2015, Vol.22, No.2

Union Rates of Autologous Bone Marrow, Local Autobone and Biphasic Calcium Phosphate Mixed Graft in Lumbar Posterolateral Fusion

박만준 , Young-Chul Ko , 은일수 and 4 other persons | 2015, 22(2) | pp.37~42 | number of Cited : 1

Study Design: A retrospective study. Objectives: We examined union rates and clinical outcomes to evaluate the efficacy of using autologous bone marrow along with a local autobone and biphasic calcium phosphate mixed graft with posterolateral fusion in spinal stenosis and spondylolisthesis. Summary of Literature Review: In lumbar posterolateral fusion, union rates of biphasic calcium phosphate and local autobone mixed graft are low compared to union rates of autogenous iliac bone graft. Materials and Methods: Among the patients who had lumbar posterolateral fusion with autologous bone marrow along with local autobone and biphasic calcium phosphate mixed graft between February 2013 and January 2014, we analyzed 40 patients who were available for at least one year of follow-up. There were 22 cases with spinal stenosis and 18 cases with spondylolisthesis. Bone fusion was determined along with the fusion rates based on Lenke’s criteria (citation). All patients were evaluated postoperatively at one year, using 3D CT. and the clinical outcomes were assessed using Kim’s method (citation). Results: In spinal stenosis, bone union was observed in 19 cases out of 22 (86.4%), and in case of spondylolisthesis, bone union was observed in 16 cases out of 18 (88.9%). In spinal stenosis, the clinical outcomes were: 2 excellent, 16 good, 3 fair, and 1 poor; in other words 18 cases (81.8%) displayed good or excellent outcomes. In spondylolisthesis, 2 excellent, 12 good, 4 fair and 0 poor; in other words, 14 cases (77.8%) showed good or superior outcomes. Conclusions: Posterolateral fusion using autologous bone marrow along with a local autobone and biphasic calcium phosphate mixed graft showed similar bone fusion rates to using autogenous iliac bone graft. Therefore, this method could serve as an alternative to using autogenous iliac bone graft in posterior lumbar fusion.

Clinical Value of Visualized Prediction of Corrective Osteotomy of Ankylosing Spondylitis

이재원 , 김훈철 , Park Ye-Soo | 2015, 22(2) | pp.43~49 | number of Cited : 0

Study Design: Retrospective study. Objectives: To evaluate the clinical value of preoperative planning via computer simulation by comparing preoperative and postoperative measurements of a patient with ankylosing spondylitis. Summary of Literature Review: Ankylosing spondylitis is a disorder that results in a spinal deformity because chronic inflammation at the ligament attachment sites triggers ossification; it causes round fixed kyphosis. This causes limitations in not only everyday life but also social interaction because it is impossible for patients to face forward. Therefore, surgical correction is necessary. Materials and Methods: We analyzed 38 patients (41 instances) who underwent correctional osteotomy between June 2007 and March 2014 to treat kyphosis caused by ankylosing spondylitis. We chose the appropriate operation site on the basis of preoperative simulations of osteotomy and the site for pre- and postoperative radiological evaluations conducted from the lateral view in a standing position. For the clinical evaluation, Bath Ankylosing Spondylitis Function Index (BASFI), Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Hospital Anxiety and Depression Survey (HADS), and Health Locus of Control Form C Questionnaire (HLC-C) were used. Results: The mean sagittal vertical axis (SVA) was improved from 123.4 mm to 66.1 mm, the mean thoracic kyphosis angle (TKA) changed from 42.2° to 40.1°, and the mean lumbar lordosis angle (LLA) improved from 16.0° to 28.5°. The correlation coefficients between the preoperative predictive value and the postoperative radiographic measurement were 0.43, 0.93, and 0.87, which were all statistically significant. Conclusions: By comparing the preoperative measurement with the postoperative radiologic score, we found that the two were correlated and that the clinical assessment improved on the basis of the visualization. Therefore, preoperative simulation of patients with ankylosing spondylitis along with a kyphotic deformity is thought to be clinically effective.

Clinical Outcomes of Coccygectomy for Chronic Coccygodynia

Dae Ho Ha , Sung Kyun Oh , 신동진 and 1 other persons | 2015, 22(2) | pp.50~54 | number of Cited : 0

Thoracic Vertebral Fracture due to Spinal Tuberculosis which was Misdiagnosed as Matastatic Cancer - A Case Report -

김대근 , Jae Hwan Cho , Jae Hyun Kim and 3 other persons | 2015, 22(2) | pp.55~59 | number of Cited : 0

Surgical Outcome of Tuberculous Myelitis, Arachnoiditis and Spondylitis after Brain Meningitis - A Case Report –

서승표 , 박동혁 , 김철웅 and 1 other persons | 2015, 22(2) | pp.60~64 | number of Cited : 0

www.krspine.org Pulmonary and Renal Cement Embolisms During Balloon Kyphoplasty - A Case Report -

Shin chungshik , 최병열 | 2015, 22(2) | pp.65~68 | number of Cited : 0

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Journal of Korean Society of Spine Surgery 2023 KCI Impact Factor : 0.03

2015, Vol.22, No.2