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
- 2021.1
- 수록면
- 127 - 137 (11page)
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초록· 키워드
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Anterior cervical discectomy and fusion (ACDF) immobilizes surgical segments and can lead to the development of adjacent segment degeneration and adjacent segment disease. Thus, cervical total disc replacement (CTDR) has been developed with the aim to preserve the biomechanics of spine. However, heterotopic ossification (HO), a complication following CTDR, can reduce the segmental range of motion (ROM) and defects the motion-preservation benefit of CTDR. The pathological process of HO in CTDR remains unknown. HO has been suggested to be a self-defense mechanism in response to the non-physiological biomechanics of the cervical spine following CTDR. The current literature review is concerned with the association between the biomechanical factors and HO formation and the clinical significance of HO in CTDR. Endplate coverage, disc height, segmental angle, and center of rotation may be associated with the development of HO. The longer the follow-up, the higher the rate of ROM-limiting HO. Regardless of the loss of motion-preservation benefit of CTDR in patients with HO, CTDR confers patients with a motion-preservation period before the development of ROM-limiting HO. This may delay the development of adjacent segment degeneration compared with ACDF. Future clinical studies should explore the association between HO and changes in biomechanical factors of the cervical spine.
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등록된 정보가 없습니다.
참고문헌 (79)
참고문헌 신청
Heller JG / 2009 / Comparison of BRYAN cervical disc arthroplasty with anterior cervical decompression and fusion : clinical and radiographic results of a randomized, controlled, clinical trial / Spine(Phila Pa 1976) 34:101~107
Tu TH / 2011 / Heterotopic ossification after cervical total disc replacement : determination by CT and effects on clinical outcomes / J Neurosurg Spine 14:457~465
Gao Y / 2013 / A meta-analysis comparing the results of cervical disc arthroplasty with anterior cervical discectomy and fusion(ACDF)for the treatment of symptomatic cervical disc disease / J Bone Joint Surg Am 95:555~561
Yi S / 2013 / The predisposing factors for the heterotopic ossification after cervical artificial disc replacement / Spine J 13:1048~1054
Chung SB / 2012 / Uncovertebral hypertrophy is a significant risk factor for the occurrence of heterotopic ossification after cervical disc replacement : survivorship analysis of Bryan disc for single-level cervical arthroplasty / Acta Neurochir(Wien) 154:1017~1022
Tu TH / 2011 / Heterotopic ossification after cervical total disc replacement : determination by CT and effects on clinical outcomes / J Neurosurg Spine 14:457~465
Gao Y / 2013 / A meta-analysis comparing the results of cervical disc arthroplasty with anterior cervical discectomy and fusion(ACDF)for the treatment of symptomatic cervical disc disease / J Bone Joint Surg Am 95:555~561
Yi S / 2013 / The predisposing factors for the heterotopic ossification after cervical artificial disc replacement / Spine J 13:1048~1054
Chung SB / 2012 / Uncovertebral hypertrophy is a significant risk factor for the occurrence of heterotopic ossification after cervical disc replacement : survivorship analysis of Bryan disc for single-level cervical arthroplasty / Acta Neurochir(Wien) 154:1017~1022
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