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
- 2016.1
- 수록면
- 582 - 592 (11page)
이용수
초록· 키워드
오류제보하기
Anterior cervical fusion has become a standard of care for numerous pathologic conditions of the cervical spine. However, subsequent development of clinically significant disc disease at levels adjacent to fused discs is a serious long-term complication of this procedure. As more patients live longer after surgery, it is foreseeable that adjacent segment pathology (ASP) will develop in increasing numbers of patients. Also, ASP has been studied more intensively with the recent popularity of motion preservation technologies like total disc arthroplasty. The true nature and scope of ASP remains poorly understood. The etiology of ASP is most likely multifactorial. Various factors including altered biomechanical stresses, surgical disruption of soft tissue and the natural history of cervical disc disease contribute to the development of ASP. General factors associated with disc degeneration including gender, age, smoking and sports may play a role in the development of ASP. Postoperative sagittal alignment and type of surgery are also considered potential causes of ASP. Therefore, a spine surgeon must be particularly careful to avoid unnecessary disruption of the musculoligamentous structures, reduced risk of direct injury to the disc during dissection and maintain a safe margin between the plate edge and adjacent vertebrae during anterior cervical fusion.
목차
등록된 정보가 없습니다.
참고문헌 (8)
참고문헌 신청
Kraemer P / 2012 / A systematic review of definitions and classification systems of adjacent segment pathology / Spine (Phila Pa 1976) 37(22 Suppl):S31~S39
Kulkarni V / 2004 / Accelerated spondylotic changes adjacent to the fused segment following central cervical corpectomy: magnetic resonance imaging study evidence / J Neurosurg 100(1 Suppl Spine):2~6
Etebar S / 1999 / Risk factors for adjacentsegment failure following lumbar fixation with rigid instrumentation for degenerative instability / J Neurosurg 90(2 Suppl):163~169
안동기 / 2005 / 요추유합술 후 인접분절의 퇴행성 변화에 의한 재수술 - 위험인자에 대한 비교연구 - / 대한정형외과학회지 40(2):203~208
Marotta N / 2011 / Five-year outcome of stand-alone fusion using carbon cages in cervical disc arthrosis / Eur Spine J 20(Suppl 1):S8~S12
Kulkarni V / 2004 / Accelerated spondylotic changes adjacent to the fused segment following central cervical corpectomy: magnetic resonance imaging study evidence / J Neurosurg 100(1 Suppl Spine):2~6
Etebar S / 1999 / Risk factors for adjacentsegment failure following lumbar fixation with rigid instrumentation for degenerative instability / J Neurosurg 90(2 Suppl):163~169
안동기 / 2005 / 요추유합술 후 인접분절의 퇴행성 변화에 의한 재수술 - 위험인자에 대한 비교연구 - / 대한정형외과학회지 40(2):203~208
Marotta N / 2011 / Five-year outcome of stand-alone fusion using carbon cages in cervical disc arthrosis / Eur Spine J 20(Suppl 1):S8~S12
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