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Surgical Treatments for Lumbar Disc Disease in Adolescent Patients; Chemonucleolysis / Microsurgical Discectomy / PLIF with Cages

DC Field Value Language
dc.contributor.author구성욱-
dc.contributor.author김근수-
dc.contributor.author윤영설-
dc.contributor.author조용은-
dc.contributor.author진동규-
dc.contributor.author진병호-
dc.date.accessioned2017-05-04T07:29:13Z-
dc.date.available2017-05-04T07:29:13Z-
dc.date.issued2005-
dc.identifier.issn0513-5796-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/147360-
dc.description.abstractThe herniated lumbar disc (HLD) in adolescent patients is characterized by typical discogenic pain that originates from a soft herniated disc. It is frequently related to back trauma, and sometimes it is also combined with a degenerative process and a bony spur such as posterior Schmorl's node. Chemonucleolysis is an excellent minimally invasive treatment having these criteria: leg pain rather than back pain, severe limitation on the straight leg raising test (SLRT), and soft disc protrusion on computed tomography (CT). Microsurgical discectomy is useful in the cases of extruded or sequestered HLD and lateral recess stenosis due to bony spur because the nerve root is not decompressed with chymopapain. Spinal fusion, like as PLIF, should be considered in the cases of severe disc degeneration, instability, and stenosis due to posterior central bony spur. In our study, 185 adolescent patients, whose follow-up period was more than 1 year (the range was 1 - 4 years), underwent spinal surgery due to HLD from March, 1998 to December, 2002 at our institute. Among these cases, we performed chemonucleolysis in 65 cases, microsurgical discectomy in 94 cases, and posterior lumbar interbody fusion (PLIF) with cages in 33 cases including 7 reoperation cases. The clinical success rate was 91% for chemonucleolysis, 95% for microsurgical disectomy, and 89% for PLIF with cages, and there were no nonunion cases for the PLIF patients with cages. In adolescent HLD, chemonucleolysis was the 1st choice of treatment because the soft adolescent HLD was effectively treated with chemonucleolysis, especially when the patient satisfied the chemonucleolysis indications.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.languageEnglish-
dc.publisherYonsei University-
dc.relation.isPartOfYONSEI MEDICAL JOURNAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdolescent-
dc.subject.MESHAdult-
dc.subject.MESHChild-
dc.subject.MESHDiskectomy/instrumentation-
dc.subject.MESHDiskectomy/methods*-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHHumans-
dc.subject.MESHIntervertebral Disc Chemolysis*-
dc.subject.MESHIntervertebral Disc Displacement/surgery*-
dc.subject.MESHIntervertebral Disc Displacement/therapy*-
dc.subject.MESHLumbar Vertebrae/surgery*-
dc.subject.MESHMicrosurgery-
dc.subject.MESHSpinal Fusion/instrumentation-
dc.subject.MESHSpinal Fusion/methods*-
dc.subject.MESHTreatment Outcome-
dc.titleSurgical Treatments for Lumbar Disc Disease in Adolescent Patients; Chemonucleolysis / Microsurgical Discectomy / PLIF with Cages-
dc.typeArticle-
dc.publisher.locationKorea (South)-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Neurosurgery (신경외과학교실)-
dc.contributor.departmentDept. of Neurosurgery (신경외과학교실)-
dc.contributor.departmentDept. of Neurosurgery (신경외과학교실)-
dc.contributor.departmentDept. of Neurosurgery (신경외과학교실)-
dc.contributor.departmentDept. of Neurosurgery (신경외과학교실)-
dc.contributor.departmentDept. of Neurosurgery (신경외과학교실)-
dc.contributor.googleauthorSung-Uk Kuh-
dc.contributor.googleauthorYoung-Soo Kim-
dc.contributor.googleauthorYoung-Eun Cho-
dc.contributor.googleauthorYoung-Sul Yoon-
dc.contributor.googleauthorByung-Ho Jin-
dc.contributor.googleauthorKeun-Su Kim-
dc.contributor.googleauthorDong-Kyu Chin-
dc.identifier.doi10.3349/ymj.2005.46.1.125-
dc.contributor.localIdA00196-
dc.contributor.localIdA00330-
dc.contributor.localIdA02578-
dc.contributor.localIdA03865-
dc.contributor.localIdA03979-
dc.contributor.localIdA03982-
dc.relation.journalcodeJ02813-
dc.identifier.eissn1976-2437-
dc.identifier.pmid15744815-
dc.subject.keywordAdolescent disc herniation-
dc.subject.keywordlumbar chemonucleolysis-
dc.subject.keywordmicrosurgical discectomy-
dc.subject.keywordposterior lumbar interbody fusion (PLIF)-
dc.contributor.alternativeNameKuh, Sung Uk-
dc.contributor.alternativeNameKim, Keun Su-
dc.contributor.alternativeNameYoon, Young Sul-
dc.contributor.alternativeNameCho, Yong Eun-
dc.contributor.alternativeNameChin, Dong Kyu-
dc.contributor.alternativeNameJin, Byung Ho-
dc.citation.volume46-
dc.citation.number1-
dc.citation.startPage125-
dc.citation.endPage132-
dc.identifier.bibliographicCitationYONSEI MEDICAL JOURNAL, Vol.46(1) : 125-132, 2005-
dc.date.modified2017-05-04-
dc.identifier.rimsid48532-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers

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