경추증을 가진 환자에서 발생한 척수손상에 대한 추궁판성형술

국문 초록 (Abstract)

목적: 외상 이전에 증상이 없던 경추증을 가진 환자에서 발생한 척수손상에 대한 치료로 추궁판성형술을 시행한 결과에 대해 보고하고자 한다.
대상 및 방법: 기왕증으로 경추증을 가졌던 예에서 경추부 수상 후 골절이나 불안정성 없이 발생한 척수손상 환자 9명에 대하여 추궁판성형술(modified Itoh's method)을 시행하였다. 수술 전후의 임상적 평가는 ASIA (American Spinal Injury Association) 운동점수를, 방사선학적 평가는 추체 척주관비를 사용하였다.
결과: 수술을 시행한 환자에서 운동점수는 58.67 (26-92)점에서 90.11 (66-100)점으로 호전되었고, 78.78 (58-100)%의 회복률을 보였다. 평균 추체 척주관비도 0.58에서 수술 직후 0.93으로 호전되었고, 마지막 추시상 0.93으로 수술 직후와 차이가 없었다. 수술 전 심한 작열통을 호소하던 4명은 수술 직후 증상이 곧바로 회복되었다.
결론: 척수손상 환자에서 시행한 추궁판성형술은 합병증이 적고 신경학적 회복이 빠르며, 양호한 방사선학적 결과를 얻을 수 있어 권장할 만한 수술적 치료법으로 생각된다.

다국어 초록 (Multilingual Abstract)

Purpose: To evaluate the results in patients with a spinal cord injury in pre-existing cervical spondylosis.
Materials and Methods: This study was conducted in 9 patients with cervical spondylosis with spinal cord injury to evaluate the role of the laminoplasty (modified Itoh's method). The preoperative and final follow-up radiographic and clinical results based on the Pavlov ratio & motor function score were compared.
Results: The preoperative motor function score 58.67 (26-92) increased to 90.11 (66-100) of the final score. The recovery rate was 78.78 (58-100%). The initial Pavlov ratio increased from 0.58 to 0.93 at the immediate post-operation and the final ratio was 0.93. Four patients who complained of causalgia were improved immediately after surgery.
Conclusion: The laminoplasty is a good method for improving the neurological deficits and maintaining the extent of spinal canal widening.

목차 (Table of Contents)

• 연구 대상 및 방법
• 결과
• 고찰
• 결론
• 참고문헌

참고문헌 (Reference)

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