Skip to main navigation Skip to main content
  • E-Submission
  • Contact us

NS : Neurospine

OPEN ACCESS
Search
Advanced Search
ABOUT
BROWSE ARTICLES
FOR AUTHORS

Page Path

14
results for

"Sung Woo Roh"

Article category

Publication year

More +

Keywords

More +

Authors

More +

Funded articles

"Sung Woo Roh"

Original Articles

Tumor

Anterior Corpectomy Versus Posterior Pedicle Screw Fixation With 5.5-mm Rods for Metastatic Spinal Tumor Located in the Cervicothoracic Junction
Sun Woo Jang, Hong Kyung Shin, Sang Ryong Jeon, Sung Woo Roh, Danbi Park, Chongman Kim, Jin Hoon Park
Neurospine 2025;22(2):603-612.   Published online April 15, 2025
DOI: https://doi.org/10.14245/ns.2449230.615

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Anterior Corpectomy Versus Posterior Pedicle Screw Fixation With 5.5-mm Rods for Metastatic Spinal Tumor Located in the Cervicothoracic Junction
Neurospine. 2025;22(2):603-612.   Published online April 15, 2025
DOI: https://doi.org/10.14245/ns.2449230.615
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Anterior Corpectomy Versus Posterior Pedicle Screw Fixation With 5.5-mm Rods for Metastatic Spinal Tumor Located in the Cervicothoracic Junction
Neurospine. 2025;22(2):603-612.   Published online April 15, 2025
DOI: https://doi.org/10.14245/ns.2449230.615
Close
Objective
This study compared the efficacy of posterior pedicle screw fixation with 5.5-mm rods (PPSF5.5) with anterior corpectomy (AC) for metastatic cervicothoracic junction (CTJ) tumors.
Methods
This retrospective analysis included patients with CTJ tumors who underwent PPSF5.5 or AC from January 2000 to December 2023. Data collected included demographics, surgical details, clinical outcomes (visual analogue scale scores for neck or back pain, Spinal Instability Neoplastic Scale score, McCormick scale, Nurick grade, and Eastern Cooperative Oncology Group score), radiologic results (cervical segmental Cobb angle), and surgical complications (instrumentation failure, tumor regrowth, and wound infection).
Results
The AC group showed a tendency for short-level fusion. Patients in this group had tumors primarily located near C7 and generally confined to the vertebral body. AC was associated with more significant postoperative kyphotic changes in the index vertebra during follow-up than PPSF5.5. Moreover, AC was associated with a higher incidence of instrumentation failure, necessitating revision surgeries. Conversely, patients in the PPSF5.5 group tended to require revision surgery due to tumor regrowth.
Conclusion
For CTJ metastatic tumors, PPSF5.5 provides superior resistance to forward bending and collapse prevention and minimizes instrumentation failure rate compared to AC. Moreover, AC may reduce the risk of tumor recurrence, but this approach is recommended only if the tumor is confined to the vertebral body and located at the upper level of the CTJ.

Citations

Citations to this article as recorded by  Crossref logo
  • The efficacy of 5.5-mm diameter rods combined with cervical pedicle screws for the treatment of challenging spinal disease in cervicothoracic junction: Is it a game-changer?
    Younggyu Oh, Subum Lee, Sang Hyub Lee, Danbi Park, Chongman Kim, Sun Woo Jang, Jin Hoon Park
    Medicine.2025; 104(36): e44369.     CrossRef
  • 7,409 View
  • 130 Download
  • 1 Web of Science
  • 1 Crossref
Are There Advantages in Cervical Intrafacetal Fusion With Minimal Posterolateral Fusion (PLF) Compared to Conventional PLF in Posterior Cervical Fusion?
Sun Woo Jang, Sang Hyub Lee, Jeong Kyun Joo, Hong Kyung Shin, Jin Hoon Park, Sung Woo Roh, Sang Ryong Jeon
Neurospine 2024;21(2):525-535.   Published online February 1, 2024
DOI: https://doi.org/10.14245/ns.2347132.566

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Are There Advantages in Cervical Intrafacetal Fusion With Minimal Posterolateral Fusion (PLF) Compared to Conventional PLF in Posterior Cervical Fusion?
Neurospine. 2024;21(2):525-535.   Published online February 1, 2024
DOI: https://doi.org/10.14245/ns.2347132.566
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Are There Advantages in Cervical Intrafacetal Fusion With Minimal Posterolateral Fusion (PLF) Compared to Conventional PLF in Posterior Cervical Fusion?
Neurospine. 2024;21(2):525-535.   Published online February 1, 2024
DOI: https://doi.org/10.14245/ns.2347132.566
Close
Objective
We propose that cervical intrafacetal fusion (cIFF) using bone chip insertion into the facetal joint space additional to minimal PLF is a supplementary fusion method to conventional posterolateral fusion (PLF).
Methods
Patients who underwent posterior cervical fixation accompanied by cIFF with minimal PLF or conventional PLF for cervical myelopathy from 2012 to 2023 were investigated retrospectively. Radiological parameters including Cobb angle and C2–7 sagittal vertical axis (SVA) were compared between the 2 groups. In cIFF with minimal PLF group, cIFF location and PLF location were carefully divided, and the fusion rates of each location were analyzed by computed tomography scan.
Results
Among enrolled 46 patients, 31 patients were in cIFF group, 15 in PLF group. The postoperative change of Cobb angle in 1-year follow-up in cIFF with minimal PLF group and conventional PLF group were 0.1° ± 4.0° and -9.7° ± 8.4° respectively which was statistically lower in cIFF with minimal PLF group (p = 0.022). Regarding the fusion rate in cIFF with minimal PLF group in postoperative 6 months, the rates was achieved in 267 facets (98.1%) in cIFF location, and 244 facets (89.7%) in PLF location (p < 0.001).
Conclusion
Postoperative sagittal alignment was more preserved in cIFF with minimal PLF group compared with conventional PLF group. Additionally, in cIFF with minimal PLF group, the bone fusion rate of cIFF location was higher than PLF location. Considering the concerns of bone chip migration onto the spinal cord and relatively low fusion rate in PLF method, applying cIFF method using minimized PLF might be a beneficial alternative for posterior cervical decompression and fixation.
  • 5,640 View
  • 158 Download

Regular Issue

Quantitative Analysis of the Effect of Stereotactic Radiosurgery for Postoperative Residual Cervical Dumbbell Tumors: A Multicenter Retrospective Cohort Study
Sang Hyub Lee, Sun Woo Jang, Hong Kyung Shin, Jeoung Hee Kim, Danbi Park, Chang-Min Ha, Sun-Ho Lee, Dong Ho Kang, Young Hyun Cho, Sang Ryong Jeon, Sung Woo Roh, Jin Hoon Park
Neurospine 2024;21(1):293-302.   Published online January 31, 2024
DOI: https://doi.org/10.14245/ns.2347070.535

