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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2006.1
- 수록면
- 319 - 325 (7page)
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초록· 키워드
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This study sought to determine the outcomes of posterior lumbar interbody fusion (PLIF), via a unilateral approach, in selected patients who presented with unilateral leg pain and segmental instability of the lumbar spine. Patients with a single level of a herniated disc disease in the lumbar spine, unilateral leg pain, chronic disabling lower back pain (LBP), and a failed conservative treatment, were considered for the procedure. A total of 41 patients underwent a single-level PLIF using two PEEKTM (Poly-Ether-Ether-Ketone) cages filled with iliac bone, via a unilateral approach. The patients comprised 21 women and 20 men with a mean age of 41 years (range: 22 to 63 years). Two cages were inserted using a unilateral medial facetectomy and a partial hemilaminectomy. At follow-up, the outcomes were assessed using the Prolo Scale. The success of the fusion was determined by dynamic lumbar radiography and/or computerized tomography scanning. All the patients safely underwent surgery without severe complications. During a mean follow-up period of 26 months, 1 patient underwent percutaneous pedicle screw fixation due to persistent LBP. A posterior displacement of the cage was found in one patient. At the last follow up, 90% of the patients demonstrated satisfactory results. An osseous fusion was present in 85% of the patients. A PLIF, via a unilateral approach, enables a solid union with satisfactory clinical results. This preserves part of the posterior elements of the lumbar spine in selected patients with single level instability and unilateral leg pain.
목차
등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
/ 1997 / Adding posterior lumbar interbody fusion to pedicle screw fixation and posterolateral fusion after decom-pression in spondylolytic spondylolisthesis 22 (210) : 219 ~
/ 1997 / Comparison of interbody fusion approaches for disabling low back pain 22 : 660 ~ 665
/ 1999 / Posterior lumbar inter-body fusion with cages: an independent review of 71 cases 91 : 186 ~ 192
/ 2000 / Pos-terior lumbar interbody fusion using posterolateral placement of a single cylindrical threaded cage 25 : 425 ~ 430
/ 2000 / Posterior lumbar interbody fusion (PLIF): past, present, and future 47 : 470 ~ 482
/ 1997 / Comparison of interbody fusion approaches for disabling low back pain 22 : 660 ~ 665
/ 1999 / Posterior lumbar inter-body fusion with cages: an independent review of 71 cases 91 : 186 ~ 192
/ 2000 / Pos-terior lumbar interbody fusion using posterolateral placement of a single cylindrical threaded cage 25 : 425 ~ 430
/ 2000 / Posterior lumbar interbody fusion (PLIF): past, present, and future 47 : 470 ~ 482
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