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.
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초록· 키워드
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Objective : The authors reviewed their experiences of combined surgery (open door laminoplasty with unilateral screw fixation) for unstable multi-level cervical stenosis, to clarify the situation regarding the surgical approach most appropriate for the treatment of diffuse unstable multi-level cervical stenosis. Methods : From January 2011 to January 2012, combined surgery was performed for unstable multi-level cervical stenosis by one surgeon at our institution. The subjects of this study were 6 men of mean age 53.7 years (range, 48-71) with a mean follow-up of 9.3 (range, 3-14) months. All imaging studies showed severe multi-level cervical stenosis with spinal cord signal change, and instability or kyphotic deformity. A retrospective review of clinical, radiological, and surgical data was conducted. Results : Average laminoplasty level was 4.8 and the average screw fixation level was 5.0. Japanese Orthopedic Association score improved from an average of 5.2 to 11.2 points. According to Nurick's grades and Odom's criteria, symptom improvement was statistically significant. On the other hand, Cobb's angle changes were not significant. Average operation time was 5.86 hours with an average blood loss of 460 mL. No significant surgical complication was encountered. Conclusion : Despite the small cohort and the short follow-up duration, the present study demonstrates that laminoplasty with unilateral screw fixation is a safe and effective treatment for unstable multi-level cervical stenosis.
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참고문헌 (33)
참고문헌 신청
Albert TJ / 1998 / Postlaminectomy kyphosis / Spine (Phila Pa 1976) 23:2738~2745
Chen HC / 2008 / Lateral mass anchoring screws for cervical laminoplasty : preliminary report of a novel technique / J Spinal Disord Tech 21:387~392
Chiba K / 2006 / Long-term results of expansive open-door laminoplasty for cervical myelopathyaverage 14-year follow-up study / Spine (Phila Pa 1976) 31:2998~3005
Herkowitz HN / 1988 / A comparison of anterior cervical fusion, cervical laminectomy, and cervical laminoplasty for the surgical management of multiple level spondylotic radiculopathy / Spine (Phila Pa 1976) 13:774~780
Herkowitz HN / 1988 / Cervical laminaplasty : its role in the treatment of cervical radiculopathy / J Spinal Disord 1:179~188
Chen HC / 2008 / Lateral mass anchoring screws for cervical laminoplasty : preliminary report of a novel technique / J Spinal Disord Tech 21:387~392
Chiba K / 2006 / Long-term results of expansive open-door laminoplasty for cervical myelopathyaverage 14-year follow-up study / Spine (Phila Pa 1976) 31:2998~3005
Herkowitz HN / 1988 / A comparison of anterior cervical fusion, cervical laminectomy, and cervical laminoplasty for the surgical management of multiple level spondylotic radiculopathy / Spine (Phila Pa 1976) 13:774~780
Herkowitz HN / 1988 / Cervical laminaplasty : its role in the treatment of cervical radiculopathy / J Spinal Disord 1:179~188
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