1.Operative Treatment of Lumbar Disc Herniation.
Journal of Korean Society of Spine Surgery 2001;8(3):327-335
Operative methods are changing from aggressive open methods to less invasive methods including microscopic discectomy and various kinds of percutaneous methods. In spite of having definite advantages, percutaneous methods still have limited indications and no uniformly convincing clinical results. Microscopic discectomy has advantages of those of open methods and percutaneous methods. A review of clinical results of operative treatment for lumbar disc herniation shows favorable long-term results. For the better long-term results, we should understand the proper indications of each treatment modalities.
Diskectomy
2.Responses to the Letter: Cervical Foraminal and Discal Height after Dynamic Rotational Plating in the Cervical Discectomy and Fusion.
Jin Oh PARK ; Moon Soo PARK ; Seong Hwan MOON ; In Sung KIM ; Seok Woo KIM ; Yong Chan KIM ; Tae Hwan KIM ; Bo Kyung SUH ; Ji Hoon NAM ; Hwan Mo LEE
Asian Spine Journal 2016;10(2):405-405
No abstract available.
Diskectomy*
3.Clinical Experience of Automated Percutaneous Lumbar Discectomy.
Won Sik CHOY ; Whan Jeung KIM ; Nam Hun KIM ; Kyu Hyun KIM ; Dae Hwa SONG
Journal of Korean Society of Spine Surgery 1997;4(1):149-156
No abstract available.
Diskectomy*
4.Herniated Lumbar Discs Treated with Conventional Open Surgery after the Failure of Laser Discectomy: Report of Three Cases.
Young Jun KWON ; Gook Ki KIM ; Young Jin LIM ; Tae Sung KIM ; Bong Am RHEE ; Won LEEM
Journal of Korean Neurosurgical Society 1997;26(8):1139-1144
Thepercutaneous treatmentof lumbardisc diseasewithlaser energyhas recently emerged as an alternative to standard open surgery or mechanical percutaneous methods. The indications of percutaneousendoscopic laser discectomy should, however, be well evaluated according to clinical and morphological criteria. We report three cases of herniated lumbar disc treated with conventional open surgery after the failure of laser discectomy.
Diskectomy*
5.Transthoracic-Extrapleural Approach for Microsurgical Thoracic Discectomy with Video Assistance: Technical Report of Three Cases.
Sang Ho LEE ; Sang Hyeop JEON ; Jong Yeul CHOI ; Ho Yeon LEE ; Byung Joo JUNG ; Sang Rak LIM
Journal of Korean Neurosurgical Society 2000;29(12):1677-1681
No abstract available.
Diskectomy*
6.Thoracoscopic Discectomy of the Herniated Thoracic Discs.
Sang Ho LEE ; Sang Rak LIM ; Ho Yeon LEE ; Sang Hyeop JEON ; Young Mi HAN ; Byung Joo JUNG
Journal of Korean Neurosurgical Society 2000;29(12):1577-1583
No abstract available.
Diskectomy*
7.Comparison of results in automated percutaneous lumbar diecetomy versus open discectomy.
Duck Yun CHO ; Jae Gon SEO ; Eung Ha KIM ; Hwan Cheon HWANG
The Journal of the Korean Orthopaedic Association 1992;27(3):658-669
No abstract available.
Diskectomy*
8.The Effect of Web based Information Providing Program on Knowledge Improvement for Patients undergoing Lumbar Discectomy.
Journal of Korean Society of Medical Informatics 2008;14(2):97-109
OBJECTIVES: The purposes of this study were to 1) develope web-based information program for the patients undergoing lumbar discectomy, and 2) test the effectiveness of web-based information program for improving patients knowledge level on lumbar discectomy. METHODS: First, to improve the validity of contents of web-based program, the information needs were identified from 30 patients admitted for lumbar discectomy and experts' validation of preliminary contents of program was performed. Second, satisfaction level of the developed program was measured by 15 experts and 20 patients. Finally, the outcome of web-based program was compared by each of 20 lumbar discectomy patients allocated to experimental group (EG) and control group(CG) in term of knowledge level. RESULTS: The web-based program was developed with 24 screens categorized 6 categories. Satisfaction scores on information relevance and information usefulness of experts were higher than those of patients. The EG's scores on knowledge level was significantly higher than those of CG. CONCLUSIONS: We can conclude that web-based information program is more effective tool than the traditional education method to enhancing knowledge level. We suggest that various web-based programs for other patient groups expecting surgeries should be developed in order to satisfy the patients' needs more effectively.
