Cervical Juxtafacet Cyst With Myelopathy Due to Postoperative Instability : Case Report
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概要
- 論文の詳細を見る
A 74-year-old man presented with a cervical juxtafacet cyst on the right side of C5-6 and prominent myelopathy. He had been treated with anterior cervical discectomy and fusion at C4-5 as well as anterior foraminotomy of the right C5-6 lesion 20 months previously. The patient underwent complete surgical excision of the lesion. The patient recovered uneventfully, and the myelopathy resolved. Reexamination of the images revealed that we failed to investigate a suspicious minimal cervical juxtafacet cyst on the initial preoperative images and that the degree of subluxation at C5-6 on flexion radiography had increased postoperatively. Therefore, the surgeon should be aware that juxtafacet cyst can be progressive in planning of cervical spinal surgery which can cause or aggravate instability in the presence of an incidental, suspicious juxtafacet cyst on preoperative imaging at the same level, even if the lesion is very small and subclinical.
- 2010-12-15
著者
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KIM Jong-Hyun
Department of Surgery, College of Medicine, Hallym University
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KIM Joo
Department of Chemical Engineering, Kongju National University
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Moon Hong
Department Of Prosthodontics College Of Dentistry Yonsei University
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Kim Jong-hyun
Department Of Biotechnology Graduate School Of Engineering Osaka University
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PARK Youn-Kwan
Department of Neurosurgery, Korea University, College of Medicine
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Kim Jong-hyun
Department Of Neurosurgery Korea University Guro Hospital
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KWON Taek-Hyun
Department of Neurosurgery, Korea University Guro Hospital
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CHUNG Hung-Seob
Department of Neurosurgery, Korea University Guro Hospital
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Park Youn-kwan
Department Of Neurosurgery College Of Medicine Korea University
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Moon Hong
Department Of Environmental Chemistry And Engineering
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Kwon Taek-hyun
Department Of Neurosurgery College Of Medicine Korea University
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Kwon Taek-hyun
Department Of Neurosurgery Korea University Guro Hospital
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Joy Hoon
Department Of Neurosurgery Korea University Guro Hospital Korea University College Of Medicine
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Chung Hung-seob
Department Of Neurosurgery Korea University Guro Hospital Korea University College Of Medicine
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Kim Jong-hyun
Department Of Anatomy College Of Oriental Medicine Institute Of Oriental Medicine Kyung Hee Universi
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KIM Joo
Department of Biochemistry, Hanyang University & GenoCheck Co., Ltd.
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