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.
이용수
초록· 키워드
오류제보하기
Objective : To compare the clinical outcomes and biomechanical effects of total disc replacement (TDR) and posterior cervical foraminotomy (PCF) and to propose relative inclusion criteria. Methods : Thirty-five patients who underwent surgery between 2006 and 2008 were included. All patients had single-level disease and only radiculopathy. The overall sagittal balance and angle and height of a functional segmental unit (FSU; upper and lower vertebral body of the operative lesion) were assessed by preoperative and follow-up radiographs. C2-7 range of motion (ROM), FSU, and the adjacent segment were also checked. Results : The clinical outcome of TDR (group A) was tended to be superior to that of PCF (group B) without statistical significance. In the group A, preoperative and postoperative upper adjacent segment level motion values were $8.6{\pm}2.3$ and $8.4{\pm}2.0$, and lower level motion values were $8.4{\pm}2.2$ and $8.3{\pm}1.9$. Preoperative and postoperative FSU heights were $37.0{\pm}2.1$ and $37.1{\pm}1.8$. In the group B, upper level adjacent segment motion values were $8.1{\pm}2.6$ and $8.2{\pm}2.8$, and lower level motion values were $6.5{\pm}3.3$ and $6.3{\pm}3.1$. FSU heights were $37.1{\pm}2.0$ and $36.2{\pm}1.8$. The postoperative FSU motion and height changes were significant (p<0.05). The patient's satisfaction rates for surgery were 88.2% in group A and 88.8% in group B. Conclusion : TDR and PCF have favorable outcomes in patients with unilateral soft disc herniation. However, patients have different biomechanical backgrounds, so the patient's biomechanical characteristics and economic status should be understood and treated using the optimal procedure.
목차
등록된 정보가 없습니다.
참고문헌 (34)
참고문헌 신청
Aldrich F / 1990 / Posterolateral microdisectomy for cervical monoradiculopathy caused by posterolateral soft cervical disc sequestration / J Neurosurg 72:370~377
Bazaz R / 2002 / Incidence of dysphagia after anterior cervical spine surgery: a prospective study / Spine 27:2453~2458
Beaurain J / 2009 / Intermediate clinical and radiological results of cervical TDR (Mobi-C)with up to 2 years of follow-up / Eur Spine J 18:841~850
Cağlar YS / 2007 / Keyhole approach for posterior cervical discectomy: experience on 84patients / Minim Invasive Neurosurg 50:7~11
조현진 / 2012 / Heterotopic Ossification Following Cervical Total Disc Replacement: Iatrogenic or Constitutional? / 대한척추신경외과학회지 9(3):209~214
Bazaz R / 2002 / Incidence of dysphagia after anterior cervical spine surgery: a prospective study / Spine 27:2453~2458
Beaurain J / 2009 / Intermediate clinical and radiological results of cervical TDR (Mobi-C)with up to 2 years of follow-up / Eur Spine J 18:841~850
Cağlar YS / 2007 / Keyhole approach for posterior cervical discectomy: experience on 84patients / Minim Invasive Neurosurg 50:7~11
조현진 / 2012 / Heterotopic Ossification Following Cervical Total Disc Replacement: Iatrogenic or Constitutional? / 대한척추신경외과학회지 9(3):209~214
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