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Article ; Online: Clinical efficacy of nucleoplasty for uncontained lumbar disc herniation: a retrospective study.

Choi, Yong Cheol / Seo, Jong Hun / Kim, Pius

2024 Volume 25, Issue 1, Page(s) 12

Abstract: Background: There are insufficient in-depth studies on whether percutaneous lumbar nucleoplasty (PLN) is effective and safe for the treatment of uncontained lumbar disc herniation (ULDH). This study aimed to investigate the clinical efficacy of PLN on ... ...

Abstract	Background: There are insufficient in-depth studies on whether percutaneous lumbar nucleoplasty (PLN) is effective and safe for the treatment of uncontained lumbar disc herniation (ULDH). This study aimed to investigate the clinical efficacy of PLN on radiating leg pain caused by ULDH. Methods: Patients who underwent PLN for ULDH and met the inclusion criteria between June 2018 and July 2022 were included. Clinical outcomes were evaluated using the numeric rating scale (NRS) for radiating pain preoperatively; at 1 day, 1 week, and 1 month postoperatively; and at the last follow-up. Patient satisfaction was assessed using MacNab criteria. Results: Forty-one patients were enrolled. The mean age was 50.2 years (range 24-73 years). The mean and standard deviation of the preoperative NRS in 39 patients with radiating pain was 9.0 ± 1.2. The NRS scores at 1 day, 1 week, and 1 month postoperatively and at the last follow-up were 4.6 ± 3.2, 3.6 ± 3.3, 2.9 ± 3.2, and 1.4 ± 2.0, respectively, showing significant improvement (all, p < 0.001). The number of patients (percentage) with excellent or good satisfaction according to the MacNab criteria was 29 (70.7%). Major complications were not observed. Three patients underwent additional surgery after PLN because of persistent radiating pain. Conclusions: PLN is a safe and feasible treatment option for ULDH. Treatment outcomes were favorable on average; however, the lack of consistency was a drawback.
MeSH term(s)	Humans ; Young Adult ; Adult ; Middle Aged ; Aged ; Intervertebral Disc Displacement/diagnostic imaging ; Intervertebral Disc Displacement/surgery ; Intervertebral Disc Displacement/complications ; Retrospective Studies ; Treatment Outcome ; Pain/etiology ; Patient Satisfaction ; Diskectomy, Percutaneous/adverse effects ; Lumbar Vertebrae/diagnostic imaging ; Lumbar Vertebrae/surgery ; Endoscopy/adverse effects
Language	English
Publishing date	2024-01-02
Publishing country	England
Document type	Journal Article
ZDB-ID	2041355-5
ISSN	1471-2474 ; 1471-2474
ISSN (online)	1471-2474
ISSN	1471-2474
DOI	10.1186/s12891-023-07120-3
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Association between Mental Health and Hand Hygiene Practices in Adults with Hypertension and Diabetes during the COVID-19 Pandemic: The 2020 Korea Community Health Survey.

Kim, Pius / Kim, Hae Ran

Healthcare (Basel, Switzerland)

2022 Volume 10, Issue 10

Abstract: The preventive measures against the spread of COVID-19 have negatively impacted the mental health of people with chronic diseases. This cross-sectional study investigated the association between mental health and hand hygiene practices in patients with ... ...

Abstract	The preventive measures against the spread of COVID-19 have negatively impacted the mental health of people with chronic diseases. This cross-sectional study investigated the association between mental health and hand hygiene practices in patients with hypertension (HTN) and diabetes mellitus (DM) (n = 74,296) during the COVID-19 pandemic. Their anxiety about contracting COVID-19 and death, depression, and hand hygiene practices were compared to that of controls. Multiple logistic regression analysis showed that the patients had higher anxiety and depression and poorer hand hygiene practices than controls. Anxiety about contracting COVID-19 was associated with increased handwashing before eating (aOR = 1.59), after using the restroom (aOR = 1.61), after returning from outdoors (aOR = 1.69), for at least 30 s (aOR = 1.45), and with soap or hand sanitizer (aOR = 1.43). However, depression was associated with decreased handwashing before eating (aOR = 0.50), after using the restroom (aOR = 0.51), after returning from outdoors (aOR = 0.51), for at least 30 s (aOR = 0.73), and with soap or hand sanitizer (aOR = 0.63). Anxiety about death showed similar results. Psychological support for people with chronic diseases in crisis situations may promote self-care activities such as hand hygiene for infection control.
Language	English
Publishing date	2022-09-29
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2721009-1
ISSN	2227-9032
ISSN	2227-9032
DOI	10.3390/healthcare10101912
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Article: Open Surgery for Osteoporotic Compression Fracture Within One Month of Single Level Balloon Kyphoplasty.

