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The surgical intervention for secondary developmental cervical spinal stenosis that results in myelopathy and radiculopathy has been modified by technical improvement to obtain more reliable enlargement of the cervical spinal canal. The authours have experienced good results with the modified open door expansive laminoplasty, so we report this article. The patients were treated by surgical intervention during the period from October 1989 to February 1991. The results obtained were as follows : 1) The average age was 54.7 years, and the sex distribution ratio of female to male was 2 : 8. 2) In clinical symptoms and symptoms of both myelopathy and radiculopathy. 3) In morphological analysis of lesions, all patients except one case had lesions over 3 levels, The lesions were spondylosis, spondylosis combined with soft disc herniation, spondylosis combined with OPLL, spondylosis combined with OPLL and soft disc herniation, OPLL and OYL in the order of frequency. 4) The operation method was as follows : after the patient was positioned in modified Concorde position, open door lamina was anchored to faced joint capsule and surrounding tissue with nylon sutures. And then the raw epidural space was covered with Lyodura by the modified Hirabayashi method. By this method, reclosure of widened spinal canal was prevented. 5) The outcomes were evaluated by JOA score difference between preoperation and post operation times. The outcome of recovery rate was 100% in five cases. Therewere no aggravated or unimproved cases. The results were excellent 8 cases, good 1 case, unchanged 0 case, poor 0 case and expired 1 case.
Epidural Space ; Female ; Humans ; Joint Capsule ; Male ; Nylons ; Radiculopathy ; Sex Distribution ; Spinal Canal ; Spinal Cord Diseases ; Spinal Stenosis* ; Spondylosis ; Sutures

10.Esophageal ulceration induced by zidovudine in a patient with AIDS.

Dong Ho NAM ; Joon Myung KIM ; Jae Yoon JUN ; Chun Soo HONG

Korean Journal of Infectious Diseases 1993;25(3):249-252

1.Immune complex-induced increases in collagen production by cultured mesangial cells modulated by dexamthasone and heparin.

2.Effects of glucose, insulin and somatostatin on collagen production by glomerular mesangial cell.

3.Staphylococcal peritonitis associated with appendiceal perforation in a patient with CAPD.

4.Change of thyroid functions in patients with end stage renal disease following renal transplantation.

5.Change of thyroid functions in patients with end stage renal disease following renal transplantation.

6.3 cases of tuberculous peritonitis complicating long-term CAPD.

7.Renal vein thrombosis in patients with nephrotic syndrome.

8.Plasma concentrations and productions of IL-1, TNFalpha IL-6 by peripheral blood mononuclear cells in chronic hemodialyzed patients.

9.The Experiences of Modified Bilateral Open Expansive Laminoplasty in Secondary Developmental Spinal Stenosis.

10.Esophageal ulceration induced by zidovudine in a patient with AIDS.

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