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
- 2018.1
- 수록면
- 178 - 192 (15page)
이용수
초록· 키워드
오류제보하기
Since the launch of cervical total disc replacement (CTDR) in the early 2000s, many clinical studies have reported better outcomes of CTDR compared to those of anterior cervical discectomy and fusion. However, CTDR is still a new and innovative procedure with limited indications for clinical application in spinal surgery, particularly, for young patients presenting with soft disc herniation with radiculopathy and/or myelopathy. In addition, some controversial issues related to the assessment of clinical outcomes of CTDR remain unresolved. These issues, including surgical outcomes, adjacent segment degeneration (ASD), heterotopic ossification (HO), wear debris and tissue reaction, and multilevel total disc replacement (TDR) and hybrid surgeries are a common concern of spine surgeons and need to be resolved. Among them, the effect of CTDR on patient outcomes and ASD is theoretically and clinically important; however, this issue remains disputable. Additionally, HO, wear debris, multilevel TDR, and hybrid surgery tend to favor CTDR in terms of their effects on outcomes, but the potential of these factors for jeopardizing patients’ safety postoperatively and/or to exert harmful effects on surgical outcomes in longer-term follow-up cannot be ignored. Consequently, it is too early to determine the therapeutic efficacy and cost-effectiveness of CTDR and will require considerable time and studies to provide appropriate answers regarding the same. For these reasons, CTDR requires longer-term follow-up data.
목차
등록된 정보가 없습니다.
참고문헌 (93)
참고문헌 신청
Van Eck CF / 2014 / The revision rate and occurrence of adjacent segment disease after anterior cervical discectomy and fusion: a study of 672 consecutive patients / Spine (Phila Pa 1976) 39:2143~2147
Sang-Soak Ahn / 2016 / Radiologic Findings and Risk Factors of Adjacent Segment Degeneration after Anterior Cervical Discectomy and Fusion : A Retrospective Matched Cohort Study with 3-Year Follow-Up Using MRI / 대한신경외과학회지 59(2):129~136
Elsawaf A / 2009 / Effect of cervical dynamics on adjacent segment degeneration after anterior cervical fusion with cages / Neurosurg Rev 32:215~224
Guan T / 2014 / Effect of cervical disc arthroplasty and anterior cervical decompression and fusion on adjacent segment degeneration / Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 28:1100~1105
Lundine KM / 2014 / Prevalence of adjacent segment disc degeneration in patients undergoing anterior cervical discectomy and fusion based on pre-operative MRI findings / J Clin Neurosci 21:82~85
Sang-Soak Ahn / 2016 / Radiologic Findings and Risk Factors of Adjacent Segment Degeneration after Anterior Cervical Discectomy and Fusion : A Retrospective Matched Cohort Study with 3-Year Follow-Up Using MRI / 대한신경외과학회지 59(2):129~136
Elsawaf A / 2009 / Effect of cervical dynamics on adjacent segment degeneration after anterior cervical fusion with cages / Neurosurg Rev 32:215~224
Guan T / 2014 / Effect of cervical disc arthroplasty and anterior cervical decompression and fusion on adjacent segment degeneration / Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 28:1100~1105
Lundine KM / 2014 / Prevalence of adjacent segment disc degeneration in patients undergoing anterior cervical discectomy and fusion based on pre-operative MRI findings / J Clin Neurosci 21:82~85
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