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Surgical management of spinal disease in renal recipients

Authors
 Do Heum Yoon  ;  Hyun Chul Shin  ;  Keung Nyun Kim  ;  Sang Won Lee  ;  Seong Yi  ;  Ki II Park  ;  Yoo Sun Kim  ;  Sun II Kim 
Citation
 CLINICAL TRANSPLANTATION, Vol.19(5) : 632-637, 2005 
Journal Title
 CLINICAL TRANSPLANTATION 
ISSN
 0902-0063 
Issue Date
2005
MeSH
Female ; Follow-Up Studies ; Humans ; Kidney Failure, Chronic/complications ; Kidney Failure, Chronic/surgery ; Kidney Transplantation* ; Laminectomy* ; Lumbar Vertebrae* ; Male ; Middle Aged ; Orthopedic Procedures* ; Retrospective Studies ; Spinal Diseases/complications ; Spinal Diseases/surgery* ; Thoracic Vertebrae* ; Treatment Outcome
Keywords
complication ; osteoporosis outcome ; renal recipient ; spine surgery
Abstract
Object and background:  The survival of renal recipients improved dramatically and long-term survival of renal graft patients is common, which in turn increases the chance of these patients requiring spinal surgery. However, there are few appropriate reports about the results of spine surgery on renal recipients. This study was undertaken to analyze the authors’ experience of spine surgery after renal transplantation. Methods:  Thirty-two renal recipients who underwent spine surgery with regular follow-up of more than 24 months were included in this study. The patients’ medical records and the radiological reports were reviewed retrospectively and their postoperative conditions were evaluated during their regular visits or by telephone. Results:  The mean duration from the renal transplantation to spinal surgery was 6 ± 1.2 yr. Among spinal diseases of renal recipients, there were 23 cases of degenerative spinal diseases, seven cases of vertebral compression fracture, and two spinal cord tumors. The operation methods were conventional spine surgery with or without bone fusion (27 cases), percutaneous vertebroplasty (three cases) and tumor resection (two cases). The mean values of the Prolo scale in the preoperative (4.5 ± 0.3) and postoperative (7.4 ± 0.4) period showed significant clinical improvement after the operation. Postoperative renal function was not deteriorated in any patients and there were no major complications. Conclusion:  Spine surgery can be performed with acceptable clinical results and without major complications in renal recipients. Spine surgery has no aggravating effect on the patients’ renal function. Surgery is a valuable, safe option for the treatment of spinal disease in this rare distinct group of patients.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/j.1399-0012.2005.00368.x/abstract
DOI
10.1111/j.1399-0012.2005.00368.x
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Keung Nyun(김긍년)
Kim, Soon Il(김순일) ORCID logo https://orcid.org/0000-0002-0783-7538
Kim, Yu Seun(김유선) ORCID logo https://orcid.org/0000-0002-5105-1567
Park, Ki Il(박기일)
Shin, Hyun Chul(신현철)
Yoon, Do Heum(윤도흠) ORCID logo https://orcid.org/0000-0003-1452-5724
Lee, Sang Won(이상원)
Yi, Seong(이성)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/150456
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