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Quantitative Analysis of the Effect of Stereotactic Radiosurgery for Postoperative Residual Cervical Dumbbell Tumors: A Multicenter Retrospective Cohort Study
Neurospine. 2024;21(1):293-302.   Published online January 31, 2024
DOI: https://doi.org/10.14245/ns.2347070.535
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Quantitative Analysis of the Effect of Stereotactic Radiosurgery for Postoperative Residual Cervical Dumbbell Tumors: A Multicenter Retrospective Cohort Study
Neurospine. 2024;21(1):293-302.   Published online January 31, 2024
DOI: https://doi.org/10.14245/ns.2347070.535
Close
Objective
Stereotactic radiosurgery (SRS) has been performed for spinal tumors. However, the quantitative effect of SRS on postoperative residual cervical dumbbell tumors remains unknown. This study aimed to quantitatively evaluate the efficacy of SRS for treating postoperative residual cervical dumbbell tumors.
Methods
We retrospectively reviewed cases of postoperative residual cervical dumbbell tumors from 1995 to 2020 in 2 tertiary institutions. Residual tumors underwent SRS (SRS group) or were observed with clinical and magnetic resonance imaging (MRI) follow-up (observation group). Tumor regrowth rates were compared between the SRS and observation groups. Additionally, risk factors for tumor regrowth were analyzed.
Results
A total of 28 cervical dumbbell tumors were incompletely resected. Eight patients were in the SRS group, and 20 in the observation group. The mean regrowth rate was not significantly lower (p = 0.784) in the SRS group (0.18 ± 0.29 mm/mo) than in the observation group (0.33 ± 0.40 mm/mo). In the multivariable Cox regression analysis, SRS was not a significant variable (hazard ratio [HR], 0.57; 95% confidence interval [CI], 0.18–1.79; p = 0.336).
Conclusion
SRS did not significantly decrease the tumor regrowth rate in our study. We believe that achieving maximal resection during the initial operation is more important than postoperative adjuvant SRS.

Citations

Citations to this article as recorded by  Crossref logo
  • Preoperative 3D surgical planning using Mimics significantly decreased the rate of internal fixation in cervical dumbbell tumor resection and improved the postoperative outcome: a single-center retrospective study
    Hui Wang, Zhiwen Qin, Hailin Lyu, Lu Gao, Ke Zhang
    European Spine Journal.2026;[Epub]     CrossRef
  • Preoperative radiotherapy combined with surgery versus surgery alone for primary retroperitoneal sarcoma: a meta-analysis
    Young Rak Kim, Chang-Hyun Lee, Hangeul Park, Jun-Hoe Kim, Chi Heon Kim
    Scientific Reports.2025;[Epub]     CrossRef
  • The utility of intraoperative ultrasonography for spinal cord surgery
    Hangeul Park, Jun-Hoe Kim, Chang-Hyun Lee, Sum Kim, Young-Rak Kim, Kyung-Tae Kim, Ji-hoon Kim, John M. Rhee, Woo-Young Jo, Hyongmin Oh, Hee-Pyoung Park, Chi Heon Kim, Barry Kweh
    PLOS ONE.2024; 19(7): e0305694.     CrossRef
  • A Complete Facet Resection and Cervical Pedicle Screw Placement Enhances Both Gross Total Resection and Motion Preservation for the Cervical Spinal Dumbbell Tumor
    Sungsoo Bae, Dae-Jean Jo, Sun Woo Jang, Danbi Park, Sang Hyub Lee, Jinuk Kim, Chongman Kim, Jin Hoon Park
    World Neurosurgery.2024; 192: e486.     CrossRef
  • 5,971 View
  • 116 Download
  • 4 Web of Science
  • 4 Crossref
Management of Cerebrospinal Fluid Leakage by Pump-Regulated Volumetric Continuous Lumbar Drainage Following Anterior Cervical Decompression and Fusion for Ossification of the Posterior Longitudinal Ligament
Sun Woo Jang, Sang Hyub Lee, Hong Kyung Shin, Sang Ryong Jeon, Sung Woo Roh, Jin Hoon Park
Neurospine 2023;20(4):1421-1430.   Published online December 31, 2023
DOI: https://doi.org/10.14245/ns.2346736.368

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Management of Cerebrospinal Fluid Leakage by Pump-Regulated Volumetric Continuous Lumbar Drainage Following Anterior Cervical Decompression and Fusion for Ossification of the Posterior Longitudinal Ligament
Neurospine. 2023;20(4):1421-1430.   Published online December 31, 2023
DOI: https://doi.org/10.14245/ns.2346736.368
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Management of Cerebrospinal Fluid Leakage by Pump-Regulated Volumetric Continuous Lumbar Drainage Following Anterior Cervical Decompression and Fusion for Ossification of the Posterior Longitudinal Ligament
Neurospine. 2023;20(4):1421-1430.   Published online December 31, 2023
DOI: https://doi.org/10.14245/ns.2346736.368
Close
Objective
Cerebrospinal fluid (CSF) leakage is a major concern related to anterior cervical decompression and fusion for ossification of the posterior longitudinal ligament (OPLL). We propose a management algorithm for CSF leakage following anterior cervical decompression and fusion for OPLL involving the use of pump-regulated volumetric continuous lumbar drainage.
Methods
We retrospectively reviewed patients who underwent anterior cervical decompression and fusion for OPLL and were managed with the proposed algorithm between March 2018 and July 2022. The proposed management algorithm for CSF leakage by pump-regulated volumetric continuous lumbar drainage was as follows. On exposure of the arachnoid membrane with or without CSF leakage, a dural sealant patch was applied to manage the dural defect. In case of persistent CSF leakage despite application of the dural sealant patch, patients underwent pump-regulated volumetric continuous lumbar drainage.
Results
Fifty-one patients were included in the study. CSF leakage occurred in 14 patients. Of these 14 patients, 9 patients underwent lumbar drain insertion according to the proposed management algorithm. Successful resolution of CSF leakage was observed in 8 of the 9 patients who underwent lumbar drainage. All patients were encouraged to ambulate without concern of CSF overdrainage due to gravity, because it could be avoided with pump-regulated volumetric continuous CSF drainage. Therefore, complications associated with absolute bed rest or CSF overdrainage were not observed.
Conclusion
The proposed management algorithm with pump-regulated volumetric continuous lumbar drainage showed safety and efficacy for management of CSF leakage following anterior decompression and fusion for OPLL.

Citations

Citations to this article as recorded by  Crossref logo
  • Enhanced indirect sealing of cerebrospinal fluid leaks in anterior cervical surgery using plate mechanical pressure
    Dong Liu, Leisheng Wang, Xiaoguang Fan
    Journal of Radiation Research and Applied Sciences.2026; 19(1): 102196.     CrossRef
  • Delayed myelopathy caused by cerebrospinal fluid pseudocyst following decompression for thoracic ossification of the ligamentum flavum: a case report and literature review
    Shuxin Zheng, Jianzhi Wang, Junhu Li, Linnan Wang, Lei Wang, Yueming Song
    BMC Musculoskeletal Disorders.2026;[Epub]     CrossRef
  • External lumbar drain for fistula leakage in posterior fossa and spinal surgery: a systematic review with meta-analysis
    Luciano Falcão, João Pedro Fernandes Gonçalves, Maianna Sancho do Lago, Maria Clara Nery Cardoso, Judson Carlos S. N. Júnior, Lucas Piason, Jean G. de Oliveira, José Carlos Esteves Veiga
    Neurosurgical Review.2025;[Epub]     CrossRef
  • Dural Tear and Cerebrospinal Fluid Leakage in Anterior Cervical Spine Surgery: Pathophysiology, Management, and Evolving Repair Techniques
    Jae Jun Yang, Jiwon Park, Jong-Beom Park, Suo Kim
    Journal of Clinical Medicine.2025; 14(23): 8478.     CrossRef
  • Review/Perspective: Incidence and treatment of CSF leaks/dural tears (DT) occurring during anterior cervical surgery
    Nancy E. Epstein, Marc A. Agulnick
    Surgical Neurology International.2024; 15: 401.     CrossRef
  • The drainage volume control by elevation of drainage height versus head down tilt in supine position for management of cerebrospinal fluid leakage following lumbar posterior surgery
    Ping Dong, Jing Huang, Xu Deng, Hongli Yang, Chunmei Luo
    BMC Musculoskeletal Disorders.2024;[Epub]     CrossRef
  • 8,952 View
  • 220 Download
  • 4 Web of Science
  • 6 Crossref
Sacropelvic Fixation for Adult Deformity Surgery Comparing Iliac Screw and Sacral 2 Alar-Iliac Screw Fixation: Systematic Review and Updated Meta-Analysis
Hong Kyung Shin, Jin Hoon Park, Sang Ryong Jeon, Sung Woo Roh, Dae Jean Jo, Seung-Jae Hyun, Yong-Jae Cho, for the Korean Spinal Deformity Society (KSDS)
Neurospine 2023;20(4):1469-1476.   Published online December 31, 2023
DOI: https://doi.org/10.14245/ns.2346654.327

