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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 188 - 196 (9page)
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초록· 키워드
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Objective: Anterior cervical discectomy and fusion (ACDF) is a common procedure for the treatment of cervical disease. Circumferential procedures are options for multilevel pathology. Potential complications of multilevel anterior procedures are dysphagia and pseudarthrosis, whereas potential complications of posterior surgery include development of cervical kyphosis and postoperative chronic neck pain. The addition of posterior cervical cages (PCCs) to multilevel ACDF is a minimally invasive option to perform circumferential fusion. This study evaluated the biomechanical performance of 3-level circumferential fusion with PCCs as supplemental fixation to anteriorly placed allografts, with and without anterior plate fixation. Methods: Nondestructive flexibility tests (1.5 Nm) performed on 6 cervical C2–7 cadaveric specimens intact and after discectomy (C3–6) in 3 instrumented conditions: allograft with anterior plate (G+P), PCC with allograft and plate (PCC+G+P), and PCC with allograft alone (PCC+G). Range of motion (ROM) data were analyzed using 1-way repeated-measures analysis of variance. Results: All instrumented conditions resulted in significantly reduced ROM at the 3 instrumented levels (C3–6) compared to intact spinal segments in flexion, extension, lateral bending, and axial rotation (p<0.001). No significant difference in ROM was found between G+P and PCC+G+P conditions or between G+P and PCC+G conditions, indicating similar stability between these conditions in all directions of motion. Conclusion: All instrumented conditions resulted in considerable reduction in ROM. The added reduction in ROM through the addition of PCCs did not reach statistical significance. Circumferential fusion with anterior allograft, without plate and with PCCs, has comparable stability to ACDF with allograft and plate.
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등록된 정보가 없습니다.
참고문헌 (33)
참고문헌 신청
Fraser JF / 2007 / Anterior approaches to fusion of the cervical spine: a metaanalysis of fusion rates / J Neurosurg Spine 6:298~303
Jason Pui Yin Cheung / 2016 / Complications of Anterior and Posterior Cervical Spine Surgery / Asian Spine Journal 10(2):385~400
Anderson KK / 2013 / Oropharyngeal Dysphagia after anterior cervical spine surgery: a review / Global Spine J 3:273~286
Rihn JA / 2011 / What is the incidence and severity of dysphagia after anterior cervical surgery / Clin Orthop Relat Res 469:658~665
Dante Leven / 2016 / Pseudarthrosis of the Cervical Spine: Risk Factors, Diagnosis and Management / Asian Spine Journal 10(4):776~786
Jason Pui Yin Cheung / 2016 / Complications of Anterior and Posterior Cervical Spine Surgery / Asian Spine Journal 10(2):385~400
Anderson KK / 2013 / Oropharyngeal Dysphagia after anterior cervical spine surgery: a review / Global Spine J 3:273~286
Rihn JA / 2011 / What is the incidence and severity of dysphagia after anterior cervical surgery / Clin Orthop Relat Res 469:658~665
Dante Leven / 2016 / Pseudarthrosis of the Cervical Spine: Risk Factors, Diagnosis and Management / Asian Spine Journal 10(4):776~786
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