Long Term Efficacy of Posterior Lumbar Interbody Fusion with Standard Cages alone in Lumbar Disc Diseases Combined with Modic Changes.

Abstract:

OBJECTIVE:Posterior lumbar interbody fusion (PLIF) is considered to have the best theoretical potential in promoting bony fusion of unstable vertebral segments by way of a load sharing effect of the anterior column. This study was undertaken to investigate the efficacy of PLIF with cages in chronic degenerative disc disease with Modic degeneration (changes of vertebral end plate). METHODS:A total of 597 patients underwent a PLIF with threaded fusion cages (TFC) from 1993 to 2000. Three-hundred-fifty-one patients, who could be followed for more than 3 years, were enrolled in this study. Patients were grouped into 4 categories according to Modic classification (no degeneration : 259, type 1 : 26, type 2 : 55, type 3 : 11). Clinical and radiographic data were evaluated retrospectively. RESULTS:The clinical success rate according to the Prolo's functional and economic outcome scale was 86% in patients without degeneration and 83% in patients with Modic degeneration. The clinical outcomes in each group were 88% in type 1, 84% in type 2, and 73% in type 3. The bony fusion rate was 97% in patients without degeneration and 83% in patients with Modic degeneration. The bony fusion rate in each group was 81% in type 1, 84% in type 2, and 55% in type 3. The clinical success and fusion rates were significantly lower in patients with type 3 degeneration. CONCLUSION:The PLIF with TFC has been found to be an effective procedure for lumbar spine fusion. But, the clinical outcome and bony fusion rates were significantly low in the patients with Modic type 3. The authors suggest that PLIF combined with pedicle screw fixation would be the better for them.

journal_name

J Korean Neurosurg Soc

authors

Kwon YM,Chin DK,Jin BH,Kim KS,Cho YE,Kuh SU

doi

10.3340/jkns.2009.46.4.322

subject

Has Abstract

pub_date

2009-10-01 00:00:00

pages

322-7

issue

4

eissn

2005-3711

issn

1598-7876

journal_volume

46

pub_type

杂志文章
  • A double-blind, sham-controlled, pilot study to assess the effects of the concomitant use of transcranial direct current stimulation with the computer assisted cognitive rehabilitation to the prefrontal cortex on cognitive functions in patients with strok

    abstract:OBJECTIVE:To examine the synergistic effects of both computer-assisted cognitive rehabilitation (CACR) and transcranial direct current stimulation (tDCS) on cognitive function in patients with stroke. METHODS:The current double-blind, sham-controlled study enrolled a total of 11 patients who were newly diagnosed with ...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2013.54.6.484

    authors: Park SH,Koh EJ,Choi HY,Ko MH

    更新日期:2013-12-01 00:00:00

  • Reduction of Inflammation and Enhancement of Motility after Pancreatic Islet Derived Stem Cell Transplantation Following Spinal Cord Injury.

    abstract:OBJECTIVE:Spinal cord injury (SCI) is a very serious health problem, usually caused by a trauma and accompanied by elevated levels of inflammation indicators. Stem cell-based therapy is promising some valuable strategies for its functional recovery. Nestinpositive progenitor and/or stem cells (SC) isolated from pancrea...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2018.0035

    authors: Karaoz E,Tepekoy F,Yilmaz I,Subasi C,Kabatas S

    更新日期:2019-03-01 00:00:00

  • Astrocytoma in the third ventricle and hypothalamus presenting with parkinsonism.

    abstract::Parkinsonism secondary to intracranial mass lesions usually results from compression or distortion of the basal ganglia. Secondary parkinsonism due to midbrain infiltration or compression is rare and generally associated with other neurologic signs caused by pyramidal tract and/or cranial nerve involvement. We report ...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2012.51.3.144

    authors: Choi KH,Choi SM,Nam TS,Lee MC

    更新日期:2012-03-01 00:00:00

  • Three-dimensional digital subtraction angiographic evaluation of aneurysm remnants after clip placement.

    abstract:OBJECTIVE:The aneurysm remnants rate was evaluated via three-dimensional digital subtraction angiography (3D-DSA) in the postoperative evaluation of clipped aneurysms. METHODS:Data on surgically clipped aneurysms of anterior circulation obtained via postoperative 3D-DSA from February 2007 to March 2009 were gathered. ...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2010.47.3.185

    authors: Ahn SS,Kim YD

    更新日期:2010-03-01 00:00:00

  • Diffuse Intrinsic Pontine Glioma : Clinical Features, Molecular Genetics, and Novel Targeted Therapeutics.