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Sacropelvic Fixation for Adult Deformity Surgery Comparing Iliac Screw and Sacral 2 Alar-Iliac Screw Fixation: Systematic Review and Updated Meta-Analysis
Neurospine. 2023;20(4):1469-1476.   Published online December 31, 2023
DOI: https://doi.org/10.14245/ns.2346654.327
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Sacropelvic Fixation for Adult Deformity Surgery Comparing Iliac Screw and Sacral 2 Alar-Iliac Screw Fixation: Systematic Review and Updated Meta-Analysis
Neurospine. 2023;20(4):1469-1476.   Published online December 31, 2023
DOI: https://doi.org/10.14245/ns.2346654.327
Close
Objective
Two commonly used techniques for spinopelvic fixation in adult deformity surgery are iliac screw (IS) and sacral 2 alar-iliac screw (S2AI) fixations. In this article, we systematically meta-analyzed the complications of sacropelvic fixation for adult deformity surgery comparing IS and S2AI.
Methods
The PubMed, Embase, Web of Science, and Cochrane clinical trial databases were systematically searched until March 29, 2023. The proportion of postoperative complications, including implant failure, revision, screw prominence, and wound complications after sacropelvic fixation, were pooled with a random-effects model. Subgroup analyses for the method of sacropelvic fixation were conducted.
Results
Ten studies with a total of 1,931 patients (IS, 925 patients; S2AI, 1,006 patients) were included. The pooled proportion of implant failure was not statistically different between the IS and S2AI groups (21.9% and 18.9%, respectively) (p = 0.59). However, revision was higher in the IS group (21.0%) than that in the S2AI group (8.5%) (p = 0.02). Additionally, screw prominence was higher in the IS group (9.6%) than that in the S2AI group (0.0%) (p < 0.01), and wound complication was also higher in the IS group (31.7%) than that in the S2AI group (3.9%) (p < 0.01).
Conclusion
IS and S2AI fixations showed that both techniques had similar outcomes in terms of implant failure. However, S2AI was revealed to have better outcomes than IS in terms of revision, screw prominence, and wound complications.

Citations

Citations to this article as recorded by  Crossref logo
  • A biomechanical study comparing combined S1AI and S3AI trajectories to other pelvic fixation techniques: A finite element analysis
    William Sheppard, Arpan A. Patel, Colin Rhoads, Landon Reading, Theodore Rudic, Joshua Wiener, Matthew Magro, Lauren M. Boden, Thomas Olson, Jason Savage, Michael Steinmetz, Edin Nevzati, Alexander Spiessberger
    Clinical Biomechanics.2026; 131: 106712.     CrossRef
  • Critical Assessment of Evidence Quality of Meta-Analyses Comparing Sacral 2 Alar–Iliac Fixation with Iliac Screws for Adult Spinal Deformity: An Umbrella Review with Emphasis on Methodological Limitations
    Ali Haider Bangash, Ananth S. Eleswarapu, Mitchell S. Fourman, Yaroslav Gelfand, Saikiran G. Murthy, Jaime A. Gomez, C. Rory Goodwin, Peter G. Passias, Reza Yassari, Rafael De la Garza Ramos
    Journal of Clinical Medicine.2026; 15(2): 753.     CrossRef
  • Modified iliac screw technique for pelvic fixation: a scoping review of technical characteristics and early clinical outcomes
    Hanyu Qiu, Dhruvish Patel, Moriah Thompson, Piper Tingleaf, Kishore Balasubramanian, Peter G. Passias, Luis M. Tumialan, Praveen V. Mummaneni, Nitin Agrawal, Ali K. Ozturk, Hakeem J. Shakir, John F. Burke, Chao Li, Zachary A. Smith, Andrew Jea, Angela E.
    Acta Neurochirurgica.2026;[Epub]     CrossRef
  • Performance of Porous Pelvic Fixation Implants in Multilevel Spine Fusion Surgery
    John Caridi, Richard Menger, Christopher Martin, Alexander Lemons, Isador Lieberman, Jeffrey Mullin, Jonathan Sembrano, Khalid Odeh, Evalina Burger, Taylor Lawson, Christopher J. Kleck
    Spine Open.2026;[Epub]     CrossRef
  • Asymmetric Safety Corridors for Free-Hand S2-Alar-Iliac Screw Placement: Quantifying Direction-Specific Tolerance Around Patient-Specific Optimal Trajectories
    Se Jun Park, Dong Kyu Kim, Sun Joon Yoo, Hyun Jun Jang, Bong Ju Moon, Jeong Yoon Park, Jun Jae Shin, Sung Uk Kuh, Dong Kyu Chin, Keun Su Kim, Kyung Hyun Kim
    Journal of Clinical Medicine.2026; 15(12): 4495.     CrossRef
  • S2AI and iliac screw prominence and removal for symptomatic prominence: a systematic review
    Rafael Garcia, Kari Odland, Paul Lender, David Polly
    European Spine Journal.2025; 34(4): 1398.     CrossRef
  • S2AI vs. iliac screws in spinopelvic fixation for adult spinal deformity: a propensity score-matched analysis
    Alejandro Gómez-Rice, Susana Núñez-Pereira, Sleiman Haddad, Riccardo Raganato, Yann Philippe Charles, Franciso Pérez-Grueso, Frank Kleinstück, Ibrahim Obeid, Ahmet Alanay, Ferran Pellise, Javier Pizones
    European Journal of Orthopaedic Surgery & Traumatology.2025;[Epub]     CrossRef
  • Clinical Outcomes Associated with Screw Loosening in S2 Alar-Iliac Fixation in Adult Spinal Deformity
    Yasuhiro Nagatani, Hiroaki Nakashima, Tokumi Kanemura, Mikito Tsushima, Hiroyuki Tomita, Kazuaki Morishita, Hiroki Oyama, Sadayuki Ito, Naoki Segi, Jun Ouchida, Ippei Yamauchi, Yukihito Ode, Yuya Okada, Shiro Imagama
    Journal of Clinical Medicine.2025; 14(6): 1881.     CrossRef
  • A biomechanical study on bilateral SAI annular fixation in the treatment of unilateral Denis Ⅱ sacral fractures
    Peishuai Zhao, Chengfei Peng, Honghu Lin, Wuqing Wei, Weiyi Pang, Chaoyong Bei
    Journal of Clinical Neuroscience.2025; 136: 111221.     CrossRef
  • AO Spine Clinical Practice Recommendations: Spinopelvic Fixation - What are the Key Items to Understand Performance?
    Robert Ravinsky, Stephen Lewis, Charles Fisher, David Polly
    Global Spine Journal.2025; 15(6): 2855.     CrossRef
  • Low rates of pain requiring sacroiliac joint fusion after countersunk iliac screw for spinopelvic fixation
    Rahul Kishore Chaliparambil, Mykhaylo Krushelnytskyy, Rishi Jain, Mehul Mittal, Amr Alwakeal, Muhammad T. Hassan, Nishanth S. Sadagopan, Pavlos Texakalidis, Najib El Tecle, Nader S. Dahdaleh, Tyler Koski
    Journal of Craniovertebral Junction and Spine.2025; 16(3): 284.     CrossRef
  • Comparative efficacy of S2-alar-iliac versus iliac screw techniques in treating adult spinal deformity: a meta-analysis of postoperative outcomes and complications
    Amit Saraf, Sanjeev Kumar Jain, Sonika Sharma
    Asian Spine Journal.2025; 19(5): 847.     CrossRef
  • What’s New in Spine Surgery
    Melvin D. Helgeson, Alfred J. Pisano, Donald R. Fredericks, Scott C. Wagner
    Journal of Bone and Joint Surgery.2024; 106(12): 1035.     CrossRef
  • Lumbar pedicle subtraction osteotomy: techniques and outcomes
    Anouar Bourghli, Louis Boissiere, Ibrahim Obeid
    North American Spine Society Journal (NASSJ).2024; 19: 100516.     CrossRef
  • 7,320 View
  • 231 Download
  • 16 Web of Science
  • 14 Crossref

