Osteoporotic Vertebral Fracture with Myelopathy / 대한척추외과학회지

STUDY DESIGN: Retrospective analysis of surgical treatment in patients with osteoporotic vertebral fracture associated myelopathy. OBJECTIVES: To evaulate the clinical outcome of anterior decompression and fusion for osteoporotic vertebral fracture associated with myelopathy. SUMMARY OF LITERATURE REVIEW: Major treatment of osteoporotic vertebral fracture were conservative methods. In patients with myelopathy, surgical treatment is recommanded. MATERIALS AND METHODS: From January 1995 to December 1998, twelve patients who had osteoporotic vertebral fracture associated with myelopathy and treated by operation were evaluated retrospectively. With simple roentgenography and dual energy absorptiometry, osteoporosis was evaluated. And with MRI and nerve conduction velocity test, we could diagnosed myelopathy. In ten patients, anterior approach was used, and in two patients, posterior approach was used. RESULTS: In all patients after operation, the neurologic symptoms according to the Frankel grading scale were improved over one grade and follow-up X-ray showed bone union finding unrelated to the site, shape, and severity of fracture. No significant complications such as increasing of kyphotic angle and metal loosening were existed in all cases. CONCLUSIONS: For the osteoporotic vertebral fracture associated with myelopathy, we can treat properly with spinal decompression and interbody fusion with internal fixation.

Recurrence of Infantile Cortical Hyperostosis: A Case Report / 대한정형외과학회잡지

Infantile cortical hyperostosis (Caffey's disease) is considered to be a benign self- limiting disease of uncertain etiology that appears in early infancy. A 16 month old girl, who had an infantile cortical hyperostosis after her birth, was admitted because of irritability and a painful swelling of her leg and a cortical thickening in her left tibia. We diagnosed this as being a recurrence of infantile cortical hyperostosis according to clincal and radiologic findings. Recurrence of cortical thickening in patient with a history of Caffey's disease may be suspected in the infantile cortical hyperostosis disorder.