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"Soon Ki Sung"

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Special Issue on AI & Robotics

Robotic-Assisted Spine Surgery: Role in Training the Next Generation of Spine Surgeons
Jun Seok Lee, Dong Wuk Son, Su Hun Lee, Jong Hyeok Lee, Young Ha Kim, Sang Weon Lee, Bu Kwang Oh, Soon Ki Sung, Geun Sung Song, Seong Yi
Neurospine 2024;21(1):116-127.   Published online March 31, 2024
DOI: https://doi.org/10.14245/ns.2448006.003

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Robotic-Assisted Spine Surgery: Role in Training the Next Generation of Spine Surgeons
Neurospine. 2024;21(1):116-127.   Published online March 31, 2024
DOI: https://doi.org/10.14245/ns.2448006.003
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Robotic-Assisted Spine Surgery: Role in Training the Next Generation of Spine Surgeons
Neurospine. 2024;21(1):116-127.   Published online March 31, 2024
DOI: https://doi.org/10.14245/ns.2448006.003
Close
Objective
This study aimed to assess the degree of interest in robot-assisted spine surgery (RASS) among residents and to investigate the learning curve for beginners performing robotic surgery.
Methods
We conducted a survey to assess awareness and interest in RASS among young neurosurgery residents. Subsequently, we offered a hands-on training program using a dummy to educate one resident. After completing the program, the trained resident performed spinal fusion surgery with robotic assistance under the supervision of a mentor. The clinical outcomes and learning curve associated with robotic surgery were then analyzed.
Results
Neurosurgical residents had limited opportunities to participate in spinal surgery during their training. Despite this, there was a significant interest in the emerging field of robotic surgery. A trained resident performed RASS under the supervision of a senior surgeon. A total of 166 screw insertions were attempted in 28 patients, with 2 screws failing due to skiving. According to the Gertzbein-Robbins classification, 85.54% of the screws were rated as grade A, 11.58% as grade B, 0.6% as grade C, and 1.2% as grade D. The clinical acceptance rate was approximately 96.99%, which is comparable to the results reported by senior experts and time per screw statistically significantly decreased as experience was gained.
Conclusion
RASS can be performed with high accuracy within a relatively short timeframe, if residents receive adequate training.

Citations

Citations to this article as recorded by  Crossref logo
  • Spinale Robotik vs. Cone-Beam-Navigation
    Patrick Strube, Alexander Hölzl, Anna-Maria Vogel, Georg Matziolis, Chris Lindemann
    Die Orthopädie.2026;[Epub]     CrossRef
  • A Comprehensive Review of the Role of the Latest Minimally Invasive Neurosurgery Techniques and Outcomes for Brain and Spinal Surgeries
    Simone Laguardia, Alessio Piccioni, Jorge Eduardo Alonso Vera, Ali Muqaddas, Milko Garcés, Sidra Ambreen, Sarmishtha Sharma, Tara Sabzvari
    Cureus.2025;[Epub]     CrossRef
  • Visuohaptic Feedback in Robotic-Assisted Spine Surgery for Pedicle Screw Placement
    Giuseppe Loggia, Fedan Avrumova, Darren R. Lebl
    Journal of Clinical Medicine.2025; 14(11): 3804.     CrossRef
  • Robot-assisted versus navigated spinal fusion surgery: a comparative multicenter study on transpedicular screw placement accuracy and patient outcomes
    Giada Garufi, Gianluca Scalia, Francesca Graziano, Roberta Costanzo, Massimiliano Porzio, Giancarlo Ponzo, Massimiliano Giuffrida, Giuseppe Ricciardo, Giuseppe Emmanuele Umana, Giovanni Federico Nicoletti, Salvatore Massimiliano Cardali
    Neurosurgical Review.2025;[Epub]     CrossRef
  • Evolving Paradigms in Spine Surgery Training: Integrating Technology, Ethics, and Minimally Invasive Techniques
    G. Balamurali, Soma Sundar Subramanian, Keerthivasan Panneerselvam
    Journal of Minimally Invasive Spine Surgery and Technique.2025; 10(Suppl 2): S107.     CrossRef
  • Robot-Assisted Pedicle Screw Insertion in Pediatric Spine Surgery: An Institutional Experience and Meta-Analysis
    Taha Khalilullah, Abdul Karim Ghaith, Xinlan Yang, Linda Tang, Shaan Bhandarkar, Meghana Bhimreddy, Arjun D. Menta, Daniel Davidar, Andrew Hersh, Carly Weber-Levine, Kelly Jiang, Patrick Kramer, Ritvik Jillala, Maria Jennings, Jawad M. Khalifeh, Tej D. Az
    Operative Neurosurgery.2025;[Epub]     CrossRef
  • Commentary on “The Utility and Feasibility of Smart Glasses in Spine Surgery: Minimizing Radiation Exposure During Percutaneous Pedicle Screw Insertion”
    Wongthawat Liawrungrueang
    Neurospine.2024; 21(2): 440.     CrossRef
  • 8,946 View
  • 176 Download
  • 6 Web of Science
  • 7 Crossref
Mini-Open Intercostal Retroperitoneal Approach for Upper Lumbar Spine Lateral Interbody Fusion
Su Hun Lee, Dong Wuk Son, Sung Hyun Bae, Jun Seok Lee, Young Ha Kim, Soon Ki Sung, Sang Weon Lee, Geun Sung Song
Neurospine 2023;20(2):553-563.   Published online June 30, 2023
DOI: https://doi.org/10.14245/ns.2244960.480