Spinal Cord Injury INTS-Neurospine Special Issue

Meta-Analysis on the Effect of Hypothermia in Acute Spinal Cord Injury
Hong Kyung Shin, Jin Hoon Park, Sung Woo Roh, Sang Ryong Jeon
Neurospine 2022;19(3):748-756.   Published online September 30, 2022
DOI: https://doi.org/10.14245/ns.2244444.222

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Meta-Analysis on the Effect of Hypothermia in Acute Spinal Cord Injury
Neurospine. 2022;19(3):748-756.   Published online September 30, 2022
DOI: https://doi.org/10.14245/ns.2244444.222
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Meta-Analysis on the Effect of Hypothermia in Acute Spinal Cord Injury
Neurospine. 2022;19(3):748-756.   Published online September 30, 2022
DOI: https://doi.org/10.14245/ns.2244444.222
Close
Objective
Acute spinal cord injury (SCI) can result in debilitating motor, sensory, and autonomic dysfunction. As a treatment option, therapeutic hypothermia has been researched to inadequate pharmaceutical treatment, except for methylprednisolone. In this article, we systematically meta-analyzed to clarify the effect of hypothermia in acute SCI on neurological outcomes.
Methods
The PubMed, Embase, Web of Science, and Cochrane clinical trial databases were systematically searched until June 30, 2022. The proportion of cases with improved neurological status after hypothermia in acute SCI were pooled with a random-effects model. Subgroup analyses for the method of hypothermia and injury level were conducted.
Results
Eight studies with a total of 103 patients were included. Hypothermia in acute SCI improved neurological function by 55.8% (95% confidence interval [CI]: 39.4%–72.1%). The subgroup analysis revealed that the pooled proportion of cases showing neurological improvement was higher with systemic hypothermia (70.9%) (95% CI, 14.9%–100%) than with local hypothermia (52.5%) (95% CI, 40.4%–64.5%), although the subgroup difference was not statistically significant (p = 0.53). Another subgroup analysis revealed that the proportion of cases with neurological improvement did not differ statistically between the cervical spine (61.4%) (95% CI, 42.2%–80.6%) and thoracic spine injury groups (59.4%) (95% CI, 34.8%–84.0%) (p = 0.90).
Conclusion
This meta-analysis identified that more than 50% of patients showed neurological improvement after hypothermia following acute SCI in general. A multicenter, randomized, double-blind study with larger sample size is necessary to validate the findings further.

Citations

Citations to this article as recorded by  Crossref logo
  • Mechanisms and Applications of Conductive Biomaterials in Spinal Cord Injury Repair
    Bin Zhao, Zhonghan Wang, Tong Yu, Xiangran Cui, Jinbo Zhang, Quezhu Danzeng, Wenjie Wang, Yi Shen, Chenhao Ma, Yaolin Zhao, Jianhang Jiao, Minfei Wu
    Biomaterials Research.2026;[Epub]     CrossRef
  • From neural stem cells to cell-free exosome nanotherapy: reprogramming the injured spinal cord microenvironment for regeneration
    Cheng Zhang, Xiaoyin Liu, Bolin Zhao, Jia Luo, Wenhui Liu, Yun Hao, Fuheng Hu, Siyi Li, Liyuan Jin, Wei Huang, Xiaohui Yu, Jianguo Xu, Jiaojiang He, Liangxue Zhou
    Journal of Materials Chemistry B.2026;[Epub]     CrossRef
  • Current and emergent therapies targeting spinal cord injury
    Giovanni Grasso, Luigi Cusimano, Manfredi Noto, Rosario Maugeri, Domenico Gerardo Iacopino
    Brain and Spine.2025; 5: 104243.     CrossRef
  • Traumatic Spinal Cord Injury: Review of the Literature
    Lori Zarmer, Maaz Khan, Glenn Islat, Hanan Alameddin, Maria Massey, Rabail Chaudhry
    Journal of Clinical Medicine.2025; 14(11): 3649.     CrossRef
  • The future of artificial hibernation medicine
    Caiyun Liu, Haixin Yu, Zhengchao Li, Shulian Chen, Xiaoyin Li, Xuyi Chen, Bo Chen
    Neural Regeneration Research.2024; 19(1): 22.     CrossRef
  • Clinical Assessment and Management of Acute Spinal Cord Injury
    Christian Quinones, John Preston Wilson, Deepak Kumbhare, Bharat Guthikonda, Stanley Hoang
    Journal of Clinical Medicine.2024; 13(19): 5719.     CrossRef
  • Co-Administration of Resolvin D1 and Peripheral Nerve-Derived Stem Cell Spheroids as a Therapeutic Strategy in a Rat Model of Spinal Cord Injury
    Seung-Young Jeong, Hye-Lan Lee, SungWon Wee, HyeYeong Lee, GwangYong Hwang, SaeYeon Hwang, SolLip Yoon, Young-Il Yang, Inbo Han, Keung-Nyun Kim
    International Journal of Molecular Sciences.2023; 24(13): 10971.     CrossRef
  • Commentary on “Different Ways to Die: Cell Death Pathways and Their Association With Spinal Cord Injury”
    Jeffrey Luo, Joshua B. Stein, Ki-Bum Lee
    Neurospine.2023; 20(2): 449.     CrossRef
  • Early surgical intervention for acute spinal cord injury: time is spine
    Ayesha Quddusi, Karlo M. Pedro, Mohammed Ali Alvi, Nader Hejrati, Michael G. Fehlings
    Acta Neurochirurgica.2023; 165(9): 2665.     CrossRef
  • 9,631 View
  • 268 Download
  • 9 Web of Science
  • 9 Crossref
Microsurgery Versus Endovascular Treatment - Which Is Adequate for Initial Treatment of Spinal Dural Arteriovenous Fistula: A Case Series
Younggyu Oh, Yeon Heo, Sang Ryong Jeon, Sung Woo Roh, Jin Hoon Park
Neurospine 2021;18(2):344-354.   Published online June 30, 2021
DOI: https://doi.org/10.14245/ns.2040826.413