Kim, Chi Ho / Kim, Pius / Ju, Chang Il / Kim, Seok Won

Korean journal of neurotrauma

2023 Volume 19, Issue 3, Page(s) 348–355

Abstract: Objective: This study aimed to analyze the reasons for open surgery performed within one month of balloon kyphoplasty (BKP) for osteoporotic compression fractures.: Methods: This study included 15 patients treated with open surgery within one month ... ...

Abstract	Objective: This study aimed to analyze the reasons for open surgery performed within one month of balloon kyphoplasty (BKP) for osteoporotic compression fractures. Methods: This study included 15 patients treated with open surgery within one month of BKP in our institution from 2013 to 2020. Among them, 10 patients underwent BKP in our institution and 5 patients were transferred because of adverse events after undergoing BKP at another hospital. Clinical findings including main indications, neurological deficits, and clinical course were analyzed. Results: All patients were followed up for at least 12 months after surgery (average time 15.5 months, range 12-39 months). Their mean age was 73.7 years and the mean T-score of the spine on bone densitometry was -3.35. The main reasons for open surgery included dislodgement of the cement mass or spinal instability (7 cases, 47%), neural injury due to cement leakage (3 cases, 20%), and spinal cord injury caused by a puncture mistake (3 cases, 20%). Two patients developed acute spinal subdural hematoma, and spinal epidural fluid was pushed out at the back edge of the vertebral body following BKP without signs of major cement leakage into the spinal canal. At the final follow-up, 7 patients with cement mass dislodgement showed complete improvement of related symptoms after posterior fusion with screw fixation. Among the 8 patients with neural injury, 6 improved; however, 2 remained at the same American Spinal Injury Association level. Conclusion: The main reasons for open surgery were cement mass dislodgement and neural injury caused by puncture errors or cement leakage into the spinal canal. It should be noted that proper selection of cases, detailed imaging evaluation, and optimal surgical techniques are key to reducing open surgery after BKP.
Language	English
Publishing date	2023-07-04
Publishing country	Korea (South)
Document type	Journal Article
ZDB-ID	3028579-3
ISSN	2288-2243 ; 2234-8999
ISSN (online)	2288-2243
ISSN	2234-8999
DOI	10.13004/kjnt.2023.19.e33
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Article: Acute Paraparesis Caused by Spinal Epidural Fluid After Balloon Kyphoplasty for Traumatic Avascular Necrosis: A Case Report.

Kim, Chi Ho / Kim, Pius / Ju, Chang Il / Kim, Seok Won

Korean journal of neurotrauma

2023 Volume 19, Issue 3, Page(s) 398–402

Abstract: Minimally invasive procedures, such as percutaneous vertebroplasty or balloon kyphoplasty (BK), eliminate motion at the fracture site and relieve pain associated with traumatic avascular necrosis when conservative treatment fails. However, these are ... ...

Abstract	Minimally invasive procedures, such as percutaneous vertebroplasty or balloon kyphoplasty (BK), eliminate motion at the fracture site and relieve pain associated with traumatic avascular necrosis when conservative treatment fails. However, these are associated with complications, most of which are directly related to cement leakage. Herein, we report a rare case of acute paraparesis caused by spinal cord compression by epidural fluid following BK for the treatment of Kummell's disease in the absence of cement leakage. To the best of our knowledge, this is the first report describing this complication.
Language	English
Publishing date	2023-08-01
Publishing country	Korea (South)
Document type	Case Reports
ZDB-ID	3028579-3
ISSN	2288-2243 ; 2234-8999
ISSN (online)	2288-2243
ISSN	2234-8999
DOI	10.13004/kjnt.2023.19.e34
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Article: Massive Epidural Hematoma Caused by Percutaneous Epidural Neuroplasty: A Case Report.