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Mini-Open Intercostal Retroperitoneal Approach for Upper Lumbar Spine Lateral Interbody Fusion
Neurospine. 2023;20(2):553-563.   Published online June 30, 2023
DOI: https://doi.org/10.14245/ns.2244960.480
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Mini-Open Intercostal Retroperitoneal Approach for Upper Lumbar Spine Lateral Interbody Fusion
Neurospine. 2023;20(2):553-563.   Published online June 30, 2023
DOI: https://doi.org/10.14245/ns.2244960.480
Close
Objective
Conventional oblique lumbar interbody fusion (OLIF) approach is possible from the L2/3 to L4/5 levels. However, obstruction of the lower ribs (10th–12th) makes it difficult to maintain disc parallel maneuvers or orthogonal maneuvers. To overcome these limitations, we proposed an intercostal retroperitoneal (ICRP) approach to access the upper lumbar spine. This method does not expose the parietal pleura or require rib resection and employs a small incision.
Methods
We enrolled patients who underwent a lateral interbody procedure on the upper lumbar spine (L1/2/3). We compared the incidence of endplate injury between conventional OLIF and ICRP approaches. In addition, by measuring the rib line, the difference in endplate injury according to rib location and approach was analyzed. We also analyzed the previous period (2018–2021) and the year 2022, when the ICRP has been actively applied.
Results
A total of 121 patients underwent lateral interbody fusion to the upper lumbar spine (OLIF approach, 99 patients; ICRP approach, 22 patients). Endplate injuries occurred in 34 of 99 (34.3%) and 2 of 22 patients (9.1%) during the conventional and ICRP approaches, respectively (p = 0.037; odds ratio, 5.23). When the rib line was located at the L2/3 disc or L3 body, the endplate injury rate was 52.6% (20 of 38) for the OLIF approach but 15.4% (2 of 13) for the ICRP approach. Since 2022, the proportion of OLIF including L1/2/3 levels has increased 2.9-fold.
Conclusion
The ICRP approach is effective in reducing the incidence of endplate injury in patients with a relatively lower rib line, without pleural exposure or rib resection.