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Microsurgery Versus Endovascular Treatment - Which Is Adequate for Initial Treatment of Spinal Dural Arteriovenous Fistula: A Case Series
Neurospine. 2021;18(2):344-354.   Published online June 30, 2021
DOI: https://doi.org/10.14245/ns.2040826.413
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Microsurgery Versus Endovascular Treatment - Which Is Adequate for Initial Treatment of Spinal Dural Arteriovenous Fistula: A Case Series
Neurospine. 2021;18(2):344-354.   Published online June 30, 2021
DOI: https://doi.org/10.14245/ns.2040826.413
Close
Objective
Considering the adverse natural history of spinal dural arteriovenous fistula (sDAVF), clinical outcomes may be worsened if the initial occlusive trial does not achieve complete fistula occlusion. We aimed to analyze the initial success rate of microsurgery and embolization and confirm the effects of initial treatment success on the clinical outcomes of sDAVF patients. In addition, we investigated the factors associated with initial treatment failure.
Methods
A total of 38 patients treated for sDAVF at a single institution over a 14-year period were retrospectively reviewed. Clinical outcomes according to the initial treatment modality were quantitatively analyzed. Demographic characteristics and angioarchitecture data were evaluated to identify factors associated with initial treatment failure.
Results
In the study population, 34 patients underwent embolization as the initial treatment, and complete occlusion of the fistula was achieved in 13 patients (38%). However, all patients who underwent microsurgery showed complete fistula occlusion. Among patients with initial treatment success, gait and micturition were improved with statistical significance (p < 0.001 each). However, in cases of initial treatment failure, only mild improvements in gait and micturition were observed, which were not statistically significant (p = 0.097 and p = 0.375, respectively). A narrow feeding artery diameter (p = 0.007) and embolization of the artery only (p = 0.002) were identified as factors associated with initial treatment failure.
Conclusion
To achieve symptomatic improvement and prevent neurological deterioration due to recurrence, the initial definite occlusion of the fistula is important. Despite advances in endovascular techniques, microsurgical occlusion is still superior in terms of initial complete obliteration.

Citations

Citations to this article as recorded by  Crossref logo
  • Surgical Management of Spinal Dural Arteriovenous Fistula: A Case Report
    Kaoutar Faraj, Hamza Sriri, Mohammed Oualid Hmamouch, Hammoud Marouane, Lakhdar Fayçal, Benzagmout Mohammed, Chakour Khalid, Chaoui Faiz Mohammed
    Cureus.2025;[Epub]     CrossRef
  • The role of Surgery in the treatment of spinal Dural Arteriovenous fistula
    Jitendra Narayan Senapati, Swarupanjali Padhi , Saksham Sood, Tanmay Mehta, Jagmeet Sohal, Kothakonda Sairam
    Health Leadership and Quality of Life.2025; 4: 636.     CrossRef
  • Multimodality treatment maximizing outcome in spinal dural arteriovenous fistulae
    A.J. Gauden, B. Gu, S. Han, N.J. Telischak, R. Dodd, H.M. Do, M.P. Marks, G.K. Steinberg
    Journal of Clinical Neuroscience.2025; 141: 111571.     CrossRef
  • Predictive factors and comparative analysis of surgical vs. endovascular treatment for spinal dural arteriovenous fistulas: a 22-year experience at a neurovascular and spine center
    Mido Max Hijazi, Andreas Filis, Penelope Felgenhauer, Kay Engellandt, Sergio M.F. Romualdo, Dino Podlesek, Tareq A. Juratli, Ilker Y. Eyüpoglu
    Brain and Spine.2025; 5: 104335.     CrossRef
  • Causes and consequences of ‘delays’ in the diagnosis of spinal dural arterio-venous fistula; An illustrative case series, review and commentary
    Danielle Chéné, Simon Clark, Derek Yull, Josh Yee, Yun-Hom Yau, Ian R. Whittle
    Journal of Clinical Neuroscience.2025; 138: 111346.     CrossRef
  • Outcomes of Surgical versus Endovascular Treatment of Spinal Dural Arteriovenous Fistula: A Systematic Review and Meta-Analysis
    Badr Hafiz, Abdulaziz Aldahlawi, Alaa Ashqar, Abdulaziz Hamzah, Yazeed Alotaibi, Khalid Bajunaid, Saleh Baeesa
    World Neurosurgery.2025; 202: 124420.     CrossRef
  • Hybrid treatment of central nervous system arteriovenous fistulas: A single center experience
    Çağrı Elbir, Göktuğ Ülkü
    Batı Karadeniz Tıp Dergisi.2025; 9(3): 370.     CrossRef
  • Spinal dural arteriovenous fistula: a comprehensive review of the history, classification systems, management, and prognosis
    Ali Alkhaibary, Ahoud Alharbi, Nada Alnefaie, Hajar Alammar, Alshaymaa M. Arishy, Noor Alghanim, Yazeed M. Aldhfyan, Arwa Albaiahy, Yahya H. Khormi, Wael Alshaya, Saad AlQahatani, Ahmed Aloraidi, Ahmed Alkhani, Sami Khairy
    Chinese Neurosurgical Journal.2024;[Epub]     CrossRef
  • Diagnostic, clinical management, and outcomes in patients with spinal dural arteriovenous fistula
    Andreas Filis, Sergio M. F. Romualdo, Kay Engellandt, Ibrahim El-Battrawy, Dino Podlesek, Tareq A. Juratli, Ilker Y. Eyüpoglu, Gabriele Schackert, Mido Max Hijazi
    Frontiers in Surgery.2024;[Epub]     CrossRef
  • The Impact of Magnetic Resonance Imaging Findings in Predicting Neurological Status Pre- and Post-Treatment of Spinal Dural Arteriovenous Fistulas: A 22-Year Experience in a Neurovascular and Spine Center
    Andreas Filis, Kay Engellandt, Sergio M. F. Romualdo, Ibrahim El-Battrawy, Dino Podlesek, Tareq A. Juratli, Ilker Y. Eyüpoglu, Mido Max Hijazi
    Diagnostics.2024; 14(6): 581.     CrossRef
  • Surgery versus endovascular treatment for spinal dural arteriovenous fistulas: a multicenter experience and systematic literature review
    Luca Zanin, Rina Di Bonaventura, Edoardo Agosti, Lodovico Terzi di Bergamo, Dino Daniele, Giorgio Saraceno, Anna Maria Auricchio, Carmelo Lucio Sturiale, Mauro Bergui, Dikran Mardighian, Guido Stura, Alessandro Pedicelli, Ettore Bresciani, Karol Migliorat
    Neurosurgical Review.2024;[Epub]     CrossRef
  • Preoperative Angiographic Protocol for the Surgical Management of Spinal Dural Arteriovenous Fistulas: A Technical Nuance for Safe Minimally Invasive Surgery
    Rina Di Bonaventura, Lara Brunasso, Carmelo Lucio Sturiale, Iacopo Valente, Alessandro Pedicelli, Enrico Marchese, Rosario Maugeri, Domenico Gerardo Iacopino, Alessandro Olivi, Alessio Albanese
    World Neurosurgery.2024; 187: 162.     CrossRef
  • Risk factors for postoperative late deterioration in patients with spinal dural arteriovenous fistulas
    Yuanhong Ge, Qingjia Lai, Wei Guo, Xuejun Xu
    Frontiers in Neurology.2024;[Epub]     CrossRef
  • The hybrid operation based on microsurgery assisted by intraoperative spinal angiography in patients with spinal dural arteriovenous fistula: a series of 45 cases from multicenter research
    Xiaorong Sun, Li Yu, Wenqing Jia, Wei Dai
    Chinese Neurosurgical Journal.2024;[Epub]     CrossRef
  • An Update on Spinal Dural Arteriovenous Fistulae: Case Series and Systematic Review
    George Vavoulis, Dimitrios Giakoumettis, Abraham Tsitlakidis, Aikaterini Karagianni, Bilal Almasarwah, Theodoros Vogiatzoglou, Evropi Amanatidou, Konstantinos Rados, Konstantinos Vlachos
    Cureus.2024;[Epub]     CrossRef
  • Endovascular embolization combined with anterior cervical corpectomy for treatment of cervical spinal dural arteriovenous fistula
    Carlos Castillo-Rangel, Jose de J. Gutierrez-Banos, Mauricio Rodriguez-Pereira, Jaime Ordonez-Granja, Helen Ruvalcaba-Guerrero, Gerardo Marin
    Surgical Neurology International.2024; 15: 341.     CrossRef
  • Dural arteriovenous fistulas at the craniocervical junction: a systematic review and meta-analysis
    Jumanah Qedair, Kiran Sankarappan, Mohammad Mirahmadi Eraghi, Zachary C. Gersey, Prateek Agarwal, Sharath Kumar Anand, Paolo Palmisciano, Matthew Blackwell, Seyed Farzad Maroufi, Salah G. Aoun, Tarek Y. El Ahmadieh, Aaron A. Cohen-Gadol, Othman Bin-Alamer
    Neurosurgical Review.2024;[Epub]     CrossRef
  • Recurrence Rates Following Treatment of Spinal Vascular Malformations: A Systematic Review and Meta-Analysis
    James Mamaril-Davis, Pedro Aguilar-Salinas, Mauricio J. Avila, Travis Dumont, Michael B. Avery
    World Neurosurgery.2023; 173: e250.     CrossRef
  • Surgical evolution in spinal dural arteriovenous fistula treatment—a 7 years monocentric experience
    Antoine Devalckeneer, Philippe Bourgeois, Yohan Caudron, Laurent Estrade, Louis Obled, Xavier Leclerc, Richard Assaker, Jean-Paul Lejeune, Rabih Aboukais
    Neurosurgical Review.2023;[Epub]     CrossRef
  • Cervical Radiculopathy Caused by Spinal Epidural Arteriovenous Fistula (SEDAVF) Without Intradural Drainage: A Case Report and Literature Review
    Daewon Park, Donghan Kim, Dong-Hun Kang, Subum Lee, Dae-Chul Cho
    Korean Journal of Neurotrauma.2022; 18(1): 145.     CrossRef
  • 13,141 View
  • 527 Download
  • 18 Web of Science
  • 20 Crossref

