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
- 2021.12
- 수록면
- 840 - 848 (9page)
- DOI
- 10.31616/asj.2020.0434
이용수
초록· 키워드
오류제보하기
Study Design: This was a retrospective observational study.
Purpose: We identify risk factors, including physical and surgical factors, and comorbidities affecting cage retropulsion following posterior lumbar interbody fusion (PLIF).
Overview of Literature: Diffuse idiopathic skeletal hyperostosis (DISH) is considered a risk factor for reoperation after PLIF. We evaluated the effect of DISH on cage retropulsion into the spinal canal, which may require surgical revision for severe neurological disorders.
Methods: A total of 400 patients (175 men, 225 women) who underwent PLIF were observed for >1 year. Factors investigated includ ed the frequency of cage retropulsion and surgical revision. In addition, physical (age, sex, disease), surgical (fusion and PLIF levels, cage number, grade 2 osteotomy), and comorbid (DISH, existing vertebral fracture) factors were compared between patients with and without cage retropulsion. Factors related to surgical revision during the observation period were also considered.
Results: Cage retropulsion occurred in 15 patients and surgical revision was performed in 11. Revisions included the replacement of pedicle screws (PSs) with larger screws in all patients and supplementary implants in 10. Among the patients with cage retropul sion, the average PLIF level was 2.7, with DISH present in nine patients and existing vertebral fractures in six. Factors affecting cage retropulsion were diagnoses of osteoporotic vertebral fracture, multilevel fusion, single-cage insertion, grade 2 osteotomy, presence of DISH, and existing vertebral fracture. Multivariable analysis indicated that retropulsion of a fusion cage occurred significantly more frequently in patients with DISH and multilevel PLIF.
Conclusions: DISH and multilevel PLIF were significant risk factors affecting cage retropulsion. Revision surgery for cage retropul sion revealed PS loosening, suggesting that implant replacement was necessary to prevent repeat cage retropulsion after revision.
목차
등록된 정보가 없습니다.
참고문헌 (27)
참고문헌 신청
Steffee AD / 1988 / Posterior lumbar interbody fusion and plates / Clin Orthop Relat Res 227:99~102
Kato S / 2019 / Surgical treatment of osteoporotic vertebral fracture associated with diffuse idiopathic skeletal hyperostosis along with comparative assessment of the levels of affected vertebra or anterior column reconstruction / Spine Surg Relat Res 4:57~63
Wu CH / 2008 / Instrumented posterior lumbar interbody fusion for patients with degenerative lumbar scoliosis / J Spinal Disord Tech 21:310~315
Wetzel FT / 1991 / The failed posterior lumbar interbody fusion / Spine(Phila Pa 1976) 16:839~845
Bouyer B / 2017 / Evolution and complications after surgery for spine deformation in patients with Parkinson’s disease / Orthop Traumatol Surg Res 103:517~522
Kato S / 2019 / Surgical treatment of osteoporotic vertebral fracture associated with diffuse idiopathic skeletal hyperostosis along with comparative assessment of the levels of affected vertebra or anterior column reconstruction / Spine Surg Relat Res 4:57~63
Wu CH / 2008 / Instrumented posterior lumbar interbody fusion for patients with degenerative lumbar scoliosis / J Spinal Disord Tech 21:310~315
Wetzel FT / 1991 / The failed posterior lumbar interbody fusion / Spine(Phila Pa 1976) 16:839~845
Bouyer B / 2017 / Evolution and complications after surgery for spine deformation in patients with Parkinson’s disease / Orthop Traumatol Surg Res 103:517~522
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