Citations

Citations to this article as recorded by  Crossref logo
  • Clinical Characterization of Lymphatic Leakage Complicating OLIF Surgery
    Hanli Yang, Dan Zhang, Wenjie Zhang, Man Luo, Liwei Wang, Yuanming Zhong, Ming Shi
    Clinical Spine Surgery.2026; 39(1): 1.     CrossRef
  • The Minimally Invasive Intercostal Subdiaphragmatic Access without Rib Resection for Lateral Lumbar Interbody Fusion at L1/2: Surgical Techniques and Cases Illustration
    Teerachat Tanasansomboon, Jerry Robinson, Wicharn Yingsakmongkol, Worawat Limthongkul, Weerasak Singhatanadgige, Vit Kotheeranurak, Piyanat Wangsawatwong, Babak Khandehroo, Neel Anand
    World Neurosurgery.2025; 194: 123564.     CrossRef
  • How to choose rib resection in minimally invasive lateral approach thoracolumbar junction corpectomy: radiographic analysis and case illustrations
    Fengyu Liu, Zhenfang Gu, Xianze Sun, Xianzhong Meng
    Frontiers in Surgery.2025;[Epub]     CrossRef
  • Anterior-to-psoas OLIF: Surgical approach, issues & technical nuances
    Stjepan Ivandić, Jure Pavešić, Stipe Ćorluka, Tomislav Čengić
    Seminars in Spine Surgery.2025; 37(1): 101159.     CrossRef
  • L2/3, L3/4 and L4/5 oblique lumbar interbody fusion/anterior to psoas: Anatomical and technical considerations
    Prashanth J Rao, Nipun Shreshtha, Gayani Petersingham, Andrew J Berg, Kevin Seex
    Seminars in Spine Surgery.2025; 37(1): 101162.     CrossRef
  • Radiological Outcomes and Approach-Related Complications in Oblique Lateral Interbody Fusion at the Upper Lumbar Level
    Hee-Woong Chung, Han-Dong Lee, Myungsub Lee, Nam-Su Chung
    Journal of Clinical Medicine.2025; 14(10): 3333.     CrossRef
  • Prediction of Angle Loss after L4/5 Oblique Lumbar Interbody Fusion : Development of a Risk Stratification Model
    Se-Woon Kim, Su-Hun Lee, Jun-Seok Lee, Chi-Hyung Lee, Chang-Hyun Kim, Soon-Ki Sung, Dong-Wuk Son, Sang-Weon Lee
    Journal of Korean Neurosurgical Society.2025; 68(6): 724.     CrossRef
  • A Comprehensive Analysis of Potential Complications after Oblique Lumbar Interbody Fusion : A Review of Postoperative Magnetic Resonance Scans in Over 400 Cases
    Kang-Hoon Lee, Su-Hun Lee, Jun-Seok Lee, Young-Ha Kim, Soon-Ki Sung, Dong-Wuk Son, Sang-Weon Lee, Geun-Sung Song
    Journal of Korean Neurosurgical Society.2024; 67(5): 550.     CrossRef
  • Commentary on “Mini-Open Intercostal Retroperitoneal Approach for Upper Lumbar Spine Lateral Interbody Fusion”
    Alexander E. Ropper
    Neurospine.2023; 20(2): 564.     CrossRef
  • From the Editor-in-Chief: Featured Articles in the June 2023 Issue
    Inbo Han
    Neurospine.2023; 20(2): 413.     CrossRef
  • 6,754 View
  • 243 Download
  • 8 Web of Science
  • 10 Crossref
Radiological and Clinical Outcomes of Anterior Cervical Discectomy and Fusion in Older Patients: A Comparative Analysis of Young-Old Patients (Ages 65–74 Years) and Middle-Old Patients (Over 75 Years)
Chi Hyung Lee, Dong Wuk Son, Su Hun Lee, Jun Seok Lee, Soon Ki Sung, Sang Weon Lee, Geun Sung Song
Neurospine 2020;17(1):156-163.   Published online July 5, 2019
DOI: https://doi.org/10.14245/ns.1836072.036

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Radiological and Clinical Outcomes of Anterior Cervical Discectomy and Fusion in Older Patients: A Comparative Analysis of Young-Old Patients (Ages 65–74 Years) and Middle-Old Patients (Over 75 Years)
Neurospine. 2020;17(1):156-163.   Published online July 5, 2019
DOI: https://doi.org/10.14245/ns.1836072.036
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Radiological and Clinical Outcomes of Anterior Cervical Discectomy and Fusion in Older Patients: A Comparative Analysis of Young-Old Patients (Ages 65–74 Years) and Middle-Old Patients (Over 75 Years)
Neurospine. 2020;17(1):156-163.   Published online July 5, 2019
DOI: https://doi.org/10.14245/ns.1836072.036
Close
Objective
Anterior cervical discectomy and fusion (ACDF) is the most commonly performed procedure for degenerative cervical spondylosis. Because of its relatively low invasiveness and surgical procedure, old age is not regarded as an exclusion criterion for ACDF. However, very few studies have been conducted on the radiological and clinical outcomes of ACDF in older patients. The purpose of this study was to evaluate the radiological and clinical outcomes of ACDF in older patients.
Methods
We retrospectively analyzed 48 patients (> 65 years) who underwent ACDF from January 2011 to December 2015. We divided the patients into 2 groups: young-old age group (65–74 years) and middle-old age group (≥ 75 years). Cervical lateral radiographs taken in the neutral standing position were evaluated preoperatively (PRE), on postoperative day 7 (POST), and at the 1-year follow-up (F/U). The radiological parameters included cervical angle (CA: C2–7 Cobb angle), segmental angle, total intervertebral height, disc height, sagittal vertical axis (SVA), T1 slope (T1s), and range of cervical motion (extension CA minus flexion CA). Postoperative hospital days, comorbidities, complications, and clinical outcomes were also analyzed.
Results
We analyzed data from 48 patients (group A: n = 30 patients, 46 segments, mean age, 68.60 ± 3.36 years; group B: n = 18 patients, 23 segments, mean age, 79.22 ± 2.63 years). The surgical levels were as follows: C3/4, 4; C4/5, 7; C5/6, 10; C6/7, 29; and C7/ T1, 6 levels, and there were no significant between-group differences in the distribution. There were no significant between-group differences in the fusion and subsidence rates (fusion rate: group A, 76.2%; group B, 71.4%; p = 0.732; subsidence rate: group A, 34.8%; group B, 26.1%; p = 0.587). There was no longitudinal trend in the repeated-measurements analysis of variance test of the 2 groups of the PRE, POST, and F/U data for each radiological parameter. According to the paired t-test, T1 slope (T1s), SVA, and CA did not differ preoperatively and postoperatively. There was no statistically significant difference in visual analogue scale scores (axial, arm), the Neck Disability Index, or Odom’s criteria between the 2 groups (p = 0.448, p = 0.357, and p = 0.913).
Conclusion
There was no significant difference in radiological and clinical outcomes between young-old and middle-old patients. Middle-old age does not seem to be a limitation to ACDF, but larger-scale and longer-term studies are needed to confirm the findings of this study.

