The Graf stabilization has been introduced in treating lumbar spinal disorder associated with posterior instability. This study reviewed some problems of the Graf instrumentation as a soft stabilizer. The purpose of this study is to analyse the problems of the soft stabilization in spinal instability. We reviewed 145 cases which were operative treatment using the Graf instrument for lumbar spinal disorder associated with posterior instability at our department from May, 1991 to Dec, 1995. The mean follow up periods was 29 months ranging from 24 months to 6 years 8 months. Of the 145 cases, 22 cases were showed the problem. The diagnostic method were simple x-ray, flexion-extension lateral stress view and CT scan. Results were as follows : Adjacent segmental instability was 10 cases(6.9%), disc space narrowing was 8 cases(5.5%), screw loosening was 3 cases(2.1%) and breakage of the Graf band was 1 case(0.6%). The problems of the soft stabilization were adjacent segmental instability, disc space narrowing, screw loosening, and breakage of the Graf band. But the rate of adjacent segmental instability and disc space narrowing was lower than other lumbar spinal instrumentation.
Follow-Up Studies ; Tomography, X-Ray Computed

Bare sclera technique for pterygium is used frequently because of its lower recurrence rate than those of other techniques. Various factors may influence reepithelialization of the bare sclera and the corneal defects. We excised various sizes of conjunctiva and abraded corneal epithelium in rabbits, and then studied at various intervals the pattern and the rate of their reepithelialization over the bare sclera and the cornea along with histologic findings, and the effect of 0.04 % mitomycin eyedrops on reepithelialization. We obtained the following results. 1. The bare sclera was epithelialized completely by the 7th or 8th day postoperatively, when the conjunctiva was serially excised, ranging from 3 X 3 mm to 6 X 6 mm in size. The rate of reepithelialization between the groups was not statistically significant(p>0.05). 2. The defect of the cornea was epithelialized by the 3rd day postoperatively in all experimental groups, and the reepithelialization rate between the groups was not statistically significant(p>0.05). 3. Reepithelialization over the bare sclera progressed posteriorly from the limbus, however, in the case of the cornea, epithelialization progressed from the margin of the defect to the limbus. 4. 0.04% mitomycin eyedrops did not have any effect on epithelialization over the bare sclera and the corneal defect.
Conjunctiva* ; Cornea ; Epithelium, Corneal ; Mitomycin ; Ophthalmic Solutions ; Pterygium ; Rabbits* ; Re-Epithelialization* ; Recurrence ; Sclera

Bare sclera technique for pterygium is used frequently because of its lower recurrence rate than those of other techniques. Various factors may influence reepithelialization of the bare sclera and the corneal defects. We excised various sizes of conjunctiva and abraded corneal epithelium in rabbits, and then studied at various intervals the pattern and the rate of their reepithelialization over the bare sclera and the cornea along with histologic findings, and the effect of 0.04 % mitomycin eyedrops on reepithelialization. We obtained the following results. 1. The bare sclera was epithelialized completely by the 7th or 8th day postoperatively, when the conjunctiva was serially excised, ranging from 3 X 3 mm to 6 X 6 mm in size. The rate of reepithelialization between the groups was not statistically significant(p>0.05). 2. The defect of the cornea was epithelialized by the 3rd day postoperatively in all experimental groups, and the reepithelialization rate between the groups was not statistically significant(p>0.05). 3. Reepithelialization over the bare sclera progressed posteriorly from the limbus, however, in the case of the cornea, epithelialization progressed from the margin of the defect to the limbus. 4. 0.04% mitomycin eyedrops did not have any effect on epithelialization over the bare sclera and the corneal defect.
Conjunctiva* ; Cornea ; Epithelium, Corneal ; Mitomycin ; Ophthalmic Solutions ; Pterygium ; Rabbits* ; Re-Epithelialization* ; Recurrence ; Sclera

STUDY DESIGN: This is a retrospective study analyzing 73 patients treated by decompression, pedicular screw instrumentation and posterior lumbar interbody fusion (PLIF) for lumbosacral spondylolithesis and symptomatic spinal stenosis. we used laminected laminar and spinous process instead of iliac bone. OBJECTIVES: This is to evaluate fusion rate and clinical results of PLIF with laminected laminar and spinous process. MATERIALS AND METHODS: PLIF in 73 patients with lumbosacral disorders who carried out at Pohang St. Mary's Hospital from March 1994 to January 1996. Fusion rate was evaluated by simple X-ray and dynamic view. Clinical effect was evaluated by Kirkaldy-Willis criteria. RESULTS: The solid fusion was achieved at 67 cases(91.8%) and the average period of fusion was 6.4 months. Complications were 2 cases of superficial skin infection and 3 cases of root irritation. The functional results by Kirkaldy-Willis were as follows ; excellent 40 cases, good 23 cases, fair 9 cases and poor 1 case. CONCLUSIONS: This PLIF procedure combined with transpedicular instrumentation showed sufficient fusion rate and excellent clinical results and improvement in vertebral alignment.
Decompression ; Gyeongsangbuk-do ; Humans ; Retrospective Studies ; Skin ; Spinal Stenosis