Kim, Chi Ho / Kim, Pius / Ju, Chang Il / Kim, Seok Won

Korean journal of neurotrauma

2023 Volume 19, Issue 3, Page(s) 393–397

Abstract: Percutaneous epidural neuroplasty (PEN) has been used to manage chronic back pain or radicular pain refractory to other conservative treatments, such as medication, injection, and physical therapy. However, similar to all invasive treatment modalities, ... ...

Abstract	Percutaneous epidural neuroplasty (PEN) has been used to manage chronic back pain or radicular pain refractory to other conservative treatments, such as medication, injection, and physical therapy. However, similar to all invasive treatment modalities, it has serious complications, such as dural tears, infections, and hematoma formation. Herein, we present a rare case of an 81-year-old female patient on dementia medication who developed paraplegia 5 days after PEN. This is the first report of a poor outcome in a patient with dementia who developed paraplegia after PEN despite an emergency operation for spinal epidural hematoma.
Language	English
Publishing date	2023-06-05
Publishing country	Korea (South)
Document type	Case Reports
ZDB-ID	3028579-3
ISSN	2288-2243 ; 2234-8999
ISSN (online)	2288-2243
ISSN	2234-8999
DOI	10.13004/kjnt.2023.19.e20
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Article: Neurological Deterioration Immediately After Lumbar Surgery: Anesthetic Consideration for Co-existing Cervical Lesion: A Case Report.

Kim, Kyung Hoon / Kim, Pius / Kim, Seok Won

Korean journal of neurotrauma

2022 Volume 18, Issue 1, Page(s) 132–136

Abstract: Most spine surgeons and anesthesiologists believe that the risk of spinal cord injury (SCI) during intubation is mainly due to mechanical compression of the spinal cord due to cervical spine movement in cases of undiagnosed but severe cervical lesions. ... ...

Abstract	Most spine surgeons and anesthesiologists believe that the risk of spinal cord injury (SCI) during intubation is mainly due to mechanical compression of the spinal cord due to cervical spine movement in cases of undiagnosed but severe cervical lesions. With this reasoning, difficult intubation, which is more frequently encountered in patients with preexisting cervical diseases, is likely to result in SCI. Several reports have described SCI after non-cervical surgery in patients previously diagnosed with cervical myelopathy and a chronically compressed cervical cord; however, to date, there is less acknowledgement of SCI in patients with undiagnosed cervical myelopathy. Here, we report a painful experience of neurological deterioration that developed immediately after elective lumbar decompressive surgery in a 76-year-old man. The possible mechanism behind these unexpected complications is discussed in a review of the literature.
Language	English
Publishing date	2022-03-10
Publishing country	Korea (South)
Document type	Case Reports
ZDB-ID	3028579-3
ISSN	2288-2243 ; 2234-8999
ISSN (online)	2288-2243
ISSN	2234-8999
DOI	10.13004/kjnt.2022.18.e12
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Article ; Online: Efficacy of Nucleoplasty for Radiculopathy Caused by Foraminal Cervical Disc Herniation: Clinical Results of Case Series and Technical Note.

Kim, Kyoung Hoon / Kim, Dong Hyun / Kim, Pius

Pain physician

2022 Volume 25, Issue 7, Page(s) E1087–E1094

Abstract: Background: Percutaneous cervical nucleoplasty (PCN) is a minimally invasive technique used for the treatment of cervical disc herniation. However, if the lesion is located at the neural foramen, complete access and effective neural decompression are ... ...

