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노인 환자에서 척추경 나사못을 이용만 요추부 수술
DC Field | Value | Language |
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dc.contributor.author | 이환모 | - |
dc.date.accessioned | 2020-01-23T05:11:37Z | - |
dc.date.available | 2020-01-23T05:11:37Z | - |
dc.date.issued | 1999 | - |
dc.identifier.issn | 1229-5701 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/174078 | - |
dc.description.abstract | STUDY DESIGN: A retrospective study was performed in elderly patients undergoing lumbar spinal fusion using pedicle screw fixation. OBJECTIVES: To investigate perioperative complications and surgical outcomes in elderly patients who underwent lumbar spinal fusion with pedicle screw fixation. SUMMARY OF LITERATURE REVIEW: There have been few reports regarding the lumbar spinal fusion using pedicle screws in the elderly, especially in the Korean literature. MATERIALS AND METHODS: Thirty-three patients over 60 years of age who underwent decompression and instrumented fusion with pedicle screws were retrospectively evaluated. Minimum follow-up was 2 years. We reviewed medical records and radiological films. We studied age, sex, lesion site, duration of hospital stay, operating time, amount of transfusion, clinical outcomes, complications, preoperative co-morbidity, fusion level, time at which fusion was complete, and fusion rate. RESULTS: The 33 patients consisted of 13 male and 20 female patients. Mean age was 63.8 (60-74) years. Preoperative diagnoses were spinal stenosis, 23, degenerative spondylolisthesis, 8, and spondylolytic spondylolisthesis, 2. Twenty-one cases nvolved single level and 12 cases involved multiple levels. Sixteen patients had 12 co-morbidities. The mean fusion segments ere 1.5 (1-3) segments. The mean operating time was 204.7 (115-330) minutes. The mean amount of transfusion was 2.5 (0-6) ints. The mean duration of hospital stay was 17.8 (13-29) days. Satisfactory clinical outcomes were found in 27 patients (81.8%). usion rate was 93.8%. The time at which fusion was complete was 5.6 (3-12) months. Complication rate was 21.2%. Mortality ate was 3.0%. There was a high postoperative complication rate in patients who had had medical problems before the operation, hich was statistically significant. CONCLUSIONS: Pedicle screw fixation in patients over 60 years was a useful method for the treatment of degenerative spinal disorders. However, patients with preoperative co-morbidity showed a very high medical complication rate. Therefore, careful erioperative management was recommended in high-risk elderly patients with preexisting medical problems. | - |
dc.description.statementOfResponsibility | open | - |
dc.format | application/pdf | - |
dc.language | Korean | - |
dc.publisher | 대한척추외과학회 | - |
dc.relation.isPartOf | Journal of Korean Society of Spine Surgery (대한척추외과학회지) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | 노인 환자에서 척추경 나사못을 이용만 요추부 수술 | - |
dc.title.alternative | Lumbar Spinal Fusion with Pedicle Screw Fixation in the Elderly Patients | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Orthopedic Surgery (정형외과학교실) | - |
dc.contributor.googleauthor | 석경수 | - |
dc.contributor.googleauthor | 이환모 | - |
dc.contributor.googleauthor | 김남현 | - |
dc.contributor.googleauthor | 박민철 | - |
dc.contributor.localId | A03333 | - |
dc.relation.journalcode | J01550 | - |
dc.subject.keyword | Lumbar spinal fusion | - |
dc.subject.keyword | Pedicle screw fixation | - |
dc.subject.keyword | Elderly patients | - |
dc.contributor.alternativeName | Lee, Hwan Mo | - |
dc.contributor.affiliatedAuthor | 이환모 | - |
dc.citation.volume | 6 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 123 | - |
dc.citation.endPage | 128 | - |
dc.identifier.bibliographicCitation | Journal of Korean Society of Spine Surgery (대한척추외과학회지), Vol.6(1) : 123-128, 1999 | - |
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