    abstract::Diffuse intrinsic pontine glioma (DIPG) is a deadly paediatric brain cancer. Transient response to radiation, ineffective chemotherapeutic agents and aggressive biology result in rapid progression of symptoms and a dismal prognosis. Increased availability of tumour tissue has enabled the identification of histone gene...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章,评审

    doi:10.3340/jkns.2018.0008

    authors: Mathew RK,Rutka JT

    更新日期:2018-05-01 00:00:00

  • Surgical obliteration in superior petrosal sinus dural arteriovenous fistula.

    abstract::Superior petrosal sinus (SPS) dural arteriovenous fistula (DAVF) is one of tentorial DAVFs with significant morbidity, which usually drains into the petrosal vein and its tributaries. Unless there is a connection with venous sinus, surgical obliteration is required. We present two cases of SPS DAVF which were successf...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2011.49.4.222

    authors: Hwang G,Kang HS,Oh CW,Kwon OK

    更新日期:2011-04-01 00:00:00

  • Delayed Retroperitoneal Hemorrhage due to Lumbar Artery Pseudoaneurysm after Lumbar Posterolateral Fusion.

    abstract::A 55-year-old female patient presented with lower back pain and neurogenic intermittent claudication and underwent L3-L4 posterolateral fusion. To prepare the bone fusion bed, the transverse process of L3 and L4 was decorticated with a drill. On the 9th post-operative day, the patient complained of a sudden onset of s...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2013.54.4.344

    authors: Oh YM,Choi HY,Eun JP

    更新日期:2013-10-01 00:00:00

  • The clinical features of spinal leptomeningeal dissemination from malignant gliomas.

    abstract:OBJECTIVE:The incidence of leptomeningeal dissemination from malignant glioma is rare, so the clinical features of this are not well documented yet. We attempted to determine the clinical features of leptomeningeal dissemination from malignant gliomas. METHODS:We retrospectively analyzed 11 cases of leptomeningeal dis...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2011.49.6.334

    authors: Bae JS,Yang SH,Yoon WS,Kang SG,Hong YK,Jeun SS

    更新日期:2011-06-01 00:00:00

  • Endoscopic Spine Surgery.

    abstract::Surgical treatment of the degenerative disc disease has evolved from traditional open spine surgery to minimally invasive spine surgery including endoscopic spine surgery. Constant improvement in the imaging modality especially with introduction of the magnetic resonance imaging, it is possible to identify culprit deg...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章,评审

    doi:10.3340/jkns.2017.0203.004

    authors: Choi G,Pophale CS,Patel B,Uniyal P

    更新日期:2017-09-01 00:00:00

  • Morphometric study of hypoglossal nerve and facial nerve on the submandibular region in korean.

    abstract:OBJECTIVE:This study was performed to determine the anatomical landmarks and optimal dissection points of the facial nerve (FN) and the hypoglossal nerve (HGN) in the submandibular region to provide guidance for hypoglossal-facial nerve anastomosis (HFNA). METHODS:Twenty-nine specimens were obtained from 15 formalin-f...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2012.51.5.253

    authors: Shin DS,Bae HG,Shim JJ,Yoon SM,Kim RS,Chang JC

    更新日期:2012-05-01 00:00:00

  • Isolated recurrence of intracranial granulocytic sarcoma mimicking a falx meningioma in acute myeloblastic leukemia.

    abstract::Intracranial granulocytic sarcomas are rare tumors, which are composed of immature granulocytic cells. Although it has been well known that these tumors are associated with acute myeloblastic leukemia (AML), they have been almost always related to bone marrow relapse. However, isolated recurrence of granulocytic sarco...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2010.47.5.385

    authors: Cho WH,Choi YJ,Choi BK,Cha SH

    更新日期:2010-05-01 00:00:00

  • Experience with 5-aminolevulinic Acid in fluorescence-guided resection of a deep sylvian meningioma.

    abstract::The 5-aminolevulinic acid (5-ALA)-induced tumor fluorescence is a useful intraoperative marker for the diagnosis and the detection of various malignancies, but its use in meningioma is only reported infrequently. In meningioma, a complete resection of the tumor mass is crucial for the prevention of recurrence and post...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2012.52.6.558

    authors: Chae MP,Song SW,Park SH,Park CK

    更新日期:2012-12-01 00:00:00

  • Acute spontaneous subdural hematoma of arterial origin.

    abstract::Acute spontaneous subdural hematoma (SDH) of arterial origin is very rare. We report a case of acute spontaneous SDH that showed contrast media extravasation from cortical artery on angiograms. A 58-year-old male patient developed sudden onset headache and right hemiparesis. Brain CT scan demonstrated acute SDH at lef...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2012.51.2.91

    authors: Sung SK,Kim SH,Son DW,Lee SW

    更新日期:2012-02-01 00:00:00

  • Posttraumatic Delayed Vertebral Collapse : Kummell's Disease.

