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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
- 2014.1
- 수록면
- 142 - 147 (6page)
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초록· 키워드
오류제보하기
Objective : A thoracolumbar burst fracture is usually unstable and can cause neurological deficits and angular deformity. Patients with unstable thoracolumbar burst fracture usually need surgery for decompression of the spinal canal, correction of the angular deformity, and stabilization of the spinal column. We compared two struts, titanium mesh cages (TMCs) and expandable cages. Methods : 33 patients, who underwent anterior thoracolumbar reconstruction using either TMCs (n=16) or expandable cages (n=17) between June 2000 and September 2011 were included in this study. Clinical outcome was measured by visual analogue scale (VAS), American Spinal Injury Association (ASIA) scale and Low Back Outcome Score (LBOS) for functional neurological evaluation. The Cobb angle, body height of the fractured vertebra, the operation time and amount of intra-operative bleeding were measured in both groups. Results : In the expandable cage group, operation time and amount of intraoperative blood loss were lower than that in the TMC group. The mean VAS scores and LBOS in both groups were improved, but no significant difference. Cobb angle was corrected higher than that in expandable cage group from postoperative to the last follow-up. The change in Cobb angles between preoperative, postoperative, and the last follow-up did not show any significant difference. There was no difference in the subsidence of anterior body height between both groups. Conclusion : There was no significant difference in the change in Cobb angles with an inter-group comparison, the expandable cage group showed better results in loss of kyphosis correction, operation time, and amount of intraoperative blood loss.
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참고문헌 (19)
참고문헌 신청
Alanay A / 2001 / Short-segment pedicle instrumentation of thoracolumbar burst fractures : does transpedicular intracorporeal grafting prevent early failure? / Spine 26:213~217
Boriani S / 2002 / Reconstruction of the anterior column of the thoracic and lumbar spine with a carbon fiber stackable cage system / Orthopedics 25:37~42
Ditunno JF Jr / 1994 / The international standards booklet for neurological and functional classification of spinal cord injury / American Spinal Injury Association 32:70~80
Dvorak MF / 2003 / Effectiveness of titanium mesh cylindrical cages in anterior column reconstruction after thoracic and lumbar vertebral body resection / Spine 28:902~908
Eck KR / 2000 / Analysis of titanium mesh cages in adults with minimum two-year follow-up / Spine 25:2407~2415
Boriani S / 2002 / Reconstruction of the anterior column of the thoracic and lumbar spine with a carbon fiber stackable cage system / Orthopedics 25:37~42
Ditunno JF Jr / 1994 / The international standards booklet for neurological and functional classification of spinal cord injury / American Spinal Injury Association 32:70~80
Dvorak MF / 2003 / Effectiveness of titanium mesh cylindrical cages in anterior column reconstruction after thoracic and lumbar vertebral body resection / Spine 28:902~908
Eck KR / 2000 / Analysis of titanium mesh cages in adults with minimum two-year follow-up / Spine 25:2407~2415
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