Diskectomy
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Humans
9.Strategies for Noncontained Lumbar Disc Herniation by an Endoscopic Approach : Transforaminal Suprapedicular Approach, Semi-Rigid Flexible Curved Probe, and 3-Dimensional Reconstruction CT with Discogram.
Ki Hwan CHAE ; Chang Il JU ; Seung Myung LEE ; Byoung Wook KIM ; Saeng Youp KIM ; Hyeun Sung KIM
Journal of Korean Neurosurgical Society 2009;46(4):312-316
OBJECTIVE: The purpose of this study was to evaluate the efficacy of a transforaminal suprapedicular approach, semi-rigid flexible curved probe, and 3-dimensional reconstruction computed tomography (3D-CT) with discogram in the endoscopic treatment of non-contained lumbar disc herniations. METHODS: The subjects were 153 patients with difficult, non-contained lumbar disc herniations undergoing endoscopic treatment. The types of herniation were as follows : extraforaminal, 17 patients; foraminal, 21 patients; high grade migration, 59 patients; and high canal compromise, 56 patients. To overcome the difficulties in endoscopic treatment, the anatomic structures were analyzed by 3D reconstruction CT and the high grade disc was extracted using a semi-rigid flexible curved probe and a transforaminal suprapedicular approach. RESULTS: The mean follow-up was 18.3 months. The mean visual analogue scale (VAS) of the patients prior to surgery was 9.48, and the mean postoperative VAS was 1.63. According to Macnab's criteria, 145 patients had excellent and good results, and thus satisfactory results were obtained in 94.77% cases. CONCLUSION: In a posterolateral endoscopic lumbar discectomy, the difficult, non-contained disc is considered to be the most important factor impeding the success of surgery. By applying a semi-rigid flexible curved probe and using a transforaminal suprapedicular approach, good surgical results can be obtained, even in high grade, non-contained disc herniations.
Diskectomy
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Diskectomy, Percutaneous
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Follow-Up Studies
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Humans
10.Anterior Cervical Bisegmental Interbody Fusion with Titanium Cage(RABEA) in Degenerative Cervical Disease: Comparative Analysis with Monosegmental Interbody Fusion.
Seung KIM ; Tae Sung KIM ; Jun Seok KOH ; Young Jin LIM ; Gook Ki KIM ; Bong Arm RHEE
Journal of Korean Neurosurgical Society 2003;34(5):440-444
OBJECTIVE: It is not uncommon to perform anterior discectomy for two adjacent disc levels in degenerative cervical disease due to diagnostic problems. The purpose of this study is to assess the effectiveness of titanium cage(RABEA) applied to two-level cervical degenerative disc disease, which is compared with the result of fusion with the same cage for one-level disc disease. METHODS: Between January 1999 and March 2003, 52 patients with degenerative cervical disease underwent anterior discectomy and interbody fusion with titanium cage(RABEA). Among them, 23 patients could be followed-up for more than 1 year. Ten patients received interbody fusion at one disc level(Group A), and 13 patients at two adjacent disc levels(Group B). Clinical outcome, fusion rate, disc space height and change of lordotic angle were analyzed in both groups. RESULTS: Clinical outcome according to Odom's criteria was excellent and good in 9(90%) of Group A and 11(84.6%) of Group B. The bone fusion rate of Group B was slightly lower than that of Group A. The height of disc space was well maintained until 1 year postoperatively in both groups. The change of the cervical lordotic angle has no significant difference between the two groups. CONCLUSION: Interbody fusion with titanium cage(RABEA) for two-level degenerative cervical disease may be an acceptable treatment modality due to relatively good clinical outcome despite slightly low fusion rate.
Diskectomy
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Humans
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Titanium*