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Contents

Symptomatic myelopathy caused by ossification of the yellow ligament / Seok-Won Kim ; Seung-Myung Lee ; Ho Shin 1

[요약] 1

INTRODUCTION 1

MATERIALS AND METHODS 1

RESULTS 2

DISCUSSION 3

CONCLUSION 5

REFERENCES 5

초록보기

Objectives: This study was performed to de-scribe the clinical presentation, surgical out-come in patients with symptomatic myelo-pathy caused by ossification of the yellow ligament (OYL). Method: The authors reviewed consequent 12 patients in whom posterior decompressive laminectomy were performed for OYL from 1999 to 2005. A retrospective study of the patients, including 4 men and 8 women was conducted. Diagnostic imagings including simple radiographs, computed tomography (CT) and magnetic resonance images (MRI) were performed in every case. The patients were reviewed to evaluate the clinical presentation, surgical outcome and complications of the operation. Results: In all patients, OYL was located in the lower thoracic region and all patients presented with lower limb numbness and pain. Among them, 5 patients presented with gait disturbance due to paraparesis and two patients had sphincter dysfunction. Decompressive laminectomy through a posterior approach using microscope resulted in improvement of symptoms in all patients, but, recovery was incomplete in a half of the patients. The mean postoperative Japanese orthopaedics association (JOA) score was 7.9 when com-pared with 4.9 in preoperative assessment and the mean recovery rate was 65%. Dural tear was noticed in four patients, so dural repair was performed, but there was no operative mortality. Conclusion: OYL is an uncommon cause of myelopathy but it can lead to debili-tating thoracic myelopathy. Careful decom-pressive laminectomy can achieve favorable results

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Actin in cell motility Sung-Haeng Lee pp.1-6

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A brief introduction to docking programs in drug design Seung-Joo Cho pp.7-14

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Symptomatic myelopathy caused by ossification of the yellow ligament Seok-Won Kim ;Seung-Myung Lee ;Ho Shin pp.15-19

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Regulation of vibrio vulnificus hemolysin production by changes of temperature and salinity Sung-Heui Shin pp.20-25

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Purification and antibiotic activity studies of the antimicrobial protein from human amniotic fluid Seong-Cheol Park ;Sang-Joon Choi ;Yoonkyung Park ;Kyung-Soo Hahm pp.26-30

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Laboratory predictors of meningitis in scrub typhus Ji-In Kang ;Dong-Min Kim pp.31-36

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Cavernous hemangioma of the breast :case report and review of the literature Keun-Hong Kee ;Gwang-Ryoul Lee pp.37-39

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Combined laminectomy and partial costotransversectomy for total resection of giant upper thoracic dumbbell tumor :a case report Seok-Won Kim ;Chang-Il Ju ;Seung-Myung Lee ;Ho Shin pp.40-43

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Emphysematous gastritis developed in hemostasis for gastric ulcer hemorrhage :a case report Ji-Su Ha ;Seung-Seog Ki ;Hoon-Il Kim ;Hye-Young Shin ;Eun-Hoon Song ;Jae-Woong Tae ;Bong-Jin Ko pp.44-48

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Bronchial stenosis in patient with Wegener's granulomatosis Jae-Kwang Lee ;Hyun-Jin Kim ;Hyun-Sook Kim pp.49-52

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참고문헌 (13건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Polgar F. Uber interakuelle wirbelverkalkung. Fortschr Geb Rongenstr Nuklearmed Erganzungsband 1920; 40: 292-8. 미소장
2 Surgical Outcome and Prognostic Factors of Ossified Ligamentum Flavum of the Thoracic Spine 소장
3 Okada K, Oka S, Tohge K, Ono K, Yonenobu K, Hosoya T. Thoracic myelopathy caused by ossification of the ligamentum flavum. Clinico-pathologic study and surgical treatment. Spine 1991;16: 280-7. 미소장
4 Clinical analysis and prognostic study of ossified ligamentum flavum of the thoracic spine. 네이버 미소장
5 Ossification of thoracic ligamenta flava 네이버 미소장
6 Ono k, Yonenobu K, Miyamoto S. Pathology of ossification of the posterior longitudinal ligament and ligamentum flavum. Clin orthop 1999; 359:18-26. 미소장
7 Ossification of the Ligamenta Flava With Severe Myelopathy in a Black Patient 네이버 미소장
8 Ossification in the cephalic attachment of the ligamentum flavum. An anatomical and CT study. 네이버 미소장
9 Ultrastructural study of calcification process in the ligamentum flavum of the cervical spine. 네이버 미소장
10 Miyasaka K, Kaneda K, Sato S, Iwasaki Y, Abe S, Takei H, Tsuru M, Tashiro K, Abe H, Fujioka Y. Myelopathy due to ossification or cal-cification of the ligamentum flavum: radiologic and histologic evaluations. AJNR Am J Neurora-diol 1983; 14: 629-32. 미소장
11 MRI of Ossification of Ligamentum Flavum 네이버 미소장
12 Thoracic myelopathy secondary to ossification of the spinal ligament. 네이버 미소장
13 Elevated plasma fibronectin concentrations in patients with ossification of the posterior longitudinal ligament and ossification of the ligamentum flavum. 네이버 미소장

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