We have retrospectively analyzed the clinical and radiological outcome in 22 cervical spondylotic myeloradiculopathy patients who underwent combined front anterior decompression and fusion) and back (open door laminoplasty) surgery between Mar. 1991 and Jan. 1995. Clinical symptoms were evaluated by Japanese Orthopaedic Association(JOA) score and the recovery rate. Plain radiogram and MIR were taken before and after surgery, and then the cervical curvature, change of body to canal ratio and the A-P compression ratio of the cord were measured and compared to the clinical symptoms. Results : The mean JOA score increased from 10.1±3.3 preoperatively to 14.7±1.4 at the final follow-up with a mean recovery rate of 64.4%. No patients deteriorated as a result of the combined procedure. Post-op. radiograms showed an increasement of body to ratios (average 0.69±0.09 pre-op. to 1.0±0.13 post-op.) and maintenance or recovery of cervical Lordosis. On MRI, the A-P compression ratios of the cord were increased with recovery of subarachnoid space after the operation in most cases (average 38.4±7.6 pre-op. to 55.7±7.2 post-op.). Conclusion : This combined procedure safely and effectively resulted in decompression of the spinal cord and good functional recovery in patients with 1) anterior and posterior pathology, 2) narrow spinal canal and large spondylotic bar or herniated disc encroaching the spinal canal more than 5mm, 3) narrow spinal canal and kyphotic deformity, 4) narrow spinal canal and segmental instability, 5) multisegmental cord compression and severe radiculopathy.
Animals ; Asian Continental Ancestry Group ; Congenital Abnormalities ; Decompression ; Follow-Up Studies ; Humans ; Intervertebral Disc Displacement ; Lordosis ; Magnetic Resonance Imaging ; Pathology ; Radiculopathy ; Retrospective Studies ; Spinal Canal ; Spinal Cord ; Subarachnoid Space

No abstract available.
Alopecia* ; Dutasteride* ; Finasteride*

Episcleral osseous choristoma is a rare isolated bony nodule occurring in the conjunctival or episcleral connective tissue in eyes which are otherwise normal. They are present at birth. This congenital lesion is usually about the size of a pea and typically located in the superotemporal quadrant, some 5 to 10mm from the limbus. Of the 40 reported cases in the literature, none had associated ocular abnormalities. The diagnosis has seldom been suspected preoperatively. Our patient was 3-month-old healthy male baby. For the cosmetic purpose, we had done excisional biopsy. In the histopathologic study, the mass was a dermoid covered with skin and contained fat, hair follicle and osseous tissue at its center. The mass was confirmed to be a complex choristoma, especially osseous choristoma. We report this case because of the rarity of osseous chroistomas combined with complex choristoma.
Biopsy ; Choristoma* ; Connective Tissue ; Dermoid Cyst ; Diagnosis ; Hair Follicle ; Humans ; Infant ; Male ; Parturition ; Peas ; Skin

No abstract available.
Mucinoses*

No abstract available.
Granuloma Annulare ; Rheumatoid Nodule

No abstract available.
Granuloma Annulare ; Rheumatoid Nodule

No abstract available.
Neurofibromatoses*

No abstract available.
Congenital Abnormalities* ; Rhinoplasty*

For implant treatment there must be sufficient bone to house the implant body. At least 5mm wide residual bone is needed and usually a 6mm width is preferred by clinicians. However, surgeons sometimes find patients with a narrow ridge, which makes it difficult to place an implant. Therefore, many clinicians perform bone graft or a ridge splitting technique to overcome these poor conditions. The time and cost can be reduced using the ridge splitting technique with immediate implant placement. Recently, many studies reported reliable consequences of ridge splitting technique. This paper reports a successful of implant placement with a ridge splitting technique in a very thin alveolar ridge.
Alveolar Process ; Humans ; Hypogonadism ; Mitochondrial Diseases ; Ophthalmoplegia ; Transplants

Humans ; Jaw ; Mandible ; Periodontal Ligament ; Transplants