Citations

Citations to this article as recorded by  Crossref logo
  • Impact of enhanced recovery after surgery (ERAS) protocols in elderly patients undergoing lumbar fusion: a systematic review with meta-analysis and trial sequential analysis
    Yantong Zhang, Gang Chen, Mengting Xu, Huiqing Gao, Renji Zheng, Wenqin Lv, Zhiping Yin, Yingfeng Zhou, Jun Li, Shaowu Jin
    European Spine Journal.2026; 35(4): 2001.     CrossRef
  • Radiological Factors Affecting Cage Subsidence after Single-level Anterior Cervical Discectomy and Fusion with Double Titanium Cylindrical Cages
    Toshiyuki OKAZAKI, Kazuma DOI, Kazunori SHIBAMOTO, Satoshi TANI, Junichi MIZUNO
    Neurologia medico-chirurgica.2026; 66(1): 7.     CrossRef
  • Predictors of Surgical Outcome After Anterior Cervical Discectomy and Fusion: A Prospective Middle Eastern Cohort Study
    Ahmed Al-Atraqchi, Rawan Alatraqchi, Yasoob A Alaameri
    Cureus.2026;[Epub]     CrossRef
  • Does Back Pain Improve Following Lumbar Decompression Alone?
    David J. Mazur-Hart, Christian G. Lopez Ramos, Joseph G. Nugent, Brannan E. O’Neill, Barry Cheaney, Hanne A. Gehling, Jamila Godil, Brandi W. Pang, Arilene Novak, James T. Obayashi, Travis C. Philipp, Clifford Lin, Jung U. Yoo, Christina H. Wright, James
    Clinical Spine Surgery.2025;[Epub]     CrossRef
  • Surgical management of spinal pathologies in the octogenarian: a narrative review
    Alexander R. Evans, Joshua Bakhsheshian, Christopher S. Graffeo, Zachary A. Smith
    GeroScience.2024; 46(4): 3555.     CrossRef
  • Impact of age within younger populations on outcomes following cervical surgery in the ambulatory setting
    Timothy J. Hartman, James W. Nie, Hanna Pawlowski, Michael C. Prabhu, Nisheka N. Vanjani, Kern Singh
    Journal of Clinical Orthopaedics and Trauma.2022; 34: 102016.     CrossRef
  • Sagittal balance of the cervical spine: a systematic review and meta-analysis
    Parisa Azimi, Taravat Yazdanian, Edward C. Benzel, Yong Hai, Ali Montazeri
    European Spine Journal.2021; 30(6): 1411.     CrossRef
  • Predictors associated with neurological recovery after anterior decompression with fusion for degenerative cervical myelopathy
    Hiroyuki Inose, Takashi Hirai, Toshitaka Yoshii, Atsushi Kimura, Katsushi Takeshita, Hirokazu Inoue, Asato Maekawa, Kenji Endo, Takeo Furuya, Akira Nakamura, Kanji Mori, Shunsuke Kanbara, Shiro Imagama, Shoji Seki, Shunji Matsunaga, Kunihiko Takahashi, At
    BMC Surgery.2021;[Epub]     CrossRef
  • Efficacy for Whitlockite for Augmenting Spinal Fusion
    Su Yeon Kwon, Jung Hee Shim, Yu Ha Kim, Chang Su Lim, Seong Bae An, Inbo Han
    International Journal of Molecular Sciences.2021; 22(23): 12875.     CrossRef
  • Commentary on “Surgical and Functional Outcomes of Expansive Open-Door Laminoplasty for Patients With Mild Kyphotic Cervical Alignment”
    Dongwuk Son
    Neurospine.2021; 18(4): 758.     CrossRef
  • 13,092 View
  • 246 Download
  • 8 Web of Science
  • 10 Crossref
Differences in Cervical Sagittal Alignment Changes in Patients Undergoing Laminoplasty and Anterior Cervical Discectomy and Fusion
Su Hun Lee, Dong Wuk Son, Jun Seok Lee, Dong Ha Kim, Soon Ki Sung, Sang Weon Lee, Geun Sung Song
Neurospine 2018;15(1):91-100.   Published online March 28, 2018
DOI: https://doi.org/10.14245/ns.1834864.432

