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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
- 2018.1
- 수록면
- 518 - 523 (6page)
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초록· 키워드
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Study Design: Single-surgeon, single-center prospective study with prospective data collection. Purpose: To clinically evaluate muscle damage after open lumbar surgery and its relationship to functional activity and to validatethe improvement in function as indicated by improved Oswestry Disability Index (ODI) score despite muscle damage. Overview of Literature: Few studies have analyzed the functional loss and recovery pattern of muscles after open lumbar surgery. Methods: The study included 30 patients who underwent open lumbar spine fusion surgery at our institution between August 2013 and May 2015. Preoperatively and at 6 months postoperatively, the patients were subjected to functional, biochemical, electrophysiological, and radiological assessments as outpatients, and the results were compared. Results: Mean preoperative and 6-month postoperative values were as follows: creatine phosphokinase levels, 133.07±17.57 and 139±17.7 U/L (p <0.001); Visual Analog Scale scores for backache, 6.73±0.88 and 3.27±0.96 (p <0.001); and ODI scores, 41.6±5.51 and 22.4±4.48 (p <0.001), respectively. Preoperatively, electrophysiological studies showed that 20% of the patients had a polyphasic configuration whereas at 6 months postoperatively, all patients had polyphasic configuration (p <0.001). The mean cross-sectional area of the multifidus observed using magnetic resonance imaging (MRI) decreased from 742.67±76.62 mm2 preoperatively to 598.27±66.38 mm2 6 months postoperatively (p <0.001), with all the patients exhibiting grade 2 atrophy. Conclusions: Open lumbar fusion surgery resulted in significant damage to the lumbar paraspinal muscles, as indicated by a reduction in the cross-sectional area of the multifidus by MRI and denervation of the multifidus demonstrated using electromyography. Nevertheless, the patients reported reduced back pain and improved quality of life, which may have been due to increased stability of the previously unstable lumbar spinal segment after the surgery.
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등록된 정보가 없습니다.
참고문헌 (26)
참고문헌 신청
Fritzell P / 2002 / Chronic low back pain and fusion: a comparison of three surgical techniques: a prospective multicenter randomized study from the Swedish lumbar spine study group / Spine (Phila Pa 1976) 27:1131~1141
Kim KT / 2006 / Clinical outcomes of 3 fusion methods through the posterior approach in the lumbar spine / Spine (Phila Pa 1976) 31:1351~1357
Helenius I / 2002 / Comparison of long-term functional and radiologic outcomes after Harrington instrumentation and spondylodesis in adolescent idiopathic scoliosis: a review of 78 patients / Spine (Phila Pa 1976) 27:176~180
Leong JC / 1983 / Long-term results of lumbar intervertebral disc prolapse / Spine (Phila Pa 1976) 8:793~799
Luk KD / 1987 / The effect on the lumbosacral spine of long spinal fusion for idiopathic scoliosis: a minimum 10-year follow-up / Spine (Phila Pa 1976) 12:996~1000
Kim KT / 2006 / Clinical outcomes of 3 fusion methods through the posterior approach in the lumbar spine / Spine (Phila Pa 1976) 31:1351~1357
Helenius I / 2002 / Comparison of long-term functional and radiologic outcomes after Harrington instrumentation and spondylodesis in adolescent idiopathic scoliosis: a review of 78 patients / Spine (Phila Pa 1976) 27:176~180
Leong JC / 1983 / Long-term results of lumbar intervertebral disc prolapse / Spine (Phila Pa 1976) 8:793~799
Luk KD / 1987 / The effect on the lumbosacral spine of long spinal fusion for idiopathic scoliosis: a minimum 10-year follow-up / Spine (Phila Pa 1976) 12:996~1000
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