Journal Detail Information

1

Cite

Share

Extraforaminal Lumbar Interbody Fusion for Cage Migration after Screw Removal: A Case Report.

Myung Hoon KIM ; Seok Won KIM ; Sung Hoon KIM ; Hyeun Sung KIM

Korean Journal of Spine.2013;10(2):104-106. doi:10.14245/kjs.2013.10.2.104

The use of titanium cages for posterior lumbar interbody fusion (PLIF) has gained popularity because it offers the advantages of anterior column support and stabilization. However, cage migration into the spinal canal may have severe or disastrous consequences. Here, the authors report an unexpected case of posterior migration of fusion cages after screw removal in a patient that underwent PLIF 12 months previously. Removal of the offending cages through revision extraforaminal lumbar interbody fusion (ELIF) with percutaneous screw fixation successfully managed this complication. As far as the authors' knowledge, this is the first case report to describe this sort of complication, and cautions that care must be taken to prevent cage migration.
Humans ; Spinal Canal ; Titanium

2

Cite

Share

Anterior Screw Fixation of Anteriorly Displaced Type III Odontoid Fracture Corrected by Transoral Digital Manipulation.

Do Sung LEE

Korean Journal of Spine.2013;10(2):101-103. doi:10.14245/kjs.2013.10.2.101

Type III odontoid fractures have been treated by several methods. In case of anteriorly displaced type III odontoid fracture which is not corrected by closed reduction, anterior screw fixation cannot be used. We report the first case of anterior screw fixation of anteriorly displaced type III odontoid fracture corrected by transoral digital manipulation.

3

Cite

Share

Tuberculous Spondylitis after Percutaneous Vertebroplasty: Misdiagnosis or Complication?.

Jung Hoon KANG ; Hyun Sook KIM ; Seok Won KIM

Korean Journal of Spine.2013;10(2):97-100. doi:10.14245/kjs.2013.10.2.97

So far, there have been few previous reports of tuberculous spondylitis occurring after percutaneous vertebroplasty. We report an unusual case of tuberculous spondylitis diagnosed after percutaneous vertebroplasty in a patient who had a history of pulmonary tuberculosis for the first time. A 58-year-old woman, who had a history of complete recovery from pulmonary tuberculosis six years previously, was hospitalized due to severe back pain after a fall. Radiological studies revealed a fresh compression fracture at the T12 thoracic vertebra. The back pain improved dramatically, and the patient was discharged two days after the vertebroplasty. However, cold sweats and a low grade fever with severe back pain developed four weeks after the procedure. Magnetic resonance imaging revealed a severe kyphosis and the T11-T12 disc space had collapsed with heterogeneous signal intensity. The results of the culture of the biopsy specimens were negative, and did not lead to identification of the causative micro-organism. However, the polymerase chain reaction for Mycobacterium tuberculosis was positive. Treatment for tuberculous spondylitis was started and she underwent posterior fusion and instrumentation from T9-L2 after the markers for infection returned to normal. After surgical intervention, the pain improved and the kyphotic deformity was corrected.
Back Pain ; Biopsy ; Cold Temperature ; Congenital Abnormalities ; Dental Cements ; Diagnostic Errors ; Female ; Fever ; Fractures, Compression ; Humans ; Kyphosis ; Magnetic Resonance Imaging ; Mycobacterium tuberculosis ; Polymerase Chain Reaction ; Spine ; Spondylitis ; Sweat ; Tuberculosis, Pulmonary ; Vertebroplasty

4

Cite

Share

Gelfoam-induced Swallowing Difficulty after Anterior Cervical Spine Surgery.