Abstract	Background: Percutaneous cervical nucleoplasty (PCN) is a minimally invasive technique used for the treatment of cervical disc herniation. However, if the lesion is located at the neural foramen, complete access and effective neural decompression are often challenging because of the special anatomical condition of the uncovertebral joint, osteophyte, and facet joint of the cervical foraminal space. Objectives: To investigate the effect of PCN on radiculopathy caused by foraminal cervical disc herniation (FCDH). Study design: Retrospective case series. Setting: Single-center tertiary hospital. Methods: This study included 44 patients with radiculopathy caused by FCDH who were treated with PCN. Visual analog scale (VAS) scores, preoperative, 1 week, and 3 months postoperatively, and at the last follow-up, as well as the Macnab criteria, were used to evaluate clinical outcomes. A paired t-test was used to compare the preoperative and follow-up VAS scores. The percentage of patients with VAS scores <= 3 at each follow-up time point was also investigated. Statistical significance was set at P < 0.05. Results: Twenty-seven men (62.4%) and 17 women (38.6%) were enrolled in this study. The mean age was 54.5 years (range 31-81). The average follow-up period after the operation was 15.4 months (range 3.7-30.8). The mean preoperative VAS was 7.50 ± 1.21. The VAS scores at 1 week, 3 months, and the last follow-up were 4.36 ± 2.46, 3.20 ± 2.58, and 2.91 ± 2.74, respectively, showing a significant improvement in pain compared to before the operation (P < 0.001 for all). The number of patients (percentage) with a VAS score of <= 3 was 20 (45.5%), 28 (63.6%), and 31 (70.5%) of 44 patients at 1 week, 3 months, and the last follow-up, respectively. The number of patients (percentage) with excellent, good, fair, or poor satisfaction according to the Macnab criteria was 17 (38.6%), 9 (20.5%), 8 (18.2%), and 10 (22.7%) of 44, respectively. No patients experienced postoperative complications. Limitations: This study was retrospective and included a small number of patients from a single center. Conclusions: Although PCN for radiculopathy caused by FCDH is thought to have limitations because of the surrounding bony structure, the clinical outcome seemed favorable. If PCN is not contraindicated, it may be a viable treatment option for CR due to FCDH.
MeSH term(s)	Male ; Female ; Humans ; Adult ; Middle Aged ; Aged ; Aged, 80 and over ; Intervertebral Disc Displacement/complications ; Intervertebral Disc Displacement/surgery ; Radiculopathy/etiology ; Radiculopathy/surgery ; Diskectomy, Percutaneous/methods ; Retrospective Studies ; Pregnenolone Carbonitrile ; Cervical Vertebrae/surgery ; Treatment Outcome
Chemical Substances	Pregnenolone Carbonitrile (1434-54-4)
Language	English
Publishing date	2022-10-21
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2146393-1
ISSN	2150-1149 ; 1533-3159
ISSN (online)	2150-1149
ISSN	1533-3159
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Article: Pyogenic Andersson Lesion in a Patient With Ankylosing Spondylitis.

Kim, Kyung Hoon / Kim, Pius / Ju, Chang Il / Kim, Seok Won

Korean journal of neurotrauma

2022 Volume 18, Issue 1, Page(s) 139–143

Abstract: Although the exact etiology of the Andersson lesion (AL) remains unclear, it is known to occur mostly in patients with long-standing ankylosing spondylitis (AS). Among the various theories for the etiology of AL, repetitive trauma and inflammatory causes ...

Abstract	Although the exact etiology of the Andersson lesion (AL) remains unclear, it is known to occur mostly in patients with long-standing ankylosing spondylitis (AS). Among the various theories for the etiology of AL, repetitive trauma and inflammatory causes are the most common. The histopathological appearance of the AL in this report was consistent with that of chronic inflammation without any infection. Pyogenic ALs in the context of AS are extremely rare; to the best of our knowledge, positive cultures of this lesion in bone biopsies have never been reported. Herein, we report a rare case of a pyogenic AL with a positive culture and discuss a relevant review of the literature.
Language	English
Publishing date	2022-02-10
Publishing country	Korea (South)
Document type	Case Reports
ZDB-ID	3028579-3
ISSN	2288-2243 ; 2234-8999
ISSN (online)	2288-2243
ISSN	2234-8999
DOI	10.13004/kjnt.2022.18.e6
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Article: Tracheostomy Following Anterior Cervical Discectomy and Fusion With Plating in Trauma Patients: Is It Safe?

Kim, ChangYub / Kim, Pius / Ju, Chang Il / Kim, Seok Won

Korean journal of neurotrauma

2022 Volume 18, Issue 2, Page(s) 268–276

Abstract: Objective: This study aimed to evaluate the safety and necessity of tracheostomy after anterior cervical discectomy and fusion (ACDF) with plating, despite the close proximity of the two surgical skin incisions.: Methods: Sixty-three patients with ... ...

