[kukinews=reporter Byung Ki Song] Gangnam Wooridul Hospital chief Jung Hwan Lee (photo) discovered recently that electromyography before surgery when herniated disc or spinal stenosis needs treatment is very useful for surgical outcomes prediction, and he presented thesis on the current issue of ‘European Spine Journal’. European Spine Journal is International Council of Journal that is one of the best magazines in the field of spine.
‘Electrodiagnostic study’ is the way to check peripheral nerves and electrical-physiological condition of muscle. MRI, diagnosis of spine disorder, provides anatomic information that includes the existence of pressure on nerve root, degree of severity of stenosis, and degree of instability of spine.
On the other hand, electromyography estimates physiological, functional condition of peripheral nervous system and provides information about pathologic physiology mechanism of pain. It can find out functional problem of nerve root that is hard to discover by MRI.
According to chief Jung Hwan Lee’s thesis, he carried out observed electromyography before surgery for 448 patients who have herniated disc and lumbar spinal stenosis. These patients didn’t have muscle weakness and neuropathic such as paresthesia symptom before surgery, so they added precision to assessment about the result of surgery.
As a result, although the patient who doesn’t have neurologic symptom (legs gave out), if radiculopathy is discovered in electromyography before surgery, operation prognosis would be not good.
Chief Jung Hwan Lee said, “The result of surgery can be different if results of imaging tests look similar to each other. Though many other conditions will effect on the result of surgery, I think the condition of nerve root can help to predict the result of surgery. Through this thesis, expect to predict operative result before surgery and help for making treatment plan.”
songbk@kukimedia.co.kr
No comments:
Post a Comment