1.Wedge Shape Cage in Posterior Lumbar Interbody Fusion: Focusing on Changes of Lordotic Curve.
Joon Seok KIM ; Seong Hoon OH ; Sung Bum KIM ; Hyeong Joong YI ; Yong KO ; Young Soo KIM
Journal of Korean Neurosurgical Society 2005;38(4):255-258
OBJECTIVE: Lumbar lordotic curve on L4 to S1 level is important in maintaining spinal sagittal alignment. Although there has been no definite report in lordotic value, loss of lumbar lordotic curve may lead to pathologic change especially in degenerative lumbar disease. This study examines the changes of lumbar lordotic curve after posterior lumbar interbody fusion with wedge shape cage. METHODS: We studied 45patients who had undergone posterior lumbar interbody fusion with wedge shape cage and screw fixation due to degenerative lumbar disease. Preoperative and postoperative lateral radiographs were taken and one independent observer measured the change of lordotic curve and height of intervertebral space where cages were placed. Segmental lordotic curve angle was measured by Cobb method. Height of intervertebral space was measured by averaging the sum of anterior, posterior, and midpoint interbody distance. Clinical outcome was assessed on Prolo scale at 1month of postoperative period. RESULTS: Nineteen paired wedge shape cages were placed on L4-5 level and 6 paired same cages were inserted on L5-S1 level. Among them, 18patients showed increased segmental lordotic curve angle. Mean increased segmental lordotic curve angle after placing the wedge shape cages was 1.96? Mean increased disc height was 3.21mm. No cases showed retropulsion of cage. The clinical success rate on Prolo's scale was 92.0%. CONCLUSION: Posterior lumbar interbody fusion with wedge shape cage provides increased lordotic curve, increased height of intervertebral space, and satisfactory clinical outcome in a short-term period.
Postoperative Period
2.The Management of Postoperative Pain.
Korean Journal of Anesthesiology 1990;23(2):125-133
No abstract available.
Pain, Postoperative*
3.Repeated Migration of a Fusion Cage after Posterior Lumbar Interbody Fusion.
Jun Gue LEE ; Sung Myung LEE ; Seok Won KIM ; Ho SHIN
Korean Journal of Spine 2013;10(1):25-27
Although posterior lumbar interbody fusion (PLIF) is a widely accepted procedure, perioperative and postoperative complications are still encountered. In particular, cage migration can result in severe sequelae, and revision surgery is technically demanded. Here, we report a rare case of repeated migration of a fusion cage after PLIF. To the best of our knowledge, no report has been previously issued on repeated migration of a fusion cage after PLIF. The authors discuss the radiological and clinical findings of this unusual complication with a review of the literature.
Postoperative Complications
5.Pevention of postoperative complications in Caldwell-Luc operation.
Moon Suh PARK ; Jang Kyun KIM ; Dae Sik EOM ; Yong Bok KIM ; See Young PARK
Korean Journal of Otolaryngology - Head and Neck Surgery 1993;36(5):960-965
No abstract available.
Postoperative Complications*
6.Current Management of Postoperative Nausea and Vomiting.
Korean Journal of Anesthesiology 2005;48(1):1-9
No abstract available.
Postoperative Nausea and Vomiting*
7.Postoperative pain & plasma endorphin level.
Hang Chul LEE ; Young Gwan KO ; Hoong Zae JOO
Journal of the Korean Surgical Society 1993;45(4):479-485
No abstract available.
Endorphins*
;
Pain, Postoperative*
;
Plasma*
8.Postoperative Changes of Lagophthalmos and Lid Lag following External Levator Resection.
Journal of the Korean Ophthalmological Society 1998;39(5):830-835
Among the postoperative complications of ptosis surgery, lagophthalmos and lid lag have been significant and untolerable problems. In this study, progressive change of lagophthalmos and lid lag following external levator resection was examined in 109 eyes of 74 patients from November 1988 through March 1996. Lagophthalmos and lid lag were measured at postoperative 1 month, 3 to 9 months and 12 to 18 months. The relations of lagophthalmos and lid lag according to preoperative MRD, levator function, resection amount of the levator muscle were analyzed. Lagophthalmos measured average 1.11mm and lid lag revealed average 4. 73mm at postoperative 11 to 84 months (mean 22.2 months). At the postoperative 1 year, lagophthalmos and lid lag were significantly decreased and decreasing amount measured 1.17mm and 0.90mm, respectively. Seventy eyes showed lagophthalmos less than 1mm at mean 13 months postoperatively. The postoperative change of lagophthalmos and lid lag had relation to the preoperative levator function.
Humans
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Postoperative Complications
9.Is postoperative nausea and vomiting still the big "little" problem?.
Korean Journal of Anesthesiology 2016;69(1):1-2
No abstract available.
Postoperative Nausea and Vomiting*
10.Perioperative Management of Lung Resection Patients.
Yeungnam University Journal of Medicine 2012;29(1):9-13
Lung resection has various and commonly occurring postoperative complications. Pulmonary complication is well known as one of the most important among them, exerting a negative influence on the postoperative course and resulting in mortality. Thus, the prevention of pulmonary complication after lung resection is very important. To prevent postoperative pulmonary complication, the perioperative management must be optimal. Perioperative management begins long before the surgery and does not end until the patient leaves the hospital. The goal of perioperative management is to identify the high-risk patients, to provide appropriate intervention, to prevent postoperative complications, and to obtain the best outcomes.
Humans
;
Lung
;
Postoperative Complications