Joo Chul YANG ; Tae Wan KIM ; Kwan Ho PARK

Korean Journal of Spine.2013;10(2):94-96. doi:10.14245/kjs.2013.10.2.94

Symptomatic diffuse idiopathic skeletal hyperostosis (DISH) is not common. Gelfoam is one of the most commonly used topical hemostatic agents. But, in the partially moistened state, air retained in its pores may result in excessive expansion on contact with liquid. The onset of swallowing difficulty after anterior cervical spine surgery due to appling gelfoam is a rare complication. A 77-year-old man with swallowing difficulty was admitted to our hospital and we diagnosed him as DISH confirmed by radiological study. After removing the DISH, patient's symptom was relieved gradually. However, on postoperative day (POD) 7, the symptom recurred but lesser than the preoperative state. We confirmed no hematoma and esophageal perforation on the operation site. We observed him closely and controlled the diet. Three months later, he had no symptom of swallowing difficulty, and was able to be back on a regular diet, including solid foods. We present a complication case of swallowing difficulty occurring by gelfoam application.
Deglutition ; Diet ; Esophageal Perforation ; Gelatin Sponge, Absorbable ; Hematoma ; Hyperostosis, Diffuse Idiopathic Skeletal ; Spine

5

Cite

Share

Triple Primary Origin Tumor: A Case Report.

Yong Su JUNG ; Se Hoon KIM ; Sung Kon HA ; Sang Dae KIM ; Dong Jun LIM

Korean Journal of Spine.2013;10(2):91-93. doi:10.14245/kjs.2013.10.2.91

Generally, among the extradural spinal tumors, metastatic spinal tumor is much more common than primary spinal tumors. Thus, in the case of a spinal tumor patient with cancer history (such as lung cancer, breast cancer, etc.), we used to infer that the spinal lesion is the metastasis from, primary malignancy. We introduce an experience of a case of triple primary origin tumor in a 57-year-old man. When the spinal lesion was found on the abdominal computed tomography scan, he already had a history of colon cancer and liver cancer. Initially, it was thought that the lesion would probably be a metastatic tumor from the liver or colon cancers, and the operation was performed accordingly. In the pathologic final report, however, the mass was proven to plasmacytoma - the third primary lesion. The patient underwent chemotherapy after surgery. Globally, the triple primary origin tumor has been reported very rarely. With this report, we wish to emphasize the necessity of pathologic confirmation and adequate treatment even in a patient with known malignancies.
Breast Neoplasms ; Colonic Neoplasms ; Humans ; Liver ; Liver Neoplasms ; Lung Neoplasms ; Neoplasm Metastasis ; Plasmacytoma ; Tetracyclines

6

Cite

Share

Steroid-induced Spinal Epidural Lipomatosis after Suprasella Tumor Resection.

Si On KIM ; Keuk Kyu PARK ; Young Jun KWON ; Hyun Chul SHIN ; Chun Sik CHOI

Korean Journal of Spine.2013;10(2):88-90. doi:10.14245/kjs.2013.10.2.88

Spinal epidural lipomatosis (SEL) is an abnormal localized accumulation of fat tissues in the epidural space. It is strongly related with steroid administration. The symptoms of SEL are various and range from back pain to paraplegia. In severe cases, decompressive laminectomy is the choice of treatment. A 32-year-old woman who had been under long-term steroid administration after suprasellar tumor resection was admitted for both leg radiating pain and weakness. She was diagnosed with SEL and had a decompressive laminectomy. During the operation, we found the nerve roots were compressed by epidural fat tissues and engorged vessels. After the operation, her radiating pain was relieved and motor weakness was improved.
Anticoagulants ; Back Pain ; Dental Cements ; Epidural Space ; Female ; Fibrinolytic Agents ; Glycosaminoglycans ; Humans ; Hypoglycemic Agents ; Hypolipidemic Agents ; Laminectomy ; Leg ; Lipomatosis ; Paraplegia

7

Cite

Share

Hemorrhagic Synovial Cyst Associated with Rheumatoid Atlantoaxial Subluxation.

Jae Jon SHEEN ; Dong Kwang SEO ; Seung Chul RHIM ; Seung Ho CHOI

Korean Journal of Spine.2013;10(2):85-87. doi:10.14245/kjs.2013.10.2.85

Synovial cyst on prevertebral space of C1-2 joint is rare but may be associated hemorrhagic event. We describe a case of a 72-year-old woman who presented with sudden severe headache in her left occipital area with dyspnea. She had rheumatoid arthritis for 14-years. Large hemorrhagic cystic mass was seen around prevertebral space of the atlantoaxial joint on the left side on cervical MRI (magnetic resonance image) and it obstructed the nasopharyngeal cavity. Aspiration of the cystic lesion was performed via transoral approach, followed by posterior occipito-cervical fusion. The specimen was xanthochromic, suggesting old hemorrhage. The patient was tolerable on her postoperative course and showed good respiration and relieved headache. We suggest that repeated microtrauma due to atalantoaxial subluxation associated with rheumatoid arthritis as a main cause of hemorrhagic event on the cyst.
Arthritis, Rheumatoid ; Atlanto-Axial Joint ; Dyspnea ; Female ; Headache ; Hemorrhage ; Humans ; Joints ; Respiration ; Synovial Cyst

8

Cite

Share

Desmoid Tumor of the Facet Joint: A Case Report.

Han Ga Wi NAM ; Seung Myung MOON ; Sei Woong JEON ; Hyung Sik HWANG

Korean Journal of Spine.2013;10(2):82-84. doi:10.14245/kjs.2013.10.2.82

Desmoid tumors represent a particular type of fibromatosis. The common sites for extra-abdominal desmoid tumors, known as aggressive fibromatosis, are the shoulder, chest wall, and thigh. Desmiod tumors are rare at facet joints of the spine. We describe a patient with a desmoid tumor of a lumbar facet joint.
Fibroma ; Fibromatosis, Aggressive ; Humans ; Shoulder ; Spine ; Thigh ; Thoracic Wall ; Zygapophyseal Joint

9

Cite

Share

Spontaneous Regression of Extruded Lumbar Disc Herniation: Three Cases Report.

Sung Gon KIM ; Joo Chul YANG ; Tae Wan KIM ; Kwan Ho PARK

Korean Journal of Spine.2013;10(2):78-81. doi:10.14245/kjs.2013.10.2.78

Herniated nucleus pulposus (HNP) is a common disease that induces back pain and radicular pain. Some cases require surgical treatment due to persistent severe pain. However, in some cases, pain can be relieved with conservative treatment or at times relived spontaneously. Therefore, the most effective treatment method for HNP is undefinable. Spontaneous regression of HNP has been recognized with the advancement of radiological diagnostic tools and can explain the reason of spontaneous relief of symptoms without treatment.
Back Pain ; Intervertebral Disc Displacement

10

Cite

Share

ACDF Using the Solis Cage with Iliac Bone Graft in Single Level: Clinical and Radiological Outcomes in Average 36 months Follow-up.

Si Hyuck OH ; Kyeong Wook YOON ; Young Jin KIM ; Sang Koo LEE

Korean Journal of Spine.2013;10(2):72-77. doi:10.14245/kjs.2013.10.2.72

OBJECTIVE: To evaluate the utility of anterior cervical discectomy and fusion (ACDF) with polyetheretherketone (PEEK) cage and autograft through long term(average 36 months) follow-up. METHODS: Thirty selected patients (male:20/female:10) who suffered from cervical radiculopathy, myelopathy or radiculomyelopathy underwent a single level ACDF with PEEK cage and autograft from iliac crest from March 2006 to July 2008 in single institute. We followed patients for an average 36.4+/-8.1 months (ranged from 23 to 49 months). The Japanese Orthopedic Association (JOA) score for evaluation of myelopathy and visual analogue scale (VAS) for radiating pain was used to estimate postoperative clinical outcome. Plain x-ray on true lateral standing flexion, extension and neutral position view and 3D CT scan were used every 6 months after surgery during follow-up period. RESULTS: The mean VAS and JOA scoring improved significantly after the surgery and radiological fusion rate was accomplished by 100% 36 months after the surgery. We had no complication related with the surgery except one case of osteomyelitis. There was one case of Grade I fusion, four cases of grade II, and 25 cases of grade III by radiologic evaluation. CONCLUSION: This long term follow-up study for ACDF with PEEK cage shows that this surgical method is comparable with other anterior cervical fusion methods in terms of clinical outcomes and radiologic fusion rate.
Asian Continental Ancestry Group ; Biocompatible Materials ; Dental Cements ; Diskectomy ; Follow-Up Studies ; Humans ; Ketones ; Orthopedics ; Osteomyelitis ; Polyethylene Glycols ; Radiculopathy ; Spinal Cord Diseases ; Transplants

DISPLAY OPTIONS

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share