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논문 기본 정보

자료유형
학술저널
저자정보
Jung Hwan Lee (Department of Neurosurgery Pusan National University Hospital Busan Korea) 조정기 (The Catholic University College of Medicine)
저널정보
대한신경손상학회 Korean Journal of Neurotrauma Korean Journal of Neurotrauma Vol.14 No.2
발행연도
2018.1
수록면
118 - 122 (5page)

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초록· 키워드

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Objective: The purpose of this study was to analyze the risk factors for hinge fracture (HF) and non-union during cervicalopen-door laminoplasty (CODL). Methods: We included 25 patients who underwent CODL with available serial computed tomography scans acquired at 2days and 1 year postoperatively. Patients’ medical records and radiographic data were reviewed. Risk factors related to thesurgical procedures were evaluated including the lamina angle, spinous angle, difference in the lamina angle, outer cortexlocation (OCL), and inner cortex location. Results: There were a total of 76 hinges. Of these, 44 laminae were classifed as deformed hinges, and 32 were classifedas fragmented hinges. Additionally, 66 laminae were healed completely, and 10 laminae were not healed by 12 monthspostoperatively. The OCL (odds ratio, 70.45; 95% confdence interval, 7.73-641.76) was identifed as a predictor of HFsimmediately following CODL. However, none of the factors we evaluated was related to hinge non-union. Conclusion: A medially located hinge gutter (>1.9 mm from the pedicle on the outer cortex) seems to be an important riskfactor for HFs following CODL. However, the hinge healing status was not related to the surgical technique.

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