    abstract::Posttraumatic delayed vertebral collapse, known as Kummell's disease, is increasing in number of patients. This disease is already progressive kyphosis due to vertebral collapse at the time of diagnosis and it causes intractable pain or neurologic deficit due to intravertebral instability. Treatment is very difficult ...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章,评审

    doi:10.3340/jkns.2017.0505.010

    authors: Lim J,Choi SW,Youm JY,Kwon HJ,Kim SH,Koh HS

    更新日期:2018-01-01 00:00:00

  • Analysis of failed spinal cord stimulation trials in the treatment of intractable chronic pain.

    abstract:OBJECTIVE:The purpose of this study is to identify the factors affecting the failure of trials (<50% pain reduction in pain for trial period) to improve success rate of spinal cord stimulation (SCS) trial. METHODS:A retrospective review of the failed trials (44 patients, 36.1%) among the patients (n=122) who underwent...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2008.43.2.85

    authors: Jang HD,Kim MS,Chang CH,Kim SW,Kim OL,Kim SH

    更新日期:2008-02-01 00:00:00

  • Posterior atalntoaxial fusion with c1 lateral mass screw and c2 pedicle screw supplemented with miniplate fixation for interlaminar fusion : a preliminary report.

    abstract:OBJECTIVE:To investigate the feasibility of C1 lateral mass screw and C2 pedicle screw with polyaxial screw and rod system supplemented with miniplate for interlaminar fusion to treat various atlantoaxial instabilities. METHODS:After posterior atlantoaxial fixation with lateral mass screw in the atlas and pedicle scre...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2012.52.2.120

    authors: Yoon SM,Baek JW,Kim DH

    更新日期:2012-08-01 00:00:00

  • Predictor and Prognosis of Procedural Rupture during Coil Embolization for Unruptured Intracranial Aneurysm.

    abstract:OBJECTIVE:The objectives of this study was to determine the incidence and outcomes of procedural rupture (PR) during coil embolization of unruptured intracranial aneurysm (UIA) and to explore potential risk factors. METHODS:This retrospective study evaluated 1038 patients treated with coil embolization between January...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2016.59.1.6

    authors: Lee KM,Jo KI,Jeon P,Kim KH,Kim JS,Hong SC

    更新日期:2016-01-01 00:00:00

  • Bone cement augmentation of short segment fixation for unstable burst fracture in severe osteoporosis.

    abstract:OBJECTIVE:The purpose of this study was to determine the efficacy of short segment fixation following postural reduction for the re-expansion and stabilization of unstable burst fractures in patients with osteoporosis. METHODS:Twenty patients underwent short segment fixation following postural reduction using a soft r...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2008.44.1.8

    authors: Kim HS,Park SK,Joy H,Ryu JK,Kim SW,Ju CI

    更新日期:2008-01-01 00:00:00

  • Gastric mucosa-associated lymphoid tissue lymphoma followed by primary central nervous system lymphoma.

    abstract::Mucosa-associated lymphoid tissue (MALT) lymphoma is one of the most common lymphomas and accounts for about 7% of all newly diagnosed non-Hodgkin's lymphoma (NHL). The clinical course of MALT lymphoma is relatively indolent and, in the majority of cases (50%), the lymphoma arises within the stomach. Primary central n...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2012.51.6.377

    authors: Eom KS,Park MR,Choi KH,Kim TY

    更新日期:2012-06-01 00:00:00

  • Physiological Changes and Clinical Implications of Syndromic Craniosynostosis.

    abstract::Syndromic craniosynostosis has severe cranial stenosis and deformity, combined with hypoplastic maxillary bone and other developmental skeletal lesions. Among these various lesions, upper air way obstruction by hypoplastic maxillary bone could be the first life-threatening condition after birth. Aggressive cranial vau...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章,评审

    doi:10.3340/jkns.2016.59.3.204

    authors: Sakamoto H,Matsusaka Y,Kunihiro N,Imai K

    更新日期:2016-05-01 00:00:00

  • Comparative analysis of cervical arthroplasty using mobi-c(r) and anterior cervical discectomy and fusion using the solis(r) -cage.

    abstract:OBJECTIVE:Although anterior cervical discectomy and fusion (ACDF) is the standard treatment for degenerative cervical disc disease, concerns regarding adjacent level degeneration and loss of motion have suggested that arthroplasty may be a better alternative. We have compared clinical and radiological results in patien...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2008.44.4.217

    authors: Park JH,Roh KH,Cho JY,Ra YS,Rhim SC,Noh SW

    更新日期:2008-10-01 00:00:00

  • Deep brain stimulation of the subthalamic area for dystonic tremor.