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Differences in Cervical Sagittal Alignment Changes in Patients Undergoing Laminoplasty and Anterior Cervical Discectomy and Fusion
Neurospine. 2018;15(1):91-100.   Published online March 28, 2018
DOI: https://doi.org/10.14245/ns.1834864.432
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Differences in Cervical Sagittal Alignment Changes in Patients Undergoing Laminoplasty and Anterior Cervical Discectomy and Fusion
Neurospine. 2018;15(1):91-100.   Published online March 28, 2018
DOI: https://doi.org/10.14245/ns.1834864.432
Close
Objective
Anterior cervical discectomy and fusion (ACDF) and laminoplasty (LP) are the most commonly performed procedures for degenerative cervical spondylosis. Cervical sagittal alignment (CSA) has recently been studied as an important predictor of clinical and radiological outcomes. The data from previous studies are insufficient for analysis using the recently designed CSA parameters, T1 slope (T1s), and T1s minus cervical angle (T1sCA).
Methods
We retrospectively collected data from patients who underwent ACDF and LP from January 2013 to May 2016. The CSA parameters included CA, sagittal vertical axis, T1s, and T1sCA. T1sCA values were used to evaluate the preoperative cervical balance (T1sCA>20°: imbalance). Clinical results were evaluated using the neck disability index (NDI) and recovery rate (RR) according to the Japanese Orthopedic Association scoring system.
Results
We analyzed the data of 72 patients (ACDF, n=39; LP, n=33). Imbalance on ACDF was associated with an increase in CA (balance: preoperative [PRE], 15.64° → follow-up [F/U], 15.74°, p=0.953; imbalance: PRE, −1.14° → F/U, 8.045°, p=0.008), whereas balance on LP was associated with a significant decrease in CA (balance: PRE, 16.26°→ F/U, 11.59°, p=0.009; imbalance: PRE, 5.36°→ F/U, 2.38°, p=0.249). No significant difference was found in the RR and NDI changes in the ACDF group based on balance, but a significant difference was found in RR in the LP group (balance: 61.65%±19.88%, imbalance: 46.90%±15.71%, p=0.046).
Conclusion
We found a significant difference in postoperative alignment in cases of ACDF and LP according to preoperative cervical sagittal balance. The postoperative clinical results of the LP group were more affected by F/U alignment than by the degree of alignment change.

