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
- 2018.1
- 수록면
- 530 - 536 (7page)
이용수
초록· 키워드
오류제보하기
We present two cases of unexpected postoperative intractable cervicalgia due to over-sized implant insertion during simple anterior cervical decompression and fusion (ACDF) or artificial disc replacement (ADR). These patients experienced severe cervicalgia mostly related to their neck motion even after standard cervical operations. In both cases, the restored disc heights after the operations were prominently greater than the preoperative disc heights. The patients had not responded to any of the conservative treatments, and unloading of these excessively distracted segments through ultimate revision surgery led to dramatic pain relief. This report emphasizes the increase in distractional forces that takes place after a standard ACDF or ADR, as well as the importance of a proper sized implant. It also includes the reviews of other biomechanical or clinical reports dealing with this issue, thereby cautioning the surgeons not to disregard these factors, which might have an adverse effect in patients with cervicalgia even after radiographically successful cervical procedures.
목차
등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
An HS / 1993 / Ideal thickness of smith-robinson graft for anterior cervical fusion. A cadaveric study with computed tomographic correlation / Spine (Phila Pa 1976) 18:2043~2047
Aryan HE / 2009 / Relaxation of forces needed to distract cervical vertebrae after discectomy: A biomechanical study / J Spinal Disord Tech 22:100~104
Brodke DS / 1992 / Modified smith-robinson procedure for anterior cervical discectomy and fusion / Spine (Phila Pa 1976) 17(10 Suppl):S427~S430
Brower RS / 1992 / Effect of distraction on union rate of smith-robinson type anterior cervical discectomy and fusion / Proceedings of the 20th Annual Meeting of the Cervical Spine Research Society
Chang H / 2014 / The relationship between increased intervertebral disc height and development of postoperative axial neck pain after anterior cervical fusion / J Korean Neurosurg Soc 55:343~347
Aryan HE / 2009 / Relaxation of forces needed to distract cervical vertebrae after discectomy: A biomechanical study / J Spinal Disord Tech 22:100~104
Brodke DS / 1992 / Modified smith-robinson procedure for anterior cervical discectomy and fusion / Spine (Phila Pa 1976) 17(10 Suppl):S427~S430
Brower RS / 1992 / Effect of distraction on union rate of smith-robinson type anterior cervical discectomy and fusion / Proceedings of the 20th Annual Meeting of the Cervical Spine Research Society
Chang H / 2014 / The relationship between increased intervertebral disc height and development of postoperative axial neck pain after anterior cervical fusion / J Korean Neurosurg Soc 55:343~347
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