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
- 2021.10
- 수록면
- 126 - 135 (10page)
- DOI
- https://doi.org/10.13004/kjnt.2021.17.e23
이용수
초록· 키워드
오류제보하기
Objective: Anterior cervical corpectomy using a titanium mesh cage may result in delayed nonunion and thus a change in cervical alignment, and patients may require revision surgery. We investigated the radiologic and clinical outcomes of cervical corpectomy and the risk factors for subsidence.
Methods: We studied 74 patients who underwent single-level anterior cervical corpectomy for cervical spondylotic myelopathy with or without ossification of the posterior longitudinal ligament between 2007 and 2014. Graft subsidence was considered present when there was a reduction in the anterior and posterior heights by an average of 4 mm or more 2 years after the operation. We measured cervical parameters before surgery, immediately after surgery, and 6, 12, and 24 months after surgery. The clinical outcomes were the neck and arm visual analog scale scores and reoperation rate.
Results: In the subsidence group, these values gradually decreased over the 24 months. The radiologic parameters did not differ between the 2 groups for 24 months after the onset of subsidence. There were no differences in clinical outcome or reoperation rate. In the analysis of the risk factors, subsidence occurred with a large T1 slope and a large change in the C27 Cobb angle (p=0.020 and p=0.026, respectively).
Conclusion: Subsidence gradually occurred after single-level anterior cervical corpectomy for up to 24 months. However, the presence of subsidence did not affect the radiologic and clinical outcomes. When the T1 slope was large and the C27 Cobb angle change was severe, more subsidence occurred.
목차
등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Brodke DS / 2006 / Anterior cervical fixation : analysis of load-sharing and stability with use of static and dynamic plates / J Bone Joint Surg Am 88:1566~1573
Chen Y / 2008 / Subsidence of titanium mesh cage : a study based on 300 cases / J Spinal Disord Tech 21:489~492
Chuang HC / 2006 / Efficacy and safety of the use of titanium mesh cages and anterior cervical plates for interbody fusion after anterior cervical corpectomy / Surg Neurol 65:464~471
Daubs MD / 2005 / Early failures following cervical corpectomy reconstruction with titanium mesh cages and anterior plating / Spine (Phila Pa 1976) 30:1402~1406
Eck KR / 2000 / Analysis of titanium mesh cages in adults with minimum two-year follow-up / Spine (Phila Pa 1976) 25:2407~2415
Chen Y / 2008 / Subsidence of titanium mesh cage : a study based on 300 cases / J Spinal Disord Tech 21:489~492
Chuang HC / 2006 / Efficacy and safety of the use of titanium mesh cages and anterior cervical plates for interbody fusion after anterior cervical corpectomy / Surg Neurol 65:464~471
Daubs MD / 2005 / Early failures following cervical corpectomy reconstruction with titanium mesh cages and anterior plating / Spine (Phila Pa 1976) 30:1402~1406
Eck KR / 2000 / Analysis of titanium mesh cages in adults with minimum two-year follow-up / Spine (Phila Pa 1976) 25:2407~2415
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