Abstract	Objective: This study aimed to evaluate the safety and necessity of tracheostomy after anterior cervical discectomy and fusion (ACDF) with plating, despite the close proximity of the two surgical skin incisions. Methods: Sixty-three patients with traumatic cervical fractures or spinal cord injury (SCI) who underwent single-level ACDF and plating between January 2014 and June 2019 were included in this study. The patients included 45 men and 18 women, with a mean age of 48.5 years. A retrospective analysis of the patients' demographic data, level of injury, radiological findings, and neurological status was performed based on the American Spinal Injury Association (ASIA), open tracheostomy, and decannulation rate. Additionally, risk factors necessitating tracheostomy were statistically analyzed. Results: Eighteen patients (28.5%) required subsequent open tracheostomy. Among them, 11 patients were successfully decannulated, four patients could not be decannulated during the follow-up period, and three patients died of unrelated complications. The median interval from ACDF with plating to open tracheostomy was 9.6 days (range, 5-23 days). On the basis of neurological status, ASIA A and B patients ( Conclusion: Independent tracheostomy did not increase the risk of infection or nonunion despite the close proximity of the two surgical skin incisions.
Language	English
Publishing date	2022-06-22
Publishing country	Korea (South)
Document type	Journal Article
ZDB-ID	3028579-3
ISSN	2288-2243 ; 2234-8999
ISSN (online)	2288-2243
ISSN	2234-8999
DOI	10.13004/kjnt.2022.18.e34
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Article ; Online: Direct Repair of Symptomatic Lumbar Spondylolysis Using Rod-Screw-Cable System.

Kim, Dae-Yong / Jin, Sang-Ryul / Hur, Sung-Min / Chung, Ji-Hun / Lee, Seung Myung / Kim, Pius

World neurosurgery

2024 Volume 183, Page(s) e625–e631

Abstract: Objective: To assess the efficacy of a new direct lysis repair technique using internal fixation with rod, screws, and Songer cable in symptomatic lumbar spondylolysis.: Methods: Between December 2015 and January 2020, patients who were diagnosed ... ...

Abstract	Objective: To assess the efficacy of a new direct lysis repair technique using internal fixation with rod, screws, and Songer cable in symptomatic lumbar spondylolysis. Methods: Between December 2015 and January 2020, patients who were diagnosed with symptomatic lumbar spondylolysis and surgically treated with a rod-screw-cable system were recruited. Pedicle screwing by the Magerl technique was performed in all included patients, followed by direct lysis repair with bone allograft and demineralized bone matrix by stabilizing the posterior lamina and spinous process using a rod-screw-cable system. Clinical outcome was measured using the visual analog scale and Oswestry disability index preoperatively and 6 weeks, 3 months, 6 months, 1 year, and 2 years postoperatively. Results: Sixteen patients were included in this study-11 men and 5 women (mean age: 47 years; range, 26-67 years). The lytic defects were at L4 and L5 in 6 and 10 patients, respectively. The mean follow-up period was 41 months (24-62 months). The visual analog scale values were 7.3, 6.1, 4.3, 3.3, 2.1, and 1.9 preoperatively and 6 weeks, 3 months, 6 months, 1 year, and 2 years postoperatively, respectively. The Oswestry disability index values were 59.8%, 55.4%, 41.7%, 32.4%, 21.1%, and 16.9% for the same periods, respectively. No patient had an increase in the slip after surgery. There were no significant complications such as implant failure. Conclusions: Our technique provides rigid intra-segmental repair of spondylolysis without intersegmental motion interference, even if the patient is older or has disc degeneration.
MeSH term(s)	Male ; Humans ; Female ; Middle Aged ; Internal Fixators ; Bone Screws ; Treatment Outcome ; Lumbar Vertebrae/diagnostic imaging ; Lumbar Vertebrae/surgery ; Spinal Fusion/methods ; Spondylolysis/diagnostic imaging ; Spondylolysis/surgery ; Spondylolysis/complications
Language	English
Publishing date	2024-01-06
Publishing country	United States
Document type	Journal Article
ZDB-ID	2534351-8
ISSN	1878-8769 ; 1878-8750
ISSN (online)	1878-8769
ISSN	1878-8750
DOI	10.1016/j.wneu.2023.12.155
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