of non-kyphotic aligned congenital C3-4 synostosis on the adjacent segment in 10 patients.
Overview Of Literature: In the cervical spine, fusion disease at the adjacent motion segments may be a risk factor for potential neurological compromise and death.
Study Design: A prospective radiographic study of cervical spine with congenital monosegment fusion.
Purpose: To evaluate the effect of cervical synostosis on adjacent segments and the vertebral morphology.
Overview Of Literature: There are numerous clinical studies of adjacent segment disease (ASD) after monosegment surgical fusion.
Study Design: Medical record-based survey.
Purpose: To survey the overall incidence of the intra- and postoperative complications and sequelae, and to propose the preventive measures to reduce complications in the spinal tuberculosis surgery.
Overview Of Literature: There is no study focused on the surgery-related complications and sequelae, with some touching lightly on the clinical problems.
Tuberculosis is the chronic consumptive disease and currently the world's leading cause of death. Tuberculous spondylitis is a less common yet the most dangerous form of skeletal tuberculosis. The recent re-emergence of Mycobacterium tuberculosis (M.
View Article and Find Full Text PDFStudy Design: A prospective analysis of an adaptive change of the spinopelvic alignment after total knee arthroplasty.
Purpose: To evaluate the effect of correction of the contractured knee in flexion on the spinopelvic alignment by total knee arthroplasty.
Overview Of Literature: Flexion contracture of the knee joint may affect the body posture and precipitate the symptoms in the lumbar spine, which is known as the 'knee-spine syndrome'.
PURPOSE. To report on 23 patients with giant cell tumour (GCT) of the femur or tibia treated with curettage, electrocautery, burring, phenol irrigation, and cementation. METHODS.
View Article and Find Full Text PDFBackground: Intertrochanteric fractures of the femur are the most common type of fracture, and are an increasing occurrence due to the aging of the population. The objectives of our study are to predict the fate of intertrochanteric fractures treated with intramedullary hip nails by assessing the postoperative fracture stability utilizing the newly developed scoring system, and to help rehabilitate these patients.
Methods: Eighty-two patients with intertrochanteric fractures that were treated with intramedullary hip nails between December, 2004 and January, 2011 were subjected to this study.
Purpose: To assess the efficacy and safety of autologous transfusion of filtered shed blood in total knee arthroplasty (TKA).
Materials And Methods: A total of 42 patients with TKA (group A; without autologous transfusion in 15 patients, group B; with autologous transfusion in 27 patients) were evaluated retrospectively. The influence of autologous reinfusion of filtered blood, bleeding tendency, amount of blood drainage, rate of allogenic transfusion, and the postoperative changes of hemoglobin were analyzed.