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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
- 2019.1
- 수록면
- 772 - 779 (8page)
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초록· 키워드
오류제보하기
Objective: The relationship between bone graft technique and postoperative outcomes for minimally invasive transforaminal lumbar interbody fusion (MIS TLIF) has not been well-defined. This study aims to determine the effect of iliac crest bone grafting (ICBG) on patient-reported outcomes (PROs) and complication rates following MIS TLIF. Methods: Primary, single-level MIS TLIF patients were consecutively analyzed. Patients that prospectively received a percutaneous technique of ICBG were compared to patients that retrospectively received bone morphogenetic protein-2 (BMP-2). Complication rates were assessed perioperatively and up to 1 year postoperatively. Changes in Oswestry Disability Index (ODI), visual analogue scale (VAS) back, and VAS leg pain were compared. Rates of minimum clinically important difference (MCID) achievement at final follow-up for ODI, VAS back, and VAS leg scores were compared. Results: One hundred forty-nine patients were included: 101 in the BMP-2 cohort and 48 in the ICBG cohort. The ICBG cohort demonstrated increases in intraoperative blood loss and shorter lengths of stay. ICBG patients also experienced longer operative times, though this did not reach statistical significance. No significant differences in complication or reoperation rates were identified. The ICBG cohort demonstrated greater improvements in VAS leg pain at 6-week and 12-week follow-up. No other significant differences in PROs or MCID achievement rates were identified. Conclusion: Patients undergoing MIS TLIF with ICBG experienced clinically insignificant increases in intraoperative blood loss and did not experience increases in postoperative pain or disability. Complication and reoperation rates were similar between groups. These results suggest that ICBG is a safe option for MIS TLIF.
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등록된 정보가 없습니다.
참고문헌 (38)
참고문헌 신청
Ahn J / 2015 / Minimally invasive transforaminal lumbar interbody fusion / J Spinal Disord Tech 28:222~225
Holly LT / 2006 / Minimally invasive transforaminal lumbar interbody fusion : indications, technique, and complications / Neurosurg Focus 20:E6
Kornblum MB / 2004 / Degenerative lumbar spondylolisthesis with spinal stenosis: a prospective long-term study comparing fusion and pseudarthrosis / Spine (Phila Pa 1976) 29:726~733
Galimberti F / 2015 / A systematic review of lumbar fusion rates with and without the use of rh-BMP-2 / Spine(Phila Pa 1976) 40:1132~1139
Simon SR / 1994 / Orthopaedic basic science / American Academy of Orthopaedic
Holly LT / 2006 / Minimally invasive transforaminal lumbar interbody fusion : indications, technique, and complications / Neurosurg Focus 20:E6
Kornblum MB / 2004 / Degenerative lumbar spondylolisthesis with spinal stenosis: a prospective long-term study comparing fusion and pseudarthrosis / Spine (Phila Pa 1976) 29:726~733
Galimberti F / 2015 / A systematic review of lumbar fusion rates with and without the use of rh-BMP-2 / Spine(Phila Pa 1976) 40:1132~1139
Simon SR / 1994 / Orthopaedic basic science / American Academy of Orthopaedic
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