Case Reports

Extra-intradural Spinal Meningioma: A Case Report
Seong Kyun Jeong, Han Yu Seong, Sung Woo Roh
Korean J Spine 2014;11(3):202-204.   Published online September 30, 2014
DOI: https://doi.org/10.14245/kjs.2014.11.3.202

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Extra-intradural Spinal Meningioma: A Case Report
Korean J Spine. 2014;11(3):202-204.   Published online September 30, 2014
DOI: https://doi.org/10.14245/kjs.2014.11.3.202
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Extra-intradural Spinal Meningioma: A Case Report
Korean J Spine. 2014;11(3):202-204.   Published online September 30, 2014
DOI: https://doi.org/10.14245/kjs.2014.11.3.202
Close

Extradural spinal meningiomas are uncommon, and their pathophysiology is not entirely understood. Here, we present the case of a 49-year-old woman with low back and left leg pain of 5 years duration. Magnetic resonance imaging revealed a mass, 1.8-cm in size, with rim enhancement in the spinal canal at the T12 level and extending into the left T12-L1 foramen. In the surgical field, the mass presented with the characteristics of an extra-intradural spinal meningioma. The patient underwent a T12 total laminectomy. A linear durotomy was performed at the midline, and the intradural portion was removed. The extradural portion was not separable from the adjacent dura and the left T12 root, and it was removed by dural excision. Pathological examination confirmed the diagnosis of psammomatous meningioma. We also conducted a literature review of similar cases. Based on our experience with this case, we believe that it is important to clearly distinguish extradural meningiomas from other types of tumors as misdiagnosis can change the operative plan. The long term prognosis of extradural meningiomas is not clear but total excision is thought to be essential.

Citations

Citations to this article as recorded by  Crossref logo
  • Surgical Treatment of Spinal Intra-Extradural Meningioma: A Clinical Case
    Vitaliy Y. Molotkovets, Oleksii S. Nekhlopochyn, Myroslava O. Marushchenko
    Ukrainian Neurosurgical Journal.2024; 30(3): 56.     CrossRef
  • Thoracic Extradural Psammomatous Meningioma on T6–T8: A Case Report and Literature Review
    Roberto Renan Albavera-Gutiérrez, Arturo Espíndola-Rodríguez, Carlos Alberto Castro-Fuentes, Ana Karen Aguayo Martínez, Omar Esteban Valencia-Ledezma, Juan Manuel Salgado-Camacho, Luis Bernal Mendoza, Ernesto Nuñez Nava
    Surgeries.2024; 5(4): 920.     CrossRef
  • Lumbar spine epidural meningioma: report of a rare case
    Ghassen Gader, Mourad Masmoudi, Khalil Ghedira, Mohamed Ilyes Krifa, Ines Chelly, Ihsèn Zammel, Mohamed Badri
    Spinal Cord Series and Cases.2023;[Epub]     CrossRef
  • Extra-Intradural Thoracic Spinal Meningioma Mimicking a Malignancy: A Case Report and Literature Review
    Ji-Ho Bae, Sang-Youn Song, Myung-Geun Song, Dong-Hee Kim
    Journal of Korean Society of Spine Surgery.2023; 30(4): 125.     CrossRef
  • Simpson grade 3 resection does not improve clinical outcome in neglected thoracic psammomatous spinal meningioma? A case report
    Azharuddin Azharuddin, Muhammad Bayu Zohari Hutagalung, Reno Keumalazia Kamarlis
    International Journal of Surgery Case Reports.2019; 61: 135.     CrossRef
  • Spinal Epidural En Plaque Meningioma Misdiagnosed as Lymphoma: A Case Report
    Jiyoung Choi, Hyeok Jin Hong, So Ya Paik
    Journal of the Korean Society of Radiology.2019; 80(6): 1235.     CrossRef
  • Spinal Extradural Meningioma: A Case Report and Review of the Literature
    Wonju Hong, Eun Soo Kim, Yul Lee, Kwanseop Lee, Sung Hye Koh, Hwayoung Song, Mi Jung Kwon
    Journal of the Korean Society of Radiology.2018; 79(1): 11.     CrossRef
  • Spontaneous intracranial hypotension: two steroid-responsive cases
    Russo Camilla, Buono Vincenzo, Fenza Giacomo, Zandolino Alexis, Serino Antonietta, Manto Andrea
    Polish Journal of Radiology.2018; 83: 229.     CrossRef
  • Repair of Inaccessible Ventral Dural Defect in Thoracic Spine: Double Layered Duraplasty
    Dong-Hyun Lee, Kyoung-Tae Kim, Jeong-Ill Park, Ki-Su Park, Dae-Chul Cho, Joo-Kyung Sung
    Korean Journal of Spine.2016; 13(2): 87.     CrossRef
  • 9,272 View
  • 99 Download
  • 9 Crossref
Occipital Neuralgia after Occipital Cervical Fusion to Treat an Unstable Jefferson Fracture
Seong Ju Kong, Jin Hoon Park, Sung Woo Roh
Korean J Spine 2012;9(4):358-361.   Published online December 31, 2012
DOI: https://doi.org/10.14245/kjs.2012.9.4.358

