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자료유형
학술저널
저자정보
저널정보
대한의사협회 대한의사협회지 대한의사협회지 제54권 제9호
발행연도
2011.1
수록면
941 - 950 (10page)

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Degenerative changes in the cervical spinal column are common in the adult population. Although most patients respond well to initial nonsurgical management, those who continue to have symptoms or patients with clinically evident myelopathy are candidates for surgical intervention. The objective of this article is to review and discuss the surgical treatment for degenerative cervical spine disease. Anterior cervical spine surgery is commonly used to treat numerous pathologic entities and is expected to increase with the development of surgical techniques and instruments. Autogenous tricortical iliac crest struts are the best option for anterior fusion, but they are associated with donor site morbidity. Equivalent fusion rates have been reported after allografting and autografting, combined with the use of anterior plates. Artificial disc replacement,one of the emerging motion-sparing technologies, is currently used and has shown excellent results. However, longer follow-up is needed to determine whether these devices can function well over time. Surgical treatments in degenerative cervical disease have shown excellent results. Appropriate methods that take into account the pathologic status of the patient and the surgeon’s surgical experience can prevent complications and lead to excellent surgical outcomes.

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