Citations

Citations to this article as recorded by  Crossref logo
  • Impact of T1 Slope as a Predictor of Loss of Cervical Lordosis and Health-Related Quality of Life after Laminoplasty in Patients with Ossification of the Posterior Longitudinal Ligament : A Retrospective Cohort Study
    Ji-Ho Jung, Jong-Hoon Jeong, Jong-Hwan Hong, Moon-Soo Han, Jung-Kil Lee
    Journal of Korean Neurosurgical Society.2026; 69(1): 124.     CrossRef
  • Allograft vs Bioactive Glass-Ceramic Cages in Anterior Cervical Discectomy and Fusion: Long-Term Randomized Trial Follow-up
    Yihyun Roh, Maria Camila Pedraza Ciro, Yanting Liu, Jung Hoon Kim, Chorong Lee, Eun Kim, Jin-Sung Kim
    Global Spine Journal.2026;[Epub]     CrossRef
  • Efficacy of Allograft Versus Bioactive Glass-Ceramic Cage in Anterior Cervical Discectomy and Fusion: A Randomized Controlled Study
    Yanting Liu, Chan Woong Park, Phattareeya Pholprajug, Siravich Suvithayasiri, Jung Hoon Kim, Chorong Lee, Eun Kim, Jin-Sung Kim
    Global Spine Journal.2025; 15(2): 981.     CrossRef
  • Comparison of Anterior Surgery Versus Posterior Surgery for the Treatment of Multilevel Cervical Spondylotic Myelopathy
    Xiaoming Bao, Kun Ren, Weidong Guo, Xiaoping Zhang, Xin Dong, Kang Yan, Huanhuan Qiao, Haien Zhao, Bo Liao
    Clinical Spine Surgery.2025; 38(7): 333.     CrossRef
  • Impact of C3 Laminectomy Versus C3 Laminoplasty on Cervical Alignment
    Shyam J. Kurian, Elyette Lugo, Sang Hun Lee, Hamid Hassanzadeh, Lee H. Riley, Khaled M. Kebaish, David B. Cohen, Amit Jain
    Clinical Spine Surgery.2025;[Epub]     CrossRef
  • Analyzing results of cervical sagittal parameters in patients operated with polyetheretherketone cages without plate
    Jorge Luis Olivares-Camacho, Jorge Luis Olivares Peña, Aldo Adrián Cuevas-Hernández, Edgar De Jesús Hernández-Alcázar, Fiacro Jiménez-Ponce
    Journal of Craniovertebral Junction and Spine.2024; 15(2): 230.     CrossRef
  • Efficacy and safety of laminoplasty combined with C3 laminectomy for patients with multilevel degenerative cervical myelopathy: a systematic review and meta-analysis
    Wenlong Yu, Fan Zhang, Yuanyuan Chen, Xiaoxue Wang, Dingbang Chen, Jianhu Zheng, Xiujie Meng, Quan Huang, Xinghai Yang, Mengchen Yin, Junming Ma
    European Spine Journal.2024; 33(10): 3915.     CrossRef
  • Effect of preoperative dynamic cervical sagittal alignment on the loss of cervical lordosis after laminoplasty
    Chengxin Liu, Bin Shi, Wei Wang, Xiangyu Li, Shibao Lu
    BMC Musculoskeletal Disorders.2023;[Epub]     CrossRef
  • Cervical sagittal alignment changes following anterior cervical discectomy and fusion, laminectomy with fusion, and laminoplasty for multisegmental cervical spondylotic myelopathy
    Xiang-Yu Li, Yu Wang, Wei-Guo Zhu, Cheng-Xin Liu, Chao Kong, Shi-Bao Lu
    Journal of Orthopaedic Surgery and Research.2023;[Epub]     CrossRef
  • Is laminectomy necessary for C1-C2 epidural schwannomas?
    Tae-Shin Kim, Woon Tak Yuh, Junghoon Han, Junhoe Kim, Chang-Hyun Lee, Chi Heon Kim, Chun Kee Chung
    Acta Neurochirurgica.2023; 165(10): 3065.     CrossRef
  • Impact of C3 laminectomy on cervical sagittal alignment in cervical laminoplasty: a prospective, randomized controlled trial comparing clinical and radiological outcomes between C3 laminectomy with C4–C6 laminoplasty and C3–C6 laminoplasty
    Jun-Hoe Kim, Woon Tak Yuh, Junghoon Han, Taeshin Kim, Chang-Hyun Lee, Chi Heon Kim, Yunhee Choi, Chun Kee Chung
    The Spine Journal.2023; 23(11): 1674.     CrossRef
  • Differences in Risk Factors for Decreased Cervical Lordosis after Multiple-Segment Laminoplasty for Cervical Spondylotic Myelopathy and Ossification of the Posterior Longitudinal Ligament: A Pilot Study
    Takaki Inoue, Satoshi Maki, Takeo Furuya, Sho Okimatsu, Atsushi Yunde, Masataka Miura, Yuki Shiratani, Yuki Nagashima, Juntaro Maruyama, Yasuhiro Shiga, Kazuhide Inage, Sumihisa Orita, Yawara Eguchi, Seiji Ohtori
    Asian Spine Journal.2023; 17(4): 712.     CrossRef
  • Anterior cervical corpectomy and fusion with stand-alone cages in patients with multilevel degenerative cervical spine disease is safe
    Mohamed H. Tohamy, Georg Osterhoff, Ahmed Shawky Abdelgawaad, Ali Ezzati, Christoph-E. Heyde
    BMC Musculoskeletal Disorders.2022;[Epub]     CrossRef
  • Impact of cervical and global spine sagittal alignment on cervical curvature changes after posterior cervical laminoplasty
    Xiang-Yu Li, Yu Wang, Wei-Guo Zhu, Chao Kong, Shi-Bao Lu
    Journal of Orthopaedic Surgery and Research.2022;[Epub]     CrossRef
  • Revision surgery of an older patient with adjacent segment disease (ASD) following anterior cervical discectomy and fusion by PCB: A case report
    Lei Fang, Zi-Liang Shen, Shu-Qiang Wang, Yong Kuang
    Interdisciplinary Neurosurgery.2021; 23: 100944.     CrossRef
  • Prediction of angular kyphosis after cervical laminoplasty using radiologic measurements
    Hyeongseok Jeon, Hyung-Cheol Kim, Tae Woo Kim, Seong Bae An, Dong Ah Shin, Seong Yi, Keung Nyun Kim, Do Heum Yoon, Sachin A. Borkar, Dong Wuk Son, Yoon Ha
    Journal of Clinical Neuroscience.2021; 85: 13.     CrossRef
  • Sagittal balance of the cervical spine: a systematic review and meta-analysis
    Parisa Azimi, Taravat Yazdanian, Edward C. Benzel, Yong Hai, Ali Montazeri
    European Spine Journal.2021; 30(6): 1411.     CrossRef
  • Kinematics after cervical laminoplasty: risk factors for cervical kyphotic deformity after laminoplasty
    Bum-Joon Kim, Sung-Min Cho, Junseok W Hur, Jaehyung Cha, Se-Hoon Kim
    The Spine Journal.2021; 21(11): 1822.     CrossRef
  • Cervical balance and clinical outcomes in cervical spondylotic myelopathy treated by three-level anterior cervical discectomy and fusion and hybrid cervical surgery
    Fanqi Meng, Shuai Xu, Yan Liang, Zhenqi Zhu, Kaifeng Wang, Haiying Liu
    Medicine.2021; 100(18): e25824.     CrossRef
  • Changes in Cervical Sagittal Balance after Anterior Decompression and Fusion
    Takashi Yagi, Nobuo Senbokuya, Hiroaki Murayama, Tohru Horikoshi, Hiroyuki Kinouchi
    Spinal Surgery.2021; 35(1): 55.     CrossRef
  • Preoperative Radiological Parameters to Predict Clinical and Radiological Outcomes after Laminoplasty
    Su Hun Lee, Dong Wuk Son, Jun Jae Shin, Yoon Ha, Geun Sung Song, Jun Seok Lee, Sang Weon Lee
    Journal of Korean Neurosurgical Society.2021; 64(5): 677.     CrossRef
  • Systematic Review of Reciprocal Changes after Spinal Reconstruction Surgery : Do Not Miss the Forest for the Trees
    Chang-Wook Kim, Seung-Jae Hyun, Ki-Jeong Kim
    Journal of Korean Neurosurgical Society.2021; 64(6): 843.     CrossRef
  • Comparison of clinical and radiological outcomes in cervical laminoplasty versus laminectomy with fusion in patients with ossification of the posterior longitudinal ligament
    Yoon Ha, Jun Jae Shin
    Neurosurgical Review.2020; 43(5): 1409.     CrossRef
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  • Risk Factors of Allogenous Bone Graft Collapse in Two-Level Anterior Cervical Discectomy and Fusion
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  • 12,242 View
  • 254 Download
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Clinical Article

