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자료유형
학술저널
저자정보
한문수 (전남대학교병원) Gwang-Jun Lee (Department of Neurosurgery Chonnam National University) Ju-Hwi Kim (Department of Neurosurgery Chonnam National University Research Institute of Medical Sciences Chon) Seul-Kee Lee (Department of Neurosurgery Chonnam National University Research Institute of Medical Sciences Chon) Bong Ju Moon (Department of Neurosurgery Chonnam National University Hospital and Medical School) Jung-Kil Lee (Chonnam National University Hospital)
저널정보
대한신경손상학회 Korean Journal of Neurotrauma Korean Journal of Neurotrauma Vol.14 No.2
발행연도
2018.1
수록면
123 - 128 (6page)

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Objective: We evaluated the usefulness of a polyetheretherketone (PEEK) cage flled with demineralized bone matrix(DBM) and plate fxation in anterior interbody fusions for subaxial cervical spine injuries. Methods: A retrospective review of 98 patients (58 women, 40 men; mean age, 49.7 years; range, 17-78 years) who underwent single-level anterior cervical discectomy and fusion (ACDF) using a PEEK cage flled with DBM and plate fxationfor subaxial cervical spine injuries from March 2005 to June 2018 was conducted. Bone fusion, interbody height (IBH),segmental lordosis, and adjacent segment degeneration (ASD) development were assessed with plain radiographs and computed tomography. Clinical outcomes were assessed using a visual analog scale (VAS) for pain and the Frankel grade forneurologic function. Results: The mean follow-up period was 27.6 months (range, 6-142 months). Twenty-one patients (21.4%) had an improvement of at least one Frankel grade. The mean preoperative and fnal follow-up neck pain VAS scores were 8.3±0.9 and2.6±1.5 (p<0.05). All patients showed solid fusion at the fnal follow-up. The mean preoperative and fnal Cobb’s angleswere -3.7±7.9° and 1.9±5.1° (p<0.05). The mean preoperative and fnal IBHs were 36.9±1.7 mm and 38.2±1.8 mm (p<0.05). Five patients (5%) showed ASD. Conclusion: ACDF using a PEEK cage flled with DBM and plate fxation yielded high fusion rates and satisfactory clinicaloutcomes without donor-site morbidity. This procedure is safe and effective for single-level subaxial cervical spine injuries

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