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논문 기본 정보

자료유형
학술저널
저자정보
Kim, Tae Hun (Department of Neurosurgery, Daegu Catholic University Medical Center, Catholic University of Daegu College of Medicine) Kim, Dae Hyun (Department of Neurosurgery, Daegu Catholic University Medical Center, Catholic University of Daegu College of Medicine) Kim, Ki Hong (Department of Neurosurgery, Daegu Catholic University Medical Center, Catholic University of Daegu College of Medicine) Kwak, Young Seok (Department of Neurosurgery, Daegu Catholic University Medical Center, Catholic University of Daegu College of Medicine) Kwak, Sang Gyu (Department of Medical Statistics, Daegu Catholic University Medical Center, Catholic University of Daegu College of Medicine) Choi, Man Kyu (Department of Neurosurgery, Daegu Catholic University Medical Center, Catholic University of Daegu College of Medicine)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제61권 제5호
발행연도
2018.1
수록면
574 - 581 (8page)

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Objective : The zero-profile implant (Zero-P) is accepted for use in anterior cervical fusion for the treatment of degenerative cervical disease. However, evidence pertaining to its efficiency and safety in traumatic cervical injury is largely insufficient. This study aimed to compare the overall outcomes of patients who underwent Zero-P for traumatic cervical disc injury. Methods : Data from a total of 53 consecutive patients who underwent surgery for traumatic or degenerative cervical disc disease using the Zero-P were reviewed. Seventeen patients (group A) had traumatic cervical disc injury and the remaining 36 (group B) had degenerative cervical disc herniation. The fusion and subsidence rates and Cobb angle were measured retrospectively from plain radiographs. The patients' clinical outcomes were evaluated using the Japanese Orthopedic Association (JOA) score and Odom's criteria. Results : The C2-7 Cobb and operative segmental angles increased by $3.45{\pm}7.61$ and $2.94{\pm}4.59$ in group A; and $2.46{\pm}7.31$ and $2.88{\pm}5.49$ in group B over 12 postoperative months, respectively. The subsidence and fusion rate was 35.0% and 95.0% in group A; and 36.6% and 95.1% in group B, respectively. None of the parameters differed significantly between groups. The clinical outcomes were similar in both groups in terms of increasing the JOA score and producing a grade higher than "good" using Odom's criteria. Conclusion : The application of Zero-P in patients with traumatic cervical disc injury was found to be acceptable when compared with the clinical and radiological outcomes of degenerative cervical spondylosis.

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