    abstract::The stereotactic surgical target for dystonic tremor is the subject of ongoing debate. Targeting the subthalamic area using deep brain stimulation has been regaining interest as a therapy for various types of involuntary movements. We describe the efficacy of stimulation of the subthalamic area in a patient with intra...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2009.45.5.303

    authors: Jeong SG,Lee MK,Lee WH,Ghang CG

    更新日期:2009-05-01 00:00:00

  • Neural Growth Factor Stimulates Proliferation of Spinal Cord Derived-Neural Precursor/Stem Cells.

    abstract:OBJECTIVE:Recently, regenerative therapies have been used in clinical trials (heart, cartilage, skeletal). We don't make use of these treatments to spinal cord injury (SCI) patients yet, but regenerative therapies are rising interest in recent study about SCI. Neural precursor/stem cell (NPSC) proliferation is a signif...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2016.59.5.437

    authors: Han Y,Kim KT

    更新日期:2016-09-01 00:00:00

  • Evaluation of probability of survival using trauma and injury severity score method in severe neurotrauma patients.

    abstract:OBJECTIVE:Despite several limitations, the Trauma Injury Severity Score (TRISS) is normally used to evaluate trauma systems. The aim of this study was to evaluate the preventable trauma death rate using the TRISS method in severe trauma patients with traumatic brain injury using our emergency department data. METHODS:...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2013.54.1.42

    authors: Moon JH,Seo BR,Jang JW,Lee JK,Moon HS

    更新日期:2013-07-01 00:00:00

  • Comparative Study of Posterior Lumbar Interbody Fusion via Unilateral and Bilateral Approaches in Patients with Unilateral Leg Symptoms.

    abstract:OBJECTIVE:We investigated the clinical and radiological advantages of unilateral laminectomy in posterior lumbar interbody fusion (PLIF) procedure comparing with bilateral laminectomy, under the same procedural condition including bilateral instrumentation and insertion of two cages, in patients with degenerative lumba...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2011.50.4.363

    authors: Seong JH,Lee JW,Kwon KY,Rhee JJ,Hur JW,Lee HK

    更新日期:2011-10-01 00:00:00

  • Acute Spontaneous Subdural Hematoma due to Rupture of a Tiny Cortical Arteriovenous Malformation.

    abstract::Acute subdural hematoma (SDH) of arterial origin is rare, especially SDH associated with an arteriovenous malformation (AVM) is extremely rare. The authors report a case of acute spontaneous SDH due to rupture of a tiny cortical AVM. A 51-year-old male presented with sudden onset headache and mentality deterioration w...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2015.58.6.547

    authors: Choi HJ,Lee JI,Nam KH,Ko JK

    更新日期:2015-12-01 00:00:00

  • Sacral Insufficiency Fractures : How to Classify?

    abstract:OBJECTIVE:The diagnosis of insufficiency fractures of the sacrum in an elder population increases annually. Fractures show very different morphology. We aimed to classify sacral insufficiency fractures according to the position of cortical break and possible need for intervention. METHODS:Between January 1, 2008 and D...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2017.0188

    authors: Bakker G,Hattingen J,Stuetzer H,Isenberg J

    更新日期:2018-03-01 00:00:00

  • Surgical outcome of spinal canal meningiomas.

    abstract:OBJECTIVE:We report experiences and clinical outcomes of 61 cases with spinal canal meningiomas from January 1970 through January 2005. METHODS:Thirty-eight patients were enrolled with follow-up duration of more than one year after surgery. There were 7 male and 31 female patients. The mean age was 52 years (range, 19...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2007.42.4.300

    authors: Yoon SH,Chung CK,Jahng TA

    更新日期:2007-10-01 00:00:00

  • Rabbit Model for in vivo Study of Intervertebral Disc Degeneration and Regeneration.

    abstract:OBJECTIVE:The purpose of this study is to verify the usefulness of the rabbit model for disc degeneration study. MATERIALS:The L1-L2, L2-L3, L3-L4, or L4-L5 lumbar intervertebral disc (IVD) of 9 mature male New Zealand White rabbits were injured by inserting a 16-gauge needle to a depth of 5 mm in the left anterolater...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2008.44.5.327

    authors: Kong MH,Do DH,Miyazaki M,Wei F,Yoon SH,Wang JC

    更新日期:2008-11-01 00:00:00

  • A Lower T1 Slope as a Predictor of Subsidence in Anterior Cervical Discectomy and Fusion with Stand-Alone Cages.

    abstract:OBJECTIVE:Preoperative parameters including the T1 slope (T1S) and C2-C7 sagittal vertical axis (SVA) have been recognized as predictors of kyphosis after laminoplasty, which is accompanied by posterior neck muscle damage. The importance of preoperative parameters has been under-estimated in anterior cervical discectom...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2017.0404.001

    authors: Lee SH,Lee JS,Sung SK,Son DW,Lee SW,Song GS

    更新日期:2017-09-01 00:00:00