¿Ü»ó¼º Á߽ɼº ô¼ö ÁõÈıº ÈÄ ½Å°æÇÐÀû ¹× ±â´ÉÀû °á°ú
Neurologic and Functional Outcomes after Traumatic Central Cord Syndrome
´ëÇÑÁ¤Çü¿Ü°úÇÐȸÁö 2014³â 49±Ç 1È£ p.50 ~ p.57
¼Û°æö(Song Kyoung-Chul) - Á¶¼±´ëÇб³ ÀÇ°ú´ëÇÐ Á¤Çü¿Ü°úÇб³½Ç
À¯Àç¿ø(You Jae-Won) - Á¶¼±´ëÇб³ ÀÇ°ú´ëÇÐ Á¤Çü¿Ü°úÇб³½Ç
±èÇöÇÐ(Kim Hyun-Hak) - Á¶¼±´ëÇб³ ÀÇ°ú´ëÇÐ Á¤Çü¿Ü°úÇб³½Ç
¼ÕÈ«¹®(Sohn Hong-Moon) - Á¶¼±´ëÇб³ ÀÇ°ú´ëÇÐ Á¤Çü¿Ü°úÇб³½Ç
Abstract
¸ñ Àû: ¿Ü»ó¼º Á߽ɼº ô¼ö ÁõÈıº¿¡¼ ¼ö¼úÀû Ä¡·á¿Í º¸Á¸Àû Ä¡·áÀÇ ½Å°æÀû ¹× ±â´ÉÀû °á°ú¸¦ ºñ±³ÇÏ¿© Ä¡·áÀÇ ¹æÇâÀ» °áÁ¤ÇÏ°í È£Àü¿¡ ¿µÇâÀ» ¹ÌÄ¡´Â ¿ä¼ÒµéÀ» ¾Ë¾Æº¸°íÀÚ ÇÏ¿´´Ù.
´ë»ó ¹× ¹æ¹ý: 2005³â 1¿ùºÎÅÍ 2008³â 12¿ù±îÁö Á߽ɼº ô¼ö ÁõÈıºÀ¸·Î Áø´Ü¹Þ°í, ÃÖ¼Ò 1³â ÀÌ»ó Ã߽à °üÂûÀÌ °¡´ÉÇß´ø 28¿¹¸¦ ÈÄÇâÀûÀ¸·Î ºÐ¼®ÇÏ¿´´Ù. ¼ö¼úÀû Ä¡·á±º(group 1)ÀÌ 15¿¹, º¸Á¸Àû Ä¡·á±º(group 2)ÀÌ 13¿¹¿´À¸¸ç, ¹æ»ç¼±Àû Æò°¡´Â maximum canal compromise (MCC), maximum spinal cord compression (MSCC), ±â´ÉÀû °á°ú´Â American Spinal Injury Association motor score(AMS), Japanese Orthopaedic Association (JOA) score, neck disability index (NDI)¸¦ »ç¿ëÇÏ¿´´Ù.
°á °ú: MCC´Â Æò±Õ 47.2%, MSCC´Â Æò±Õ 20.0%¿´À¸¸ç, ÃÖÁ¾ AMS´Â Æò±Õ 92.0 (group 1: 92.9, group 2: 90.9), JOA score´Â Æò±Õ 12.8 (group 1: 14.0, group 2: 11.4), NDI´Â Æò±Õ 25.0 (group 1: 25.7, group 2: 24.3)À̾ú´Ù.
°á ·Ð: ¿Ü»ó¼º Á߽ɼº ô¼ö ÁõÈıº Ä¡·á¿¡¼ ¿¬·ÉÀÌ Àþ°í, °ñÀýÀÌ µ¿¹ÝµÈ °í ¿¡³ÊÁö ¼Õ»óÀÌ¸é¼ Ã´¼ö ¾Ð¹ÚÀº ½ÉÇϳª Ãʱ⠽ŰæÀû °á¼ÕÀÌ ½ÉÇÏÁö ¾ÊÀº °æ¿ì Á¶±â¿¡ ¼ö¼úÀû Ä¡·á¸¦ ½ÃÇàÇÏ´Â °ÍÀÌ ÁÁÀ» °ÍÀ¸·Î »ý°¢µÈ´Ù.
Purpose: The purpose of this study was to determine the direction for treatment and to evaluate factors influencing improvement by comparison of neurologic and functional outcomes of surgical treatment and conservative treatment for traumatic central cord syndrome.
Materials and Methods: A total of 28 patients, who were available for follow-up for at least more than one year from January 2005 to December 2008, who were diagnosed as traumatic central cord syndrome were analyzed retrospectively. Fifteen patients underwent surgical treatment (group 1), and 13 patients received conservative treatment (group 2). Maximum canal compromise (MCC), and maximum spinal cord compression (MSCC) were used for radiologic assessment, and American Spinal Injury Association (ASIA) motor score, Japanese Orthopaedic Association (JOA) score, and neck disability index (NDI) were used for assessment of functional outcomes.
Results: The mean MCC was 47.2%, mean MSCC was 20.0%, and mean ASIA motor scale was 92.0 (group 1: 92.9, group 2: 90.9) at the final follow-up. The mean JOA score was 12.8 (group 1: 14.0, group 2: 11.4) and mean NDI was 25.0 (group 1: 25.7, group 2: 24.3) at the final follow-up.
Conclusion: It is concluded that if a patient with traumatic central cord syndrome is young, with a high energy injury combined with fractures, and has severe spinal compression and mild initial neurologic defect, early surgical treatment would be needed as soon as possible.
Å°¿öµå
ô¼ö ¼Õ»ó, Á߽ɼº ôÃß ÁõÈıº, °æÃß, Ä¡·á °á°ú
spinal cord injuries, central cord syndrome, cervical spine, treatment outcome
KMID :
0361620140490010050
¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
µîÀçÀú³Î Á¤º¸
À¯È¿¼º°á°ú(Recomendation)