Variation of C-Reactive Protein and White Blood Cell Counts in Spinal Operation: Primary Fusion Surgery Versus Revision Fusion Surgery
Kyung Tag Kang, Dong Wuk Son, Su Hun Lee, Geun Seong Song, Soon Ki Sung, Sang Weon Lee
Korean J Spine 2017;14(3):66-70.   Published online September 30, 2017
DOI: https://doi.org/10.14245/kjs.2017.14.3.66

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Variation of C-Reactive Protein and White Blood Cell Counts in Spinal Operation: Primary Fusion Surgery Versus Revision Fusion Surgery
Korean J Spine. 2017;14(3):66-70.   Published online September 30, 2017
DOI: https://doi.org/10.14245/kjs.2017.14.3.66
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Variation of C-Reactive Protein and White Blood Cell Counts in Spinal Operation: Primary Fusion Surgery Versus Revision Fusion Surgery
Korean J Spine. 2017;14(3):66-70.   Published online September 30, 2017
DOI: https://doi.org/10.14245/kjs.2017.14.3.66
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Objective:
Serum C-reactive protein(CRP) concentrations and white blood cell(WBC) count are commonly used to identify postoperative wound infections. We investigated whether changes in serum CRP levels and WBC counts actually differed between patients undergoing revision spinal fusion surgery and those undergoing a primary fusion. Methods: Patients who underwent posterolateral fusion(PLF) surgery at Pusan National University Yangsan Hospital between October 2013 and April 2015 were considered for this study. Sixty-seven patients with primary lumbar PLF(pPLF) and 21 with revision PLF(rPLF) were enrolled. A retrospective assessment of preoperative and postoperative CRP levels and WBC count was undertaken. Also, we gathered peak CRP day, and CRP normalization days. Comorbidity data were also obtained to evaluate any effects on the course of CRP and WBC count postoperatively. Results: CRP levels peaked at 3 days after surgery. The maximum CRP values recorded for each group: 4.17(standard deviation[SD], 4.18)mg/dL and 4.88(SD, 3.03)mg/dL for pPLF and rPLF. This difference was not statistically significant(p=0.24). A rapid fall in CRP within 5-9 days was observed for both groups. Conclusion: Out of our expectation, changes in CRP levels after spinal fusion surgery follow the same course regardless of whether it is a revision operation or not. Because of this result, both the primary PLF surgery and revision PLF surgery should be monitored using CRP in the similar way and the antibiotic administration should be determined.

