지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 1,060 - 1,070 (11page)
이용수
초록· 키워드
오류제보하기
Purpose: Anterior cervical discectomy and fusion (ACDF) has become a common spine procedure, however, there have been no previous studies on whole spine alignment changes after cervical fusion. Our purpose in this study was to determine whole spine sagittal alignment and pelvic alignment changes after ACDF. Materialsand Methods: Forty-eight patients who had undergone ACDF from January 2011 to December 2012 were enrolled in this study. Cervical lordosis, thoracic kyphosis,lumbar lordosis, sagittal vertical axis (SVA), and pelvic parameters were measured preoperatively and at 1, 3, 6, and 12 months postoperatively. Clinical outcomeswere assessed using Visual Analog Scale (VAS) scores and Neck Disability Index (NDI) values. Results: Forty-eight patients were grouped according to operativemethod (cage only, cage & plate), operative level (upper level: C3/4 & C4/5; lower level: C5/6 & C6/7), and cervical lordosis (high lordosis, low lordosis). All patients experienced significant improvements in VAS scores and NDI values after surgery. Among the radiologic parameters, pelvic tilt increased and sacral slope decreasedat 12 months postoperatively. Only the high cervical lordosis group showed significantly-decreased cervical lordosis and a shortened SVA postoperatively. Correlationtests revealed that cervical lordosis was significantly correlated with SVA and that SVA was significantly correlated with pelvic tilt and sacral slope. Conclusion:ACDF affects whole spine sagittal alignment, especially in patients with high cervical lordosis. In these patients, alteration of cervical lordosis to a normal angle shortened the SVA and resulted in reciprocal changes in pelvic tilt and sacral slope.
목차
등록된 정보가 없습니다.
참고문헌 (26)
참고문헌 신청
Kim YJ / 2006 / An analysis of sagittal spinal alignment following long adult lumbar instrumentation and fusion to L5 or S1: can we predict ideal lumbar lordosis? / Spine (Phila Pa 1976) 31:2343~2352
Lafage V / 2011 / Spino-pelvic parameters after surgery can be predicted : a preliminary formula and validation of standing alignment / Spine(Phila Pa 1976) 36:1037~1045
Lafage V / 2012 / The crucial role of cervical alignment in regulating sagittal spino-pelvic alignment in human standing posture / Presented at the 19th International Meeting on Advanced Spine Techniques 2012
Blondel B / 2012 / Reciprocal sagittal alignment changes after posterior fusion in the setting of adolescent idiopathic scoliosis / Eur Spine J 21 : 1964 ~ 1971
Boulay C / 2006 / Sagittal alignment of spine and pelvis regulated by pelvic incidence: standard values and prediction of lordosis / Eur Spine J 15 : 415 ~ 422
Lafage V / 2011 / Spino-pelvic parameters after surgery can be predicted : a preliminary formula and validation of standing alignment / Spine(Phila Pa 1976) 36:1037~1045
Lafage V / 2012 / The crucial role of cervical alignment in regulating sagittal spino-pelvic alignment in human standing posture / Presented at the 19th International Meeting on Advanced Spine Techniques 2012
Blondel B / 2012 / Reciprocal sagittal alignment changes after posterior fusion in the setting of adolescent idiopathic scoliosis / Eur Spine J 21 : 1964 ~ 1971
Boulay C / 2006 / Sagittal alignment of spine and pelvis regulated by pelvic incidence: standard values and prediction of lordosis / Eur Spine J 15 : 415 ~ 422
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