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Occipital Neuralgia after Occipital Cervical Fusion to Treat an Unstable Jefferson Fracture
Korean J Spine. 2012;9(4):358-361.   Published online December 31, 2012
DOI: https://doi.org/10.14245/kjs.2012.9.4.358
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Occipital Neuralgia after Occipital Cervical Fusion to Treat an Unstable Jefferson Fracture
Korean J Spine. 2012;9(4):358-361.   Published online December 31, 2012
DOI: https://doi.org/10.14245/kjs.2012.9.4.358
Close

In this report we describe a patient with an unstable Jefferson fracture who was treated by occipitocervical fusion and later reported sustained postoperative occipital neuralgia. A 70-year-old male was admitted to our center with a Jefferson fracture induced by a car accident. Preoperative lateral X-ray revealed an atlanto-dens interval of 4.8mm and a C1 canal anterior-posterior diameter of 19.94mm. We performed fusion surgery from the occiput to C5 without decompression of C1. The patient reported sustained continuous pain throughout the following year despite strong analgesics. The pain dermatome was located mainly in the great occipital nerve territory and posterior neck. Magnetic resonance images revealed no evidence of cord compression, however a C1 lamina compressed dural sac and C2 root compression could not be excluded. We performed bilateral C2 root decompression via a C1 laminectomy. After decompression, bilateral C2 root redundancy was identified by palpation. After decompression surgery, pain was reduced. This case indicates that occipital neuralgia, suggesting the need for diagnostic block, should be considered in the differential diagnosis of patients with sustained occipital headache after occipitocervical fusion surgery.

Citations

Citations to this article as recorded by  Crossref logo
  • Postoperative occipital neuralgia in posterior upper cervical spine surgery: a systematic review
    Qing Guan, Fei Xing, Ye Long, Zhou Xiang
    Neurosurgical Review.2018; 41(3): 779.     CrossRef
  • 12,215 View
  • 103 Download
  • 1 Crossref
Ossified Ligamentum Flavum causing Cervical Myelopathy
Jye Young Song, Jin Hoon Park, Sung Woo Roh
Korean J Spine 2012;9(1):24-27.   Published online March 31, 2012
DOI: https://doi.org/10.14245/kjs.2012.9.1.24

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Ossified Ligamentum Flavum causing Cervical Myelopathy
Korean J Spine. 2012;9(1):24-27.   Published online March 31, 2012
DOI: https://doi.org/10.14245/kjs.2012.9.1.24
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Ossified Ligamentum Flavum causing Cervical Myelopathy
Korean J Spine. 2012;9(1):24-27.   Published online March 31, 2012
DOI: https://doi.org/10.14245/kjs.2012.9.1.24
Close

Ossification of the ligamentum flavum (OLF) causing compressive cervical myelopathy or radiculopathy is rare. A 50-year-old male was admitted for progressive hypesthesia and paresthesia of both hands and a gradually worsening gait. MRI and CT scans demonstrated ossification of the left ligamentum flavum with dural sac and cord compression at the C5-6 level. The ossified ligamentum flavum was removed through a subtotal laminectomy and left side foraminotomy of the C5-6. Postoperatively, his gait improved remarkably and the sensory symptoms gradually resolved.

Citations

Citations to this article as recorded by  Crossref logo
  • Ossification of Cervical Ligamentum Flavum: An Uncommon Cause of Myelopathy
    Prasad Krishnan, Dimble Raju
    Journal of Spinal Surgery.2024; 11(2): 76.     CrossRef
  • Delayed-onset white cord syndrome after anterior and posterior cervical decompression surgery for symptomatic ossification of spinal ligaments: illustrative cases
    Ranjit D. Singh, Mark P. Arts, Godard C. W. de Ruiter
    Journal of Neurosurgery: Case Lessons.2021;[Epub]     CrossRef
  • Cervical cord compression due to ossification of the ligamentum flavum – A case report and literature review
    Noama Iftekhar, Abdullah Rasool, Irfan Khan
    Surgical Neurology International.2020; 11: 37.     CrossRef
  • Symptomatic Myelopathy Caused by Ossification of the Yellow Ligament
    Dong Am Park, Seok Won Kim, Seung Myung Lee, Chong Gue Kim, Suk Jung Jang, Chang Il Ju
    Korean Journal of Spine.2012; 9(4): 348.     CrossRef
  • 10,848 View
  • 112 Download
  • 4 Crossref
Dysphagia Caused by Anterior Cervical Osteophytes: Different Surgical Outcomes in Three Cases.
Eun Kyung Park, Suk Hyung Kang, Seung Chul Rhim, Sung Woo Roh, Sang Ryong Jeon
Korean J Spine 2008;5(3):207-210.

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Dysphagia Caused by Anterior Cervical Osteophytes: Different Surgical Outcomes in Three Cases.
Korean J Spine. 2008;5(3):207-210.
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Dysphagia Caused by Anterior Cervical Osteophytes: Different Surgical Outcomes in Three Cases.
Korean J Spine. 2008;5(3):207-210.
Close
Dysphagia is a common symptom in elderly individuals, and anterior cervical osteophytes have been implicated as a rare, but surgically correctible cause of dysphagia. In previous studies, surgical treatment of such cases has been associated with immediate symptomatic relief. The surgical outcome of three cases was reviewed retrospectively. A 74-year-old male with progressive dysphagia and aspiration pneumonia attributed to diffuse ossification of anterior longitudinal ligaments (OALL) from C3 to T1 was treated by standard anterior approach and subtotal resection was done. The second case was a 64-year-old male with dysphagia due to diffuse idiopathic skeletal hyperostosis (DISH) underwent anterior DISH resection. The last was a 79-year-old male with progressive dysphagia and aspiration pneumonia due to OALL treated with osteophyte resection. Symptomatic relief was achieved immediately in the first two cases, however, recurrence occurred after seven years in the first case and osteophyte regrowth without symptom in the second case after 33 months follow up. The last case did not have any symptomatic improvement and mechanical obstruction was noted intraoperatively within esophagus. Surgical complication resulting emergency hematoma evacuation and tracheostomy occurred in the second case with complete recovery. Surgical complications, reossification with symptomatic recurrence, and possible plural or mixed causes of dysphagia are all reasons for caution prior to the decision to intervene surgically in such cases.
  • 3,745 View
  • 28 Download

Original Articles

Results of Surgical Treatment for Metastatic Cervical Spine Tumor.
Sang Won Hwang, Seung Chul Rhim, Sung Woo Roh, Sang Ryong Jeon, Chae Wan Bae
Korean J Spine 2008;5(2):58-64.