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    Hiroyuki Aono, Shota Takenaka, Yukitaka Nagamoto, Hidekazu Tobimatsu, Tomoya Yamashita, Masayuki Furuya, Hiroyuki Ishiguro, Motoki Iwasaki
    World Neurosurgery.2025; 196: 123681.     CrossRef
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    Frontiers in Medicine.2025;[Epub]     CrossRef
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  • 12,052 View
  • 145 Download
  • 11 Crossref

Case Reports

Migration of an Intracranial Subdural Hematoma to the Spinal Subdural Space: A Case Report
O Ik Kwon, Dong Wuk Son, Young Ha Kim, Young Soo Kim, Soon Ki Sung, Sang Weon Lee, Geun Sung Song
Korean J Spine 2015;12(3):207-209.   Published online September 30, 2015
DOI: https://doi.org/10.14245/kjs.2015.12.3.207

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Migration of an Intracranial Subdural Hematoma to the Spinal Subdural Space: A Case Report
Korean J Spine. 2015;12(3):207-209.   Published online September 30, 2015
DOI: https://doi.org/10.14245/kjs.2015.12.3.207
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Migration of an Intracranial Subdural Hematoma to the Spinal Subdural Space: A Case Report
Korean J Spine. 2015;12(3):207-209.   Published online September 30, 2015
DOI: https://doi.org/10.14245/kjs.2015.12.3.207
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A 57-year-old man complained of severe lower back pain and radicular pain in both legs for 1 week after falling from a ladder. Magnetic resonance imaging (MRI) of the spine showed a subdural hematoma (SDH), which was surgically removed. The patient had no back pain or the radicular leg pain at 2 weeks post-surgery. However, he complained of diffuse headaches upon follow-up. Brain computed tomography (CT) and MRI revealed an intracranial SDH, which was immediately removed by surgery. During his 1-year follow-up, he reported that the pain had resolved without recurrence. Simultaneous spinal and intracranial SDH are rare and no standard treatment exists for this condition. This case suggests that it is possible that an intracranial SDH can migrate into the cerebrospinal fluid (CSF) space through an arachnoid tear. CSF circulation allows the intracranial SDH to enter subarachnoid spaces encasing the spinal cord. In order to prevent irreversible damage, surgical intervention should be considered for case of spinal SDH with progressive neurological deficits.

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  • 10,855 View
  • 83 Download
  • 13 Crossref
A Case of Seizure in a Patient Following Percutaneous Endoscopic Lumbar Discectomy.
Sung Hoon Kim, Geun Sung Song, Soon Ki Sung, Dong Wuk Son
Korean J Spine 2011;8(1):55-58.
DOI: https://doi.org/10.14245/kjs.2011.8.1.55

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A Case of Seizure in a Patient Following Percutaneous Endoscopic Lumbar Discectomy.
Korean J Spine. 2011;8(1):55-58.
DOI: https://doi.org/10.14245/kjs.2011.8.1.55
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A Case of Seizure in a Patient Following Percutaneous Endoscopic Lumbar Discectomy.
Korean J Spine. 2011;8(1):55-58.
DOI: https://doi.org/10.14245/kjs.2011.8.1.55
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Seizure following percutaneous endoscopic lumbar discectomy (PELD) is extremely rare. We report that generalized seizure occurred in a patient with radiating right leg pain after PELD under sevoflurane anesthesia. Cerebrospinal fluid (CSF) was detected from a dura tear in the operative field. On emergence from anesthesia, generalized tonic-clonic activity continued for approximately 2 minutes and the level of consciousness was decreased to a stuporous state. Under sedation, a pneumocephalus which was thought to be caused by the dura tear was evaluated with a brain computed tomography (CT) and a continuous slow wave was found on electroencephalography (EEG) without any epileptiform discharges. Eight hours postoperatively, the decreased level of consciousness recovered, and after 2 weeks, the patient was discharged without any neurologic sequealae. Clinicians should recognize the epileptogenic potential of sevoflurane and limit the maximum dose with avoidance of hypocapnia by hyperventilation. If an intracerebral lesion is accompanied, it may increase the possibility of the occurrence of seizure.

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    Ajay Krishnan, Vikrant Chauhan, Devanand Degulmadi, Shivanand Mayi, Ravi Ranjan, Mirant B Dave, Shiv Kumar Bali, Pranav Ravi Charde, Abhijith Anil, Preety A Krishnan, Bharat R Dave
    Journal of Minimally Invasive Spine Surgery and Technique.2023; 8(1): 105.     CrossRef
  • Diffuse symptomatic pneumocephalus after biportal endoscopic spinal surgery: illustrative case
    Chien-Tung Yang, Cheng-Di Chiu, Chih-Ying Wu
    Journal of Neurosurgery: Case Lessons.2022;[Epub]     CrossRef
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    Chia-Yu Lin, Chien-Chun Chang, Chun Tseng, Yen-Jen Chen, Chun-Hao Tsai, Yuan-Shun Lo, Pang-Hsuan Hsiao, Hsi-Kai Tsou, Chih-Sheng Lin, Hsien-Te Chen
    World Neurosurgery.2020; 138: 411.     CrossRef
  • 5,028 View
  • 33 Download
  • 3 Crossref
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