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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

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학술저널
저자정보
Kim, Min-Ki (Department of Neurosurgery, KyungHee University Hospital at Gangdong, School of Medicine, KyungHee University) Kim, Sung-Min (Department of Neurosurgery, KyungHee University Hospital at Gangdong, School of Medicine, KyungHee University) Jeon, Kwang-Mo (Department of Neurosurgery, KyungHee University Hospital at Gangdong, School of Medicine, KyungHee University) Kim, Tae-Sung (Department of Neurosurgery, KyungHee University Hospital at Gangdong, School of Medicine, KyungHee University)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제51권 제3호
발행연도
2012.1
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135 - 140 (6page)

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Objective : To evaluate radiographic results of anterior fusion methods in two-level cervical disc disease : tricortical autograft and plate fixation (ACDF-AP), cage and plate fixation (ACDF-CP), stand-alone cage (ACDF-CA), and corpectomy and plate fixation (ACCF). Methods: The numbers of patients were 70 with a minimum 6 month follow-up (ACDF-AP : 12, ACDF-CP : 27, ACDF-CA : 15, and ACCF : 16). Dynamic simple X-ray and computed tomography were evaluated preoperatively, postoperatively, 6 month, and at the final follow-up. The fusion and subsidence rates at the final were determined, and global cervical lordosis (GCL), cervical range of motion, fused segment angle (FSA), and fused segment height (FSH) were analyzed. Results: Nonunion was observed in 4 (25%) patients with ACDF-CA, 1 (8%) patient with ACDF-AP, 1 (4%) patient with ACDF-CP. The number of loss of FSH (%) more than 3 mm were 2 patients (16%) in ACDF-AP, 3 patients (11%) in ACDF-CP, 5 patients (33%) in ACDF-CA, and 3 patients (20%) in ACCF. The GCL was decreased with ACDF-CA and increased with others. The FSA was increased with ACDF-AP, ACDF-CP, and ACCF, but ACDF-CA was decreased. At the final follow-up, the FSH was slightly decreased in ACDF-CP, ACDF-AP, and ACCF, but ACDF-CA was more decreased. Graft related complication were minimal. Screw loosening, plate fracture, cage subsidence and migration were not identified. Conclusion: ACDF-CP demonstrated a higher fusion rate and less minimal FSH loss than the other fusions in two-level cervical disc disease. The ACDF-AP and ACCF methods had a better outcome than the ACDF-CA with respect to GCL, FSA, and FSH.
#Radiographic comparison #Anterior cervical fusion methods #Two-level cervical disc diseases

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참고문헌 (22)

참고문헌 신청
Barsa P / 2007 / Factors affecting sagittal malalignment due to cage subsidence in standalone cage assisted anterior cervical fusion / Eur Spine J 16:1395~1400 google schola Bartels RH / 2006 / Subsidence of stand-alone cervical carbon fiber cages / Neurosurgery 58:502~508 google schola Cho DY / 2002 / Preliminary experience using a polyetheretherketone (PEEK) cage in the treatment of cervical disc disease / Neurosurgery 51:1343~1349 google schola Connolly PJ / 1996 / Anterior cervical fusion : outcome analysis of patients fused with and without anterior cervical plates / J Spinal Disord 9:202~206 google schola Fraser JF / 2007 / Anterior approaches to fusion of the cervical spine : a metaanalysis of fusion rates / J Neurosurg Spine 6:298~303 google schola

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