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Results of Surgical Treatment for Metastatic Cervical Spine Tumor.
Korean J Spine. 2008;5(2):58-64.
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Results of Surgical Treatment for Metastatic Cervical Spine Tumor.
Korean J Spine. 2008;5(2):58-64.
Close
OBJECTIVE
The incidence of spinal metastases continues to increase, likely a result of increasing survival times for patients with cancer. This retrospective study was undertaken to analyze the results of surgery and the outcome of patients with extradural metastases in the cervical spine.
METHODS
Thirty-three patients with cervical spine metastases who underwent spinal surgery by two surgeon at a single center in a 14-year period(1993-2007) were analyzed. Indications for surgery include intractable pain, neurological deficits, spinal cord compression, and the need for stabilization of impending pathological fractures. Numerous factors affect outcome including the nature of the primary cancer, the presence of fracture or dislocation, approach of surgery, and the severity of spinal cord compression. The change of predominant symptoms and survival time were evaluated after surgery.
RESULTS
There were 17 male and 16 female patients aged from 29 to 78 years old(mean age, 59.9 years). Among the metastatic tumors, colon, breast, and liver were the most common primary sites of origin, and lung, kidney, stomach and thyroid were also common. All patients had bony invasion and 24 patients had pathologic vertebral fracture and 6 patients had dislocation. Based on the tumor location, approaches included 12 anterior, 6 posterior and 15 combined. Epidural spinal cord compression on the axial T2-weighted magnetic resonance(MR) image was noted in 31 patients(93.9%). The American Spinal Injury Association(ASIA) impairment scale scores in preoperative state were stable in 29 patients(87.9%) who presented with ASIA Score D and E. The most common predominant symptoms of patients were cervical and/or radiating pain(26 patients) and 23 patients had neurological deficits. At Follow-up, predominant preoperative symptoms improved in 28(84.8%) patients who had pain or neurological deficits. The overall mean survival duration for patients with cervical metastatic tumors after diagnosis was 7.4 months in 28 expired patients and 17.4 months in 5 survived patients. There were four major early and late complications in this study. One patient suffered from the immediate postoperative epidural hematoma and improved after evacuation of hematoma. There were three cases of instrumentation failure. One of them was symptomatic and underwent second-look surgery.
CONCLUSION
Surgery for the treatment of cervical spine metastases is effective for improvement of the neurological deficits and relief the local pain in a significant proportion of patients with acceptable complication rates. The tech- nical evolution of cervical implants has improved our ability to achieve long-term rigid fixation, particularly over the cervicothoracic junction.
  • 4,057 View
  • 37 Download
Outcomes of Unilateral Approach for Bilateral Decompression of Lumbar Spinal Stenosis: Comparison between Younger and Geriatric Patients.
Sang Won Hwang, Seung Chul Rhim, Sung Woo Roh, Sang Ryong Jeon, Seung Jae Hyun
Korean J Spine 2008;5(2):51-57.

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Outcomes of Unilateral Approach for Bilateral Decompression of Lumbar Spinal Stenosis: Comparison between Younger and Geriatric Patients.
Korean J Spine. 2008;5(2):51-57.
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Outcomes of Unilateral Approach for Bilateral Decompression of Lumbar Spinal Stenosis: Comparison between Younger and Geriatric Patients.
Korean J Spine. 2008;5(2):51-57.
Close
OBJECTIVE
The purpose of our retrospective study is to evaluate the surgical outcome of patients who underwent unila- teral approach for bilateral decompression surgery for lumbar spinal stenosis and to compare outcomes between geriatric and younger patients.
METHODS
We reviewed records of 85 patients with an average age of 64 years at the time of surgery after the unilateral laminotomy for bilateral decompression of degenerative lumbar spinal stenosis between 2005 and 2007. To compare clinical and functional outcomes between younger and geriatric patients, they were divided by age into 2 groups: Group A included patients 65 years of age or older and Group B contained patients younger than 65 years. The study parameters were set to ensure a follow-up period of at least 3 months and hospital records and phone-call review were analyzed for patients' clinical and demographic data, co-morbidity, type of stenosis, clinical and functional outcomes. Clinical outcomes were measured using the scale of Finneson and Cooper and the visual analog scale score for leg and back pain. Functional outcome was assessed with change of walking distance of patients.
RESULTS
Follow-up was completed in 80(94.1%) of 85 patients and Group A included 44 patients and Group B did 36 patients. The number of decompressed level showed 2.26 with similar results in both groups(group A, 2.25; Group B, 2.28). The number of co-morbidity was significantly higher incidence of 2.36 in geriatric patients than that of 1.67 in younger individuals. Other demographic data and type of stenosis were similar between two groups. For each back and leg pain, 86.3%(Group A: 86.4%; Group B, 80.6%) and 83.8%(Group A: 90.9%; Group B: 80.6%) had an excellent-to-fair operative result under the scale of Finneson and Cooper. Improvement rate of walking distance was 81.5% of patients and higher in group B(89.3%) than in group A(75.6%), however, there was not statistical significance. Three major complications were occurred in all patient groups, the first patient with chronic renal failure suffered from immediately postoperative epidural hematoma and the second patient had wound dehiscence. The third patient with no improvement was operated with fusion surgery at the other hospital nonetheless she had not improved until now.
CONCLUSIONS
The ULBD allowed sufficient and safe decompression of the neural structures and adequate preservation of vertebral stability with acceptable complication rates. This technique could provide a minimally invasive approach for LSS in elderly patients frequently having comorbidities as well as younger one.
  • 3,522 View
  • 35 Download
Total Cervical Disc Replacement using Artificial Disc in Cervical Disc Herniations.
Jin Hoon Park, Sang Won Hwang, Sang Ryong Jeon, Seung Chul Rhim, Sung Woo Roh
Korean J Spine 2008;5(1):1-6.

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Total Cervical Disc Replacement using Artificial Disc in Cervical Disc Herniations.
Korean J Spine. 2008;5(1):1-6.
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Total Cervical Disc Replacement using Artificial Disc in Cervical Disc Herniations.
Korean J Spine. 2008;5(1):1-6.
Close
OBJECTIVE
Anterior discectomy and fusion(ACDF) is still the 'gold-standard' treatment for diseases of the cervical disc. However, concerns over adjacent level degeneration and loss of motion have led us to consider total disc replacement with artificial disc as an alternative solution. This study aimed to evaluate the clinical results and radiological changes after cervical artificial disc replacement.
METHODS
Twenty consecutive patients underwent cervical arthroplasty for radiculopathy and were assessed at 1 and 12 months. Clinical outcomes were assessed using a numerical rating scale(NRS) score for radicular pain. Radiological results were evaluated by cervical lordosis(Cobb's angle), cervical range of motion(ROM), segmental lordosis, segmental ROM and segmental ROM of adjacent disc levels.
RESULTS
The mean NRS scores of all patients were significantly improved from 8.0+/-1.2 to 1.3+/-1.9 after 12 months. Cervical lordosis was improved in all patients(preoperative mean lordosis score 14.5degrees+/-8.8; postoperative mean lordosis score at 12 months 25.3degrees+/-9.2). There was no intraoperative or postoperative complication.
CONCLUSION
Preliminary results showed excellent in clinical and radiological outcomes after at least 20 months follow-up period. It seems that the cervical arthroplasty can be considerd an alternative method for anterior cervical discectomy and fusion(ACDF) and has benefits for postoperative cervical motion maintenance.
  • 4,126 View
  • 37 Download
First First Prev Prev
Page of 1
Next Next Last Last
NS : Neurospine
Facebook Twitter