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
- 2020.1
- 수록면
- 445 - 452 (8page)
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초록· 키워드
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Study Design: Retrospective design/spine clinic and tertiary referral hospital.Purpose: This study investigated the association between shifted location of center of rotation (COR) and subsequent surgical outcomes and identified radiological parameters that corresponded to COR change after multilevel cervical total disc replacement (MCTDR).Overview of Literature: Cervical total disc replacement (TDR) maintains normal cervical kinematics after surgery. However, there is a paucity of literature analyzing the relationship between radiological shifts of COR and subsequent clinical success, especially when it comes to the issue of MCTDR switch.Methods: This study included 24 consecutive patients treated with MCTDR following the diagnosis of multilevel cervical disc herniation or stenosis. Numeric rating scale, range of motion (ROM) at both C2–7 segment and TDR implanted levels, and location of COR at TDR level were evaluated pre- and post-MCTDR. These parameters were compared between patients who experienced successful and unsuccessful pain relief.Results: The inherent CORs relatively at ventrocranial coordinates demonstrated significant migrations to dorsocaudal location, more prominent shifts for the successful group, after MCTDR switch. The unsuccessful group showed markedly reduced C2–7 ROM and reduced angular improvement at C2–7 segment and MCTDR level compared with the successful group. Postoperative C2–7 ROM was related to postoperative COR along the x-axis.Conclusions: Aside from ROM preservation at both C2–7 and TDR levels, COR restoration from ventrocranial location close to normal coordinates by posterior and inferior shifts was marked as a clinical success after MCTDR. The COR position along the x-axis after MCTDR was an important factor to determine maintenance of C2–7 ROM.
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참고문헌 (20)
참고문헌 신청
Wu AM / 2015 / Minimum 4-year outcomes of cervical total disc arthroplasty versus fusion : a meta-analysis based on prospective randomized controlled trials / Medicine(Baltimore) 94:e665
Daentzer D / 2015 / In vitroanalysis of kinematics and intradiscal pressures in cervical arthroplasty versus fusion : a biomechanical study in a sheep model with two semi-constrained prosthesis / Biomed Eng Online 14:27
Peng CW / 2011 / Intermediate results of the Prestige LP cervical disc replacement : clinical and radiological analysis with minimum twoyear follow-up / Spine 36:E105~E111
Pandey PK / 2017 / Comparison of outcomes of single-level anterior cervical discectomy with fusion and single-level artificial cervical disc replacement for single-level cervical degenerative disc disease / Spine 42:E41~E49
Chen F / 2013 / Clinical and radiological follow-up of single-level Prestige LP cervical disc replacement / Arch Orthop Trauma Surg 133:473~480
Daentzer D / 2015 / In vitroanalysis of kinematics and intradiscal pressures in cervical arthroplasty versus fusion : a biomechanical study in a sheep model with two semi-constrained prosthesis / Biomed Eng Online 14:27
Peng CW / 2011 / Intermediate results of the Prestige LP cervical disc replacement : clinical and radiological analysis with minimum twoyear follow-up / Spine 36:E105~E111
Pandey PK / 2017 / Comparison of outcomes of single-level anterior cervical discectomy with fusion and single-level artificial cervical disc replacement for single-level cervical degenerative disc disease / Spine 42:E41~E49
Chen F / 2013 / Clinical and radiological follow-up of single-level Prestige LP cervical disc replacement / Arch Orthop Trauma Surg 133:473~480
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