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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Abdul Hafid Bajamal (Department of Neurosurgery Dr. Soetomo Academic General Hospital Airlangga University) 김세훈 (고려대학교) Mohammad Reza Arifianto (Department of Neurosurgery Dr. Soetomo Academic General Hospital Airlangga University) Muhammad Faris (Department of Neurosurgery Dr. Soetomo Academic General Hospital Airlangga University) Eko Agus Subagio (Department of Neurosurgery Dr. Soetomo Academic General Hospital Airlangga University) Ben Roitberg (Department of Neurosurgery MetroHealth Medical Center Case Western Reserve University) Inyang Udo-Inyang (Department of Neurosurgery MetroHealth Medical Center Case Western Reserve University) Jonathan Belding (Department of Neurosurgery MetroHealth Medical Center Case Western Reserve University) Mehmet Zileli (Department of Neurosurgery Ege University Faculty of Medicine) Jutty K.B.C. Parthiban (Department of Neurosurgery Kovai Medical Center and Hospital) World Federation of Neurosurgical Societies (WFNS) Spine Committee (World Federation of Neurosurgical Societies (WFNS) Spine Committee)
저널정보
대한척추신경외과학회 Neurospine 대한척추신경외과학회지 제16권 제3호
발행연도
2019.1
수록면
421 - 434 (14page)

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Objective: This study was conducted to determine and recommend the most up-to-date information on the indications, complications, and outcomes of posterior surgical treatments for cervical spondylotic myelopathy (CSM) on the basis of a literature review. Methods: A comprehensive literature search was performed, using the MEDLINE (PubMed), the Cochrane Register of Controlled Trials, and Web of Science databases, for peer-reviewed articles published in English during the last 10 years. Results: Posterior techniques, which include laminectomy alone, laminectomy with fusion, and laminoplasty, are often used in patients with involvement of 3 or more levels. Posterior decompression for CSM is effective for improving patients’ neurological function. Complications resulting from posterior cervical spine surgery include injury to the spinal cord and nerve roots, complications related to posterior screw fixation or instrumentation, C5 palsy, spring-back closure of lamina, and postlaminectomy kyphosis. Conclusion: It is necessary to consider multiple factors when deciding on the appropriate operation for a particular patient. Surgeons need to tailor preoperative discussions to ensure that patients are aware of these facts. Further research is needed on the cost-to-benefit analysis of various surgical approaches, the comparative efficacy of surgical approaches using various techniques, and long-term outcomes, as current knowledge is deficient in this regard.
#Cervical spondylosis #Compressive myelopathy #Laminoplasty #Laminectomy #Complications #Outcomes assessment

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참고문헌 (70)

참고문헌 신청
Singh A / 2015 / A summary of assessment tools for patients suffering from cervical spondylotic myelopathy: a systematic review on validity, reliability and responsiveness / Eur Spine J 24(Suppl 2):209~228 google schola Nouri A / 2015 / Degenerative cervical myelopathy: epidemiology, genetics, and pathogenesis / Spine(Phila Pa 1976) 40:E675~E693 google schola Klineberg E / 2010 / Cervical spondylotic myelopathy : a review of the evidence / Orthop Clin North Am 41:193~202 google schola Lad SP / 2009 / National trends in spinal fusion for cervical spondylotic myelopathy / Surg Neurol 71:66~69 google schola Wu JC / 2013 / Epidemiology of cervical spondylotic myelopathy and its risk of causing spinal cord injury : a national cohort study / Neurosurg Focus 35:E10 google schola

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