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연골 발육 부전증에 의한 척추관 협착증의 수술적 치료

Other Titles
 Surgical Treatment of Spinal Stenosis Secondary to Achondroplasia 
Authors
 김영수  ;  김긍년  ;  윤도흠  ;  조용은  ;  진동규 
Citation
 Journal of Korean Neurosurgical Society (대한신경외과학회지), Vol.31(5) : 424-428, 2002 
Journal Title
Journal of Korean Neurosurgical Society(대한신경외과학회지)
ISSN
 1225-8245 
Issue Date
2002
Keywords
Achondroplasia ; Spinal stenosis ; Surgical treatment
Abstract
OBJECTIVE: To report the clinical outcome of surgical treatment of spinal stenosis secondary to achondroplasia, the authors review the clinical and radiological presentation.

METHODS: Five cases, two males and three females, of spinal stenosis secondary to achondroplasia were reviewed with medical records and radiologic study. The mean follow-up period was 26.8(range:10-72)months.

RESULTS: In four patients, stenosis was more pronounced at lumbar area. The other patient revealed thoracolumbar and lumbar stenosis with kyphosis at thoracolumbar junction. All patients suffered from neurogenic intermittent claudication. Two patients presented with paraparesis and urinary dysfunction. On radiologic evaluation, all patients showed typical short pedicle, decreased interpedicular distance and severe stenosis. Only decompressive laminectomy was performed without fusion at lumbar area in four patients. One stage posterior interbody fusion and pedicle screw fixation was performed in one case which showed thoracolumbar stenosis and kyphosis. Radicular pain and neurogenic intermittent claudication improved after surgery.

CONCLUSION: One stage posterior lumbar interbody fusion and pedicle screw fixation might be an effective method for the thoracolumbar kyphosis in patients of achondroplasia and for the cases of potential instability following decompression.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Keung Nyun(김긍년)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/144523
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