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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
- 2021.10
- 수록면
- 118 - 125 (8page)
- DOI
- https://doi.org/10.13004/kjnt.2021.17.e27
이용수
초록· 키워드
오류제보하기
Objective: To compare the clinical and radiogrincaphic results of a hybrid surgery (HS) and cervical artificial disc replacement (ADR) for contiguous two-level cervical spondylosis.
Methods: A total of 56 patients with contiguous two-level degenerative cervical spondylosis who underwent cervical HS and ADR via an anterior approach and completed at least 6 years of follow-up were included in this study. Patients were divided into two groups: group I, comprising 22 patients who underwent ADR, and group II, comprising 34 patients who underwent HS combined ADR and anterior cervical discectomy and fusion using a cage. Clinical outcomes were evaluated based on the visual analog scale (VAS) scores for arm pain, neck disability index (NDI), and modified MacNab criteria. Radiological parameters were assessed by measuring the bone fusion status, cervical range of motion (ROM C2-C7), heterotopic ossification (HO), adjacent segment disease (ASD) incidence, and fused segment height (FSH).
Results: The VAS scores and NDI significantly improved in both groups, without significant differences between the groups. The incidences of HO, ROM C2?C7, and FSH were similar between groups, without significant differences. New osteophyte formation and osteophyte enlargement at adjacent segments were more frequently found in the HS group; however, the difference was not significant.
Conclusion: Clinical results of this study showed that the clinical efficacy and radiological changes in HS were similar to those of ADR. HS can be an alternative procedure for the treatment of two-level cervical spondylosis.
목차
등록된 정보가 없습니다.
참고문헌 (13)
참고문헌 신청
Auerbach JD / 2008 / The prevalence of indications and contraindications to cervical total disc replacement / Spine J 8:711~716
조용환 / 2013 / Heterotopic Ossification after Cervical Arthroplasty with ProDisc-C: Time Course Radiographic Follow-up over 3 years / Neurospine 10(1):19~24
Eck JC / 2002 / Biomechanical study on the effect of cervical spine fusion on adjacent-level intradiscal pressure and segmental motion / Spine (Phila Pa 1976) 27:2431~2434
Kang L / 2013 / Artificial disk replacement combined with midlevel ACDF versus multilevel fusion for cervical disk disease involving 3 levels / Orthopedics 36:e88~e94
김민기 / 2012 / Radiographic Comparison of Four Anterior Fusion Methods in Two Level Cervical Disc Diseases : Autograft Plate Fixation versus Cage Plate Fixation versus Stand-Alone Cage Fusion versus Corpectomy and Plate Fixation / 대한신경외과학회지 51(3):135~140
조용환 / 2013 / Heterotopic Ossification after Cervical Arthroplasty with ProDisc-C: Time Course Radiographic Follow-up over 3 years / Neurospine 10(1):19~24
Eck JC / 2002 / Biomechanical study on the effect of cervical spine fusion on adjacent-level intradiscal pressure and segmental motion / Spine (Phila Pa 1976) 27:2431~2434
Kang L / 2013 / Artificial disk replacement combined with midlevel ACDF versus multilevel fusion for cervical disk disease involving 3 levels / Orthopedics 36:e88~e94
김민기 / 2012 / Radiographic Comparison of Four Anterior Fusion Methods in Two Level Cervical Disc Diseases : Autograft Plate Fixation versus Cage Plate Fixation versus Stand-Alone Cage Fusion versus Corpectomy and Plate Fixation / 대한신경외과학회지 51(3):135~140
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