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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Park, Jeong-Yoon (Department of Neurosurgery, Gangnam Severance Hospital, Spine and Spinal Cord Institute, Yonsei University College of Medicine) Zhang, Ho-Yeol (Department of Neurosurgery, National Health Insurance Corporation Ilsan Hospital, Yonsei University College of Medicine) Oh, Min-Chul (Department of Neurosurgery, Severance Hospital, Yonsei University College of Medicine)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제49권 제4호
발행연도
2011.1
수록면
212 - 216 (5page)

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Objective : It is well known that plate-to-disc distance (POD) is closely related to adjacent-level ossification following anterior cervical plate placement. The study was undertaken to compare the outcomes of two different anterior cervical plating methods for degenerative cervical condition. Specifically, the new method involves making holes for plate screws first with an air drill and then choosing a plate size. The other method was standard, that is, decide on the plate size first, locate the plate on the anterior vertebral body, and then drilling the screw holes. Our hypothesis was that the new technical tip may increase POD as compared with the standard anterior cervical plating procedure. Methods : We retrospectively reviewed 49 patients who had a solid fusion after anterior cervical arthrodesis with a plate for the treatment of cervical disc degeneration. Twenty-three patients underwent the new anterior cervical plating technique (Group A) and 26 patients underwent the standard technique (Group B). POD and ratios between POD to anterior body heights (ABH) were measured using postoperative lateral radiographs. In addition, operating times and clinical results were reviewed in all cases. Results : The mean durations of follow-up were $16.42{\pm}5.99$ (Group A) and $19.83{\pm}6.71$ (Group B) months, range 12 to 35 months. Of these parameters mentioned above, cephalad POD (5.43 versus 3.46 mm, p=0.005) and cephalad POD/ABH (0.36 versus 0.23, p=0.004) were significantly greater in the Group A, whereas operation time for two segment arthrodesis (141.9 versus 170.6 minutes, p=0.047) was significantly lower in the Group A. There were no significant difference between the two groups in caudal POD (5.92 versus 5.06 mm), caudal POO/ABH (0.37 versus 0.32) and clinical results. Conclusion : The new anterior cervical plating method represents an improvement over the standard method in terms of cephalad plate-to-disc distance and operating time.
#Cervical vertebrae #Diskectomy #Spinal fusion #Degeneration #Intervertebral disk

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참고문헌 (21)

참고문헌 신청
An HS / 1993 / Ideal thickness of Smith-Robinson graft for anterior cervical fusion. A cadaveric study with computed tomographic correlation / Spine 18:2043~2047 google schola Baba H / 1993 / Late radiographic findings after anterior cervical fusion for spondylotic myeloradiculopathy / Spine 18:2167~2173 google schola Bartolomei JC / 2005 / Adjacent level degeneration after anterior cervical fusion : a clinical review / Neurosurg Clin N Am 16:575~587 google schola Bose B / 2001 / Anterior cervical instrumentation enhances fusion rates in multilevel reconstruction in smokers / J Spinal Disord 14:3~9 google schola DÖhler JR / 1985 / Instability of the cervical spine after anterior interbody fusion. A study on its incidence and clinical significance in 21 patients / Arch Orthop Trauma Surg 104:247~250 google schola

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