수술한 54례의 척추전방전위증 환자의 임상분석
Clinical Analysis of 54 Cases with Spondylolisthesis
소속 상세정보
이용근/Yong Keun Lee
조영도/조준/문창택/장상근/Young Do Cho/Joon Cho/Chang Taek Moon/Sang Keun Chang
KMID : 0359819980270081109
Abstract
결론
본원 신경외과학교실에서는 1990년 3월부터 1996년 3월까지 수술한 54례의 척추전방전위증
환자의 수술적 치료 결과를 분석하여 다음과 같은 결론을 얻었다. 후측방 접근술은 후궁 절
제술과 병행하여 충분한 신경 감압이 가능한 시술법이며, 특별한 후유증 없이 효과적 감압
이 가능하였고 아울러 요추부 운동을 최소화하고 견고한 내고정을 이를 수 있었다. 이상에
서 척추전방전위증 환자의 치료에 척추경나사못을 이용한 정복 및 고정술은 우수한 결과를
얻을 수 있는 좋은 치료방법이라고 사료된다.
#초록#
Most cases of spondylolisthesis are asymptonatic and successfully managed with
conservative treatment. Operation was performed in 20% of symptomatic cases having
severe back pain, neurological symptoms and/or progressive slipping. Although surgical
treatment are divided into decompression and fusion, various methods were tried from
simple Gill's resection to posterior and/or anterior fusion with instrumentation in case of
severe slipping The authors reviewed 54 cases of symptomatic spondylolisthesis, who
were surgically treated, and had follow up evaluations our institution during past 6
years from March, 1990, to March, 1996
1) The age distribution was from 19 to 63 years of age and the highest prevalent
decade was at the 5th.
2) There were 14 male and 40 female patients with female preponderance about 3 to 1
ratio
3) Thirty one cases were isthmic type and 23 cases were degenerative type. The ratio
between isthmic type and degenerative type was about 2 : 1
4) The displacement between L4 and L5 was 25 cases and the displacement between L5
and sacrum was 18 cases. and others were L3 and L4, L4 and L6
5) Overall results are excellent in 7 cases(13%), good 35 cases(65%), fair 10 cases(19%),
and poor 2 cases(4%)
6) There were no changes in slipping in 23 cases(42.6%). Occurred in partial reduction
were possible in 30 cases(55.5%), and further slipping developed was 1 case(1.9%)
키워드
Spondylolisthesis; Decompression; Fusion; Instrumentation; Reduction;
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