Hypersensitivity myocarditis is an inflammatory disease of the myocardium usually related to drug allergy. The clinical manifestation may be nonspecific, and the diagnosis is seldom suspected or established during the life. So in most of the reported patients, the diagnosis was made at autopsy. Although, retrospectively, more than 90% of the patients described have had clinically recognizable cardiac involvement before death, tole clinical suspicion of hypersensitivity myocarditis is rare. The presence of nonspecific cardiac finding in a patient receiving any drug associated with hypersensitivity should alert the clinician to the possibility of drug related myocarditis. We experienced a case of hypersensitivity myocarditis accompanying allergic skin lesion in a 58 years old man with a history of taking cefadroxil. Fortunately, the outcome was favorable, therefore we do not have histologic confirmation of the diagnosis.
Autopsy ; Cefadroxil ; Diagnosis ; Drug Hypersensitivity ; Humans ; Hypersensitivity* ; Middle Aged ; Myocarditis ; Myocardium ; Retrospective Studies ; Skin

No abstract available.
Hepatitis B Surface Antigens* ; Humans ; Prevalence*

The os calcis is most frequently fractured than any other tarsal bone and the displaced intraarticular fractures account for 60-75% of them. Because of complex contour of calcaneous, it is difficult to evaluate the pattern of fracture exactly by conventional roentgenograms. But recently, more detailed understanding of fracture pattern can be possible with CT scan, which is thought to be one of the most important factor in deciding method of treatment and predicting prognosis. From Jan. 1992 to Dec. 1992, intraarticular calcaneal fractures of 31 cases treated in Kyungpook university hospital were analysed preoperatively with CT scan and classified by Sanders classification system. The results were obtained as follows: 16 cases of 31 cases were classified as type II and this type were sudivided as IIA in 7 cases, IIb in 4 cases, IIC in 5 cases. Type III fractures were found in 9 cases and subdivided as III AB in 3 cases, III BC in 4 cases IIIAC in 2 cases. Type IV fractures were found in 6 cases.
Classification ; Gyeongsangbuk-do ; Intra-Articular Fractures ; Methods ; Prognosis ; Tarsal Bones ; Tomography, X-Ray Computed

There has been considerable controversy in the treatment of acute grade 3 injuries of acromioclavicular joint. Neviaser reported that the possibility of a latent degenerative arthritis occurring in the acromioclavicular joint as the result of passing Kirschner wire through the joint was more theoretical than real and any changes that may take place in the acromioclavicular joint were the result of trauma. The acromioclavicular joint and the articular disc were not disturbed at the time of operation in Neviaser technique, but we excised the articular disc that were torn for the purpose of preventing acromioclavicular joint from degenerative arthritis. We had treated 26 cases of grade 3 injuries of acromioclavicular joint with modified Neviaser technique from June 1990 to May 1994 at the Pohang St. Mary’s Hospital. The results were as follows. 1. The clinical results by Weitzman were consisted of 18 cases(69%) of excellent, 6 cases(23%) of good, 2 cases(8%) of fair and 0 case(0%) of poor. 2. Loss of reduction was 1.6mm by stress views of final reviews and didn’t affect to functional result. 3. There were no cases of redislocation of acromioclavicular joint after removal of Kirschner wires. 4. There were no cases of degenerative arthritis of acromioclavicular joint in final review. There result suggest that excision of the articular disc that were torn may be helpful in preventing acromioclavicular joint from degenerative arthritis.
Acromioclavicular Joint ; Bone Wires ; Gyeongsangbuk-do ; Joints ; Osteoarthritis

No abstract available.
Knee Joint* ; Knee* ; Torque*

The small bowel is the least common site for cancer to arise. Only approximately 1% of all gastrointestinal neoplasms arise in the small bowel. Mucinous adenocarcinoma is diagnosed when the amount of extracellular mucin in a tumor is over 50%. Because it is a very rare disease, there is little data available concerning its incidence, most common site of origin, and common sites of metastasis. There are no case reports describing primary mucinous adenocarcinoma of the jejunum in Korea. We report a case of jejunal mucinous adenocarcinoma metastatic to the stomach presenting as a submucosal tumor.
Adenocarcinoma, Mucinous ; Gastrointestinal Neoplasms ; Humans ; Incidence ; Jejunum ; Korea ; Mucins ; Neoplasm Metastasis ; Rare Diseases ; Stomach