석경수 교수

The thoracic inlet alignment had significant correlations with craniocervical sagittal balance. To preserve physiological NT around 44 degrees, large TIA increased T1 slope and CL and vice versa. TIA and T1 slope could be used as parameters to predict physiological alignment of the cervical spine. The results of this study may serve as baseline data for the evaluation of sagittal balance or planning of a fusion angle in the cervical spine.

Conventional open discectomy as a revision surgery for recurrent lumbar disc herniation showed satisfactory results that were comparable with those of primary discectomy. Based on the results of this study, repeat discectomy can be recommended for the management of recurrent lumbar disc herniation.

STUDY DESIGN: A prospective study. OBJECTIVES: To assess the significance of chin-brow vertical angle in planning and evaluating the correction of kyphotic deformity with ankylosis of the cervical spine in ankylosing spondylitis patients. SUMMARY OF BACKGROUND DATA: Accurate assessment and measurement of spinal kyphotic deformity is required when planning treatment and assessing its results. METHODS: Thirty-four ankylosing spondylitis patients with cervical ankylosis who had undergone pedicle su

An immunological screening strategy was used to select microbial genes expressed only in the host. Differential screening of a Borrelia burgdorferi (the Lyme disease agent) expression library identified a gene (p21) encoding a 20.7-kDa antigen that reacted with antibodies in serum from actively infected mice but not serum from mice immunized with heat-killed B. burgdorferi. Selective expression of p21 in the infected host was confirmed by Northern blot analysis and RNA PCR. Further differential

ROM of the cervical spine decreased by 30.5% after laminoplasty. Kyphosis was developed in 10.6% of the patients. The preoperative factors affecting postoperative kyphosis are diagnosis of myelopathy cases associated with cervical spondylosis, a lordosis angle of <10 degrees, and a kyphotic angle during flexion that is larger than a lordotic angle during extension.

Unilateral pedicle screw fixation was as effective as bilateral pedicle screw fixation in lumbar spinal fusion independent of the number of fusion segments (one or two segments) or pedicle screw systems. Based on the results of this study, unilateral fixation could be used in two-segment lumbar spinal fusion.

Mini-open lumbar fusion may significantly contribute to the reduction of muscle injury and systemic inflammatory reactions during the acute postoperative period. This study suggests that mini-open lumbar fusion may also play an important role in preventing medical morbidity after spinal surgery.

We demonstrated a good correlation between the Pavlov ratio and both the vertebral body-to-canal ratio on CT and the vertebral body-to-CSF column ratio on MRI. Therefore, the Pavlov ratio can be relied upon to predict narrowing of the cervical spinal canal in the sagittal plane.

The direction of sciatic scoliosis was not observed to be associated with the location of nerve root compression, although it was related to the side of disc herniation.

We performed CPS placement using the KS technique and with 90% correct position without clinical complications. After the learning curve, the incidence was 2.7%. This technique could be considered relatively concrete and safe modification of conventional technique with minimal bone loss.

The mean sagittal decompensation after corrective osteotomy for LDK was 38.3%. The etiology was loss of lumbosacral lordosis in Group L and progression of kyphosis at the proximal unfused segments in addition to lumbosacral loss in Group T. The decompensation was greater in the thoracic type than in the lumbar type and was considered relevant to a large preoperative thoracic kyphotic angle, absence of compensatory thoracic lordosis, and atrophy of paravertebral muscles.

Surgery in patients who had Duchenne muscular dystrophy with scoliosis improved function and decreased the rate of deterioration of forced vital capacity compared with patients treated conservatively. However, the muscle power and forced vital capacity decreased in both groups.

There have been many reports regarding various operative methods for spondylolytic spondylolisthesis. However, there have been no reports regarding the comparison between posterolateral fusion (PLF) with pedicle screw fixation (PSF) and anterior lumbar interbody fusion (ALIF) with PSF. The purpose of the current study was to compare the clinical outcomes of PLF with PSF and ALIF with PSF, and to help in the selection of treatment options. Fifty-six patients with spondylolytic spondylolisthesis w