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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
- 276 - 281 (6page)
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초록· 키워드
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Objective : Although trunk muscles in the lumbar spine preserve spinal stability and motility, little is known about the relationship between trunk muscles and spinal fusion rate. The aim of the present study is to evaluate the correlation between trunk muscles cross sectional area (MCSA) and fusion rate after posterior lumbar interbody fusion (PLIF) using stand-alone cages. Methods : A total of 89 adult patients with degenerative lumbar disease who were performed PLIF using stand-alone cages at L4-5 were included in this study. The cross-sectional area of the psoas major (PS), erector spinae (ES), and multifidus (MF) muscles were quantitatively evaluated by preoperative lumbar magnetic resonance imaging at the L3-4, L4-5, and L5-S1 segments, and bone union was evaluated by dynamic lumbar X-rays. Results : Of the 89 patients, 68 had bone union and 21 did not. The MCSAs at all segments in both groups were significantly different (p<0.05) for the PS muscle, those at L3-4 and L4-5 segments between groups were significantly different (p=0.048, 0.021) for the ES and MF muscles. In the multivariate analysis, differences in the PS MCSA at the L4-5 and L5-S1 segments remained significant (p=0.048, 0.043 and odds ratio=1.098, 1.169). In comparison analysis between male and female patients, most MCSAs of male patients were larger than female's. Fusion rates of male patients (80.7%) were higher than female's (68.8%), too. Conclusion : For PLIF surgery, PS muscle function appears to be an important factor for bone union and preventing back muscle injury is essential for better fusion rate.
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등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Boden SD / 1995 / Biologic factors affecting spinal fusion and bone regeneration / Spine 20(24 Suppl):102S~112S
Burkus JK / 2001 / Surgical Interbody Research Group--radiographic assessment of interbody fusion devices : fusion criteria for anterior lumbar interbody surgery / Neurosurg Focus 10:E11
Cheung NK / 2013 / Long-term followup of minimal-access and open posterior lumbar interbody fusion for spondylolisthesis / Neurosurgery 72:443~450
Daggfeldt K / 2000 / The visible human anatomy of the lumbar erector spinae / Spine 25:2719~2725
Fan S / 2010 / Multifidus muscle changes and clinical effects of one-level posterior lumbar interbody fusion : minimally invasive procedure versus conventional open approach / Eur Spine J 19:316~324
Burkus JK / 2001 / Surgical Interbody Research Group--radiographic assessment of interbody fusion devices : fusion criteria for anterior lumbar interbody surgery / Neurosurg Focus 10:E11
Cheung NK / 2013 / Long-term followup of minimal-access and open posterior lumbar interbody fusion for spondylolisthesis / Neurosurgery 72:443~450
Daggfeldt K / 2000 / The visible human anatomy of the lumbar erector spinae / Spine 25:2719~2725
Fan S / 2010 / Multifidus muscle changes and clinical effects of one-level posterior lumbar interbody fusion : minimally invasive procedure versus conventional open approach / Eur Spine J 19:316~324
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