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.
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초록· 키워드
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Objective : This consecutive retrospective study was designed to analyze and to compare the efficacy and outcomes of anterior cervical discectomy and fusion (ACDF) using a fibular and femur allograft with anterior cervical plating. Methods : A total of 88 consecutive patients suffering from cervical degenerative disc disease (DDD) who were treated with ACDF from September 2007 to August 2010 were enrolled in this study. Thirty-seven patients (58 segments) underwent anterior interbody fusion with a femur allograft, and 51 patients (64 segments) were treated with a fibular allograft. The mean follow-up period was 16.0 (range, 12-25) months in the femur group and 19.5 (range, 14-39) months in the fibular group. Cage fracture and breakage, subsidence rate, fusion rate, segmental angle and height and disc height were assessed by using radiography. Clinical outcomes were assessed using a visual analog scale and neck disability index. Results : At 12 months postoperatively, cage fracture and breakage had occurred in 3.4% (2/58) and 7.4% (4/58) of the patients in the femur group, respectively, and 21.9% (14/64) and 31.3% (20/64) of the patients in the fibular group, respectively (p<0.05). Subsidence was noted in 43.1% (25/58) of the femur group and in 50.5% (32/64) of the fibular group. No difference in improvements in the clinical outcome between the two groups was observed. Conclusion : The femur allograft showed good results in subsidence and radiologic parameters, and sustained the original cage shape more effectively than the fibular allograft. The present study suggests that the femur allograft may be a good choice as a fusion substitute for the treatment of cervical DDD.
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참고문헌 (31)
참고문헌 신청
An HS / 1995 / Comparison between al- lograft plus demineralized bone matrix versus autograft in anterior cer- vical fusion. A prospective multicenter study / Spine 20:2211~2216
Bishop RC / 1996 / Anterior cervical interbody fusion using autogeneic and allogeneic bone graft substrate : a prospective comparative analysis / J Neurosurg 85:206~210
Bohlman HH / 1993 / Robinson anterior cervical discectomy and arthrodesis for cervical radiculopathy. Long- term follow-up of one hundred and twenty-two patients / J Bone Joint Surg Am 75:1298~1307
Brown MD / 1976 / A roentgenographic evaluation of frozen allografts versus autografts in anterior cervical spine fusions / Clin Orthop Relat Res :231~236
Celik SE / 2007 / A comparison of changes over time in cervi- cal foraminal height after tricortical iliac graft or polyetheretherketone cage placement following anterior discectomy / J Neurosurg Spine 6:10~16
Bishop RC / 1996 / Anterior cervical interbody fusion using autogeneic and allogeneic bone graft substrate : a prospective comparative analysis / J Neurosurg 85:206~210
Bohlman HH / 1993 / Robinson anterior cervical discectomy and arthrodesis for cervical radiculopathy. Long- term follow-up of one hundred and twenty-two patients / J Bone Joint Surg Am 75:1298~1307
Brown MD / 1976 / A roentgenographic evaluation of frozen allografts versus autografts in anterior cervical spine fusions / Clin Orthop Relat Res :231~236
Celik SE / 2007 / A comparison of changes over time in cervi- cal foraminal height after tricortical iliac graft or polyetheretherketone cage placement following anterior discectomy / J Neurosurg Spine 6:10~16
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