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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 374 - 378 (5page)
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초록· 키워드
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Objective : A modified surgical technique of posterior cervical foramintomy called posterior cervical inclinatory foraminotomy (PCIF) was introduced in previous preliminary article. PCIF allows better preservation of facet joint and capsule than conventional techniques. The authors conducted a study to investigate long-term outcomes of PCIF. Methods : We retrospectively reviewed demographic, radiologic, and clinical data from the patients who underwent PCIFs at our institution. Criteria included a minimum of 48 month follow-up and PCIFs for patients with radiculopathy from foraminal stenosis (C2-T1; single or multilevel) with persistent or recurrent root symptoms despite conservative treatment for more than 3 months. Patients who had undergone previous cervical operation were excluded. The visual analogue scale (VAS) score was used for clinical follow-up, and radiologic follow-up was performed to compare the changes of cervical sagittal alignment, focal angle and disc-space height of treated segment. Results : The PCIFs were performed between April 2007 and March 2011 on 46 patients (32 males and 14 females) with a total of 73 levels affected. The average duration of follow-up was 74.4 months. Improvements in radiculopathic pain were seen in 39 patients (84.7%), and VAS score decreased from $6.82{\pm}1.9$ to $2.19{\pm}1.9$. Posterior neck pain also improved in 25 patients (71.4%) among 35 patients, and VAS score decreased from $4.97{\pm}2.0$ to $2.71{\pm}1.9$. The mean disc-space heights of treated segment were $5.41{\pm}1.03mm$ preoperatively and decreased to $5.17{\pm}1.12mm$ postoperatively. No statistically significant changes in cervical sagittal alignment, focal angle were seen during the follow-up period (Cox proportional hazards analysis and Student t-test, p>0.05). Conclusion : The PCIF is highly effective in treating patients with cervical spondylotic radiculopathy, leading to long-lasting relief in pain. Long-term radiologic follow-up showed no significant spinal angular imbalance.
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등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Adamson TE / 2001 / Microendoscopic posterior cervical laminoforaminotomy for unilateral radiculopathy : results of a new technique in 100 cases / J Neurosurg 95(1 Suppl):51~57
Cağlar YS / 2007 / Keyhole approach for posterior cervical discectomy : experience on 84 patients / Minim Invasive Neurosurg 50:7~11
Casotto A / 1981 / Posterior approach in cervical spondylotic myeloradiculopathy / Acta Neurochir (Wien) 57:275~285
Jae Chil Chang / 2011 / Posterior Cervical Inclinatory Foraminotomy for Spondylotic Radiculopathy Preliminary / 대한신경외과학회지 49(5):308~313
Chen BH / 2001 / Comparison of biomechanical response to surgical procedures used for cervical radiculopathy : posterior keyhole foraminotomy versus anterior foraminotomy and discectomy versus anterior discectomy with fusion / J Spinal Disord 14:17~20
Cağlar YS / 2007 / Keyhole approach for posterior cervical discectomy : experience on 84 patients / Minim Invasive Neurosurg 50:7~11
Casotto A / 1981 / Posterior approach in cervical spondylotic myeloradiculopathy / Acta Neurochir (Wien) 57:275~285
Jae Chil Chang / 2011 / Posterior Cervical Inclinatory Foraminotomy for Spondylotic Radiculopathy Preliminary / 대한신경외과학회지 49(5):308~313
Chen BH / 2001 / Comparison of biomechanical response to surgical procedures used for cervical radiculopathy : posterior keyhole foraminotomy versus anterior foraminotomy and discectomy versus anterior discectomy with fusion / J Spinal Disord 14:17~20
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