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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
- 809 - 814 (6page)
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초록· 키워드
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Study Design: Retrospective clinical study on the indirect decompressive effect of oblique lateral interbody fusion (OLIF) for adult spinal deformity. Purpose: To evaluate the effect of interbody distraction by OLIF for the treatment of adult spinal deformity. Overview of Literature: Adult spinal deformity with symptomatic stenosis has been addressed conventionally using a direct posterior decompression approach with fusion. However, stenotic symptoms can also be alleviated indirectly through restoration of intervertebral and foraminal heights and correction of spinal alignment. Methods: Twenty-eight patients with adult spinal deformity underwent OLIF combined with modified cortical bone trajectory screws at 94 lumbar levels with neuromonitoring. The patients were divided into three groups based on their preoperative lumbar lordosis: group A, <0°; group B, 0°–20°; and group C, >20°. The cross-sectional area (CSA) of the thecal sac was measured preoperatively and postoperatively on axial magnetic resonance images. Differences in CSA were evaluated, and the relationship between the CSA extension ratio and preoperative CSA was assessed. Changes in disc height and segmental disc angle were measured from plain radiographs. Results: OLIFs were performed successfully without neural complications. In group A, the mean CSA increased from 120.6 mm2 preoperatively to 148.5 mm2 postoperatively (p<0.001). The mean CSA for group B increased from 120.1 mm2 preoperatively to 154.4 mm2 postoperatively (p<0.001). Group C had an increase in mean CSA from 114.7 mm2 preoperatively to 160.7 mm2 postoperatively (p<0.001). The mean CSA enlargement ratio was 27.5%, 32.1%, and 60.4% in groups A, B, and C, respectively. The mean CSA extension ratio was inversely correlated with preoperative CSA. Conclusions: The effect of indirect neural decompression in adult spinal deformity with OLIF varies with the degree of preoperative lumbar lordosis.
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참고문헌 (22)
참고문헌 신청
Scheufler KM / 2010 / Less invasive surgical correction of adult degenerative scoliosis, part I : technique and radiographic results / Neurosurgery 67:696~710
Scheufler KM / 2010 / Less invasive surgical correction of adult degenerative scoliosis : part II : complications and clinical outcome / Neurosurgery 67:1609~1621
Boachie-Adjei O / 2006 / Transpedicular lumbar wedge resection osteotomy for fixed sagittal imbalance : surgical technique and early results / Spine(Phila Pa 1976) 31:485~492
Kim YJ / 2007 / Results of lumbar pedicle subtraction osteotomies for fixed sagittal imbalance : a minimum 5-year followup study / Spine(Phila Pa 1976) 32:2189~2197
Watanabe K / 2008 / A central hook-rod construct for osteotomy closure : a technical note / Spine(Phila Pa 1976) 33:1149~1155
Scheufler KM / 2010 / Less invasive surgical correction of adult degenerative scoliosis : part II : complications and clinical outcome / Neurosurgery 67:1609~1621
Boachie-Adjei O / 2006 / Transpedicular lumbar wedge resection osteotomy for fixed sagittal imbalance : surgical technique and early results / Spine(Phila Pa 1976) 31:485~492
Kim YJ / 2007 / Results of lumbar pedicle subtraction osteotomies for fixed sagittal imbalance : a minimum 5-year followup study / Spine(Phila Pa 1976) 32:2189~2197
Watanabe K / 2008 / A central hook-rod construct for osteotomy closure : a technical note / Spine(Phila Pa 1976) 33:1149~1155
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