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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
- 2018.1
- 수록면
- 114 - 119 (6page)
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초록· 키워드
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Objective : The purpose of this study was to determine the feasibility of screw fixation in previously augmented vertebrae with bone cement. We also investigated the influence of cement distribution pattern on the surgical technique. Methods : Fourteen patients who required screw fixation at the level of the previous percutaneous vertebroplasty or balloon kyphoplasty were enrolled in this study. The indications for screw fixation in the previously augmented vertebrae with bone cement included delayed complications, such as cement dislodgement, cement leakage with neurologic deficits, and various degenerative spinal diseases, such as spondylolisthesis or foraminal stenosis. Clinical outcomes, including pain scale scores, cement distribution pattern, and procedure-related complications were assessed. Results : Three patients underwent posterior screw fixation in previously cemented vertebrae due to cement dislodgement or progressive kyphosis. Three patients required posterior screw fixation for cement leakage or displacement of fracture fragments with neurologic deficits. Eight patients underwent posterior screw fixation due to various degenerative spinal diseases. It was possible to insert screws in the previously augmented vertebrae regardless of the cement distribution pattern; however, screw insertion was more difficult and changed directions in the patients with cemented vertebrae exhibiting a solid pattern rather than a trabecular pattern. All patients showed significant improvements in pain compared with the preoperative levels, and no patient experienced neurologic deterioration as seen at the final follow-up. Conclusion : For patients with vertebrae previously augmented with bone cement, posterior screw fixation is not a contraindication, but is a feasible option.
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참고문헌 (4)
참고문헌 신청
정현진 / 2012 / Bone Cement-Augmented Short Segment Fixation with Percutaneous Screws for Thoracolumbar Burst Fractures Accompanied by Severe Osteoporosis / 대한신경외과학회지 52(4):353~358
Hyeun Sung Kim / 2010 / The Role of Bone Cement Augmentation in the Treatment of Chronic Symptomatic Osteoporotic Compression Fracture / 대한신경외과학회지 48(12):490~495
김석원 / 2008 / Bone Cement Augmentation of Short Segment Fixation for Unstable Burst