1.Treatment of the Unstable Thoracolumbar Spine Fractures Using Posterior Approach
Yung Tae KIM ; Yong Jung KIM ; Jong Ki JUNG
The Journal of the Korean Orthopaedic Association 1995;30(6):1670-1679
Continued improvements in treatments of the thoracolumber spine have occured in the last several years. The operative treatment of choice currently is short segment fusion(instrumentation one level above to one level below the injury). The development of pedicle screw systems has brought short segment fusion into clinical reality from the posterior approach. We analysed the clinical results of 20 patients with unstable fracture and fracture-dislocation of thoracolumbar spine who were treated with the posterior transpedicular screw system. The mean fol- low-up was 18 month. Ll was the most common injury level and the bursting fracture was the most common fracure type by Denis classification. The mean preoperative sagital index was 21.5。 and improved 8.1。 postoperatively. The mean preoperative anterior and posterior height of the vertebral height were 56.9% and 88.8% and improved postoperatively 94.7 and 88.8 respectively. The mean preoperative neural canal impingement in neural defici: patient was 47.2% and was improved 30.65% postoperatively. The mean prooperative ASIA motor was 34.1 and improved 41.7 postoperatively. There was no metal failure. These data suggested that the posterior transpedicular screw fixation, transpedicle bone graft, decompression and posterolateral bone graft was able to porvide sufficient stability and to achieve the neurologic improvement.
Asia
;
Classification
;
Decompression
;
Humans
;
Neural Tube
;
Pedicle Screws
;
Spine
;
Transplants
2.Cervical spinal cord injury by the impingement of fractured lamina.
Jae Yoon CHUNG ; Ki Jung JUN ; Jung Tae HUR
The Journal of the Korean Orthopaedic Association 1992;27(4):1208-1211
No abstract available.
Spinal Cord Injuries*
;
Spinal Cord*
3.Anterior Plate Fixation of the Cervical Spine Fractures in Ankylosing Spondylitis.
Jae Yoon CHUNG ; Jung Pil HEO ; Ki Tae YI
Journal of Korean Society of Spine Surgery 1997;4(1):106-113
No abstract available.
Spine*
;
Spondylitis, Ankylosing*
4.Surgical management of pulmonary tuberculosis: a review of 3,566 cases.
Ki Jung KWON ; Eung Soo KIM ; Tae Won KWON
The Korean Journal of Thoracic and Cardiovascular Surgery 1992;25(5):480-493
No abstract available.
Tuberculosis, Pulmonary*
5.The Response to a Cholesterol-Lowering Diet Instructed by Physicians and Dieticians.
Ga Young LEE ; Tae Jin PARK ; Ki Jung KIM
Journal of the Korean Academy of Family Medicine 1997;18(10):1042-1053
BACKGROUND: This study was performed to compare the effectiveness of cholesterol-lowering diet therapy instructed by physicians with that instructed by dieticians using techniques that remove regression to the mean. METHODS: 118 patients who visited the office of Family Medicine department in Pusan Paik Hospital from February to November, 1996 and had serum total cholesterol(TC) concentrations greater or equal to 200mg/dL from two measurements were enrolled. The patients were divided into two groups randomly according to the cholesterol-lowering dietary education methods : the one was educated by physicians(Group I), and the other by dieticians(Group II). We evaluated the differences of lipid levels after education in consideration of regression to the mean. RESULTS: The mean reduction in TC concentrations achieved by dietary therapy was 10.7 % and 7.3%(without and with adjustment for regression to the mean) in Group I, and 9.8 and 6.5%(without and with adjustment, for regression to the mean) in Group II. The baseline TC concentrations and TC concentrations after dietary therapy were significantly different in individual group regardless of adjustment for regression to the mean. However, the reduction degrees of TC concentrations were not significantly different between two groups. CONCLUSIONS: The results indicate that even after adjustment for regression to the mean, dietary therapy will achieve the expected reduction. And it seems that the diet education by physicians will be effective as much as that by dieticians.
Busan
;
Diet Therapy
;
Diet*
;
Education
;
Humans
;
Nutritionists*
6.A Case of Nodular Amyloidosis.
Seok Ki JUNG ; Seung Ho CHANG ; Tae Young YOON
Annals of Dermatology 1999;11(1):47-50
A 38-year-old male patient visited our clinic complaining of three skin lesions on the scalp. There were yellowish to brownish, waxy, non-tender, walnut-sized nodules. Hematoxylin and eosin staining revealed amorphous pinkish material deposits in the dermis. The Congo red stain and Dylon stain under polarizing microscopy showed yellow-green birefringence and the immunoglobulin-lambda light chain stain showed a positive reaction. An electron microscopic examination revealed filaments with uniform diameter(6 to 10nm) that were straight and neither branched nor anastomosed. Based on the clinical, histopathological, immunohistochemical and electron microscopical findings, the skin lesions were diagnosed as nodular amyloidosis.
Adult
;
Amyloidosis*
;
Birefringence
;
Congo Red
;
Dermis
;
Eosine Yellowish-(YS)
;
Hematoxylin
;
Humans
;
Male
;
Microscopy
;
Scalp
;
Skin
7.Cutaneous Manifestations in Sepsis Caused by Methicillin-Resistant Staphylococcus aureus.
Seok Ki JUNG ; Seung Ho CHANG ; Tae Young YOON
Korean Journal of Dermatology 1998;36(2):335-340
Sepsis refers to the systemic response to serious infection. Patients with sepsis usually manifest fever, tachycardia, tachypnea, leukocytosis, and a localized site of infection. Methicillin-resistant Staphylococcus aureus(MRSA) is a gram-positive, nonmotile, aerobic, catalase- positive coccus, which is resistant to all the B -lactam antibiotics. Cutaneous manifestations in sepsis are maculopapules, nodules, petechiae, ecchymoses, purpurae, pustules, vesiculobullae, hemorrhagic bullae and ulcers. When MRSA is identified in blood cultures and skin tissue cultures, the skin lesions can be considered as cutaneous manifestations in sepsis caused by MRSA. We report two cases with erythematous pustules, petechiae, hemorrhagic bullae and maculopapules caused by MRSA sepsis. MRSA grew in blood cultures and skin tissue cultures.
Anti-Bacterial Agents
;
Ecchymosis
;
Fever
;
Humans
;
Leukocytosis
;
Methicillin Resistance*
;
Methicillin-Resistant Staphylococcus aureus*
;
Purpura
;
Sepsis*
;
Skin
;
Staphylococcus
;
Tachycardia
;
Tachypnea
;
Ulcer
8.Endoscopic Anterior Cruciate Ligament Reconstruction with Autogenous Bone-Patellar Tendon-Bone: In Arthroscopic Second Look Cases
Young Bok JUNG ; Suk Ki TAE ; Jae Kwang YUM
The Journal of the Korean Orthopaedic Association 1996;31(6):1288-1298
Nineteen cases out of over 100 cases which had been reconstructed the deficient anterior cruciate ligament(ACL) by the bone-patellar tendon-bone(BPTB) autograft 12 months before or more(mean 15.8 months) were evaluated during the second-look arthroscopy. Before the second-look, the patients were evaluated the clinical results of ACL reconstruction by the Müller's knee rating score and the radiographical results by the lateral roentgenography of the fully extended knees. The location of the center of tibial tunnel from the anterior end of the line of the tibial plateau was 35.2%(range, 22 to 47%) on average. The average intercondylar roof angle was 36.6 degrees(range, 28 to 45 degrees). The mean percentage of roof impingement was
Anterior Cruciate Ligament Reconstruction
;
Anterior Cruciate Ligament
;
Arthroscopy
;
Autografts
;
Biopsy
;
Collagen
;
Collagen Type I
;
Fibroblasts
;
Humans
;
Knee
;
Minocycline
;
Radiography
;
Transplants
9.In situ saphenous vein bypass in occlusive arterial disease of lower extremity
Sang Joon KIM ; Tae Seung LEE ; Jung Ki CHUNG
Journal of the Korean Society for Vascular Surgery 1992;8(1):28-36
No abstract available.
Lower Extremity
;
Saphenous Vein
10.Operative versus non-operative treatment of the isolated medialcollateral ligament injury of the knee.
Young Bok JUNG ; Seok Ki TAE ; Hyun Wook YOO
Journal of the Korean Knee Society 1992;4(2):216-220
No abstract available.
Knee*
;
Ligaments*