The Surgical Treatment of Spondylolisthesis by Posterolateral Fusion / 대한정형외과학회잡지

On general principle, spondylolisthesis does not need surgical treatment but special features may arise in any such case to change the clinical picture and to indicate the necessity for operative intervention. There have been described a number of techniques and their combinations in the treatment of spondylolisthesis. Despitc continuing efforts to develop better techniques of lumber fusion, failure has been relatively common. In 1953, Watkins dcscribed a lateral approach to the transverse processes. Rombold recently described a lateral mass fusion of a single level for spondylolisthesis using extensive autogenous iliac grafts. He reported 96% roentgenographic fusion. It is the purpose of this paper to review a series of adults with symptomatic spondylolisthesis (16 cases) who were surgically treated by posterolateral fusion. 1. The site incidence of spondylolisthesis was 68.8%(11 cases) in L-5, 25%(4 cases) in L-4 and 6.2% (1 case) in L-4 & L-5. 2. Satisfactory resutts according to Gills criteria was 94% (15 cases). 3. In follow-up study, the younger the adult, the better the clinical results. 4. The fusion rate of intervertebral joint in roentgenographic finding was 100%. 5. There were no significant differences in duration and result of solid fusion between cases applied with hip spica cast and lumbosacral back brace or Norton-Brown brace.

The Clinical Observation of the Septic Hip / 대한정형외과학회잡지

A clinical analysis of the septic hip was made on 15 patients, who had been undergone operation in Chung Nam National University Hospital from April, 1977 to Dec., 1978. The following results were obtained. 1. The ratio of male and female was 2.8:1. 2. The most common age group was 7~12 years (5 cases, 33.3%), and next common was 13–20 years (4 cases, 26.7%). 3. The most common causative microorganism was staphylococcus aureus(66.7%). 4. The most common duration of symptoms were less than 5 days (6 cases, 40%), and next common was 6~10 days (4 cases, 27%). 5. The patients, more than 10 days duration of symptoms, had late sequela in 80% but the patients, less than 10 days, had good prognosis in 80%. 6. In authors experience, the most effective treatment for septic hip was early diagnosis and hospitalization, followed by surgical decompression with specific antibiotics.

Disseminated Bone Tuberculosis / 대한정형외과학회잡지

Disseminated bone tuberculosis is a rare manifestation of skeletal tuberculosis in adults in which cystlike lesions occur in the axial skeleton, shoulder, and pelvic girdles. Varied nomenclature applied to the entity of multiple cystic bone lesions in bone tuberculosis have been described in the literature. We experienced 2 cases of disseminated bone tuberculosis in adult.