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22대 대한민국 국회 국회정보길라잡이 국회의원검색
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Objective: Several types of interspinous process (ISP) devices have the common goal of limiting lumbar extension. In

this study, we selected patients aged older than 60 years with lumbar spinal stenosis and assessed whether ISP devices

are more beneficial in elderly patients with lumbar spinal stenosis than simple decompression.

Methods: Eighteen patients were treated with the Interspinous U device, and 17 patients were treated with decompression

alone during the same period. Clinical results were assessed using the pre- and postoperative visual analogue scale

(VAS) and activities of daily living (ADL). Radiologic results were assessed according to pre-and postoperative anterior

disc height, posterior disc height, foraminal height, spondylolisthesis, segmental coronal angle and lordotic angle at

the treated level.

Results: The mean age of the patients in the interspinous device group was 66.9 years (range 60-78 years), and the mean

age of the patients in the decompression group was 70.6 years (range 60-80 years). The mean pre- and postoperative VAS

scores were 8.5 and 3.8, respectively, in interspinous devices group and 7.7 and 2.5 in the decompression group. Both

groups of patients showed significant improvement in their VAS and ADL scores in comparison with their preoperative

scores. Radiologically, there were no significant differences in anterior and posterior disc height or foraminal height in

the interspinous devices group. Coronal and lordotic angles were reduced postoperatively in the device group but not

in the decompression group. Listhesis at the treated level was significantly aggravated in both groups.

Conclusions: The ISP device was helpful in alleviating pain and improving ADL performance in elderly patients with lumbar

spinal stenosis. It corrected segmental scoliosis and restricted extension. However Interspinous U may induce spondylolisthesis

and do not prevent further displacement of preexisting spondylolisthesis. There should be careful selection to

apply of this device in elderly patients.

권호기사

권호기사 목록 테이블로 기사명, 저자명, 페이지, 원문, 기사목차 순으로 되어있습니다.
기사명 저자명 페이지 원문 목차
Benefits and weaknesses of interspinous devices in elderly patients with lumbar spinal stenosis :comparative study of interspinous U and decompression surgery alone Yong Sook Park ;Young Baeg Kim ;Kyoung Tae Kim pp.1-5

미세 수핵 제거술 후 조기 요부 안정화 운동이 요부 근력과 요통에 미치는 영향 박진규 ;김대훈 pp.6-10

경추 추간판 전치환술과 단독 Cage를 이용한 경추 전방고정술의 임상적, 방사선학적 비교 분석 김범준 ;태현석 ;조태형 ;서중근 pp.11-16

Subsequent vertebral fracture after percutaneous vertebral augmentation :adjacent and non-adjacent vertebral fractures Joon Rok Nam ;Sung Bae Park ;Seong Il Ha pp.17-21

경부와 요부 통증 환자의 통증과 분노의 관계 오재상 ;이경석 pp.22-26

Significant motion factors affecting the outcome of a medial branch block in patients with low back pain developing after trivial trauma Joon Rok Nam ;Sung Bae Park ;Sang Won Yoon ;Young Kee Song pp.27-31

양성 상완신경총 종양 :신경초종 박흥식 ;봉호진 ;김종태 ;장경술 pp.32-34

Huge aneurysmal bone cyst of the sacrum :a case report Hong-Joon Han ;Sang-Gu Lee ;Chan-Woo Park ;Chan-Jong Yoo ;Woo-Kyung Kim pp.35-39

Primary malignant melanoma of the cervical spinal nerve root :a case report Byoung Ill Roh ;Jin Woo Hur ;Jong Joo Rhee ;Hyun Koo Lee pp.40-42

참고문헌 (11건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Anderson PA, Tribus CB, Kitchel SH: Treatment of neurogenic claudication by interspinous decompression: Application of the x stop device in patients with lumbar degenerative spondylolisthesis. J Neurosurg Spine 4:463-71, 2006 미소장
2 Interspinous process devices in the lumbar spine. 네이버 미소장
3 Classification of posterior dynamic stabilization devices. 네이버 미소장
4 One-year Outcome Evaluation after Interspinous Implantation for Degenerative Spinal Stenosis with Segmental Instability 소장
5 An Interspinous Process Distractor (X STOP) for Lumbar Spinal Stenosis in Elderly Patients 네이버 미소장
6 Lim DH, Kim DH, Park CK: Preliminary report about clinical usefulness of interspinous stabilization with interspinous- u in lumbar spinal degenerative diseases. Kor J Spine 1:450-5, 2004 미소장
7 Miyamoto H, Sumi M, Uno K, Tadokoro K, Mizuno K: Clinical outcome of nonoperative treatment for lumbar spinal stenosis, and predictive factors relating to prognosis, in a 5-year minimum follow-up. J Spinal Disord Tech 21:563-8, 2008 미소장
8 Dynamic stabilization with an interspinous process device (the Wallis system) for degenerative disc disease and lumbar spinal stenosis 소장
9 Dynamic Stabilization in Addition to Decompression for Lumbar Spinal Stenosis with Degenerative Spondylolisthesis 네이버 미소장
10 Tsai KJ, Murakami H, Lowery GL, Hutton WC: A biomechanical evaluation of an interspinous device (coflex) used to stabilize the lumbar spine. J Surg Orthop Adv 15:167- 72, 2006 미소장
11 Follow-up Comparison Study of Single-level Posterior Dynamic Stabilization in Lumbar Degenerative Disease 'Interspinous U'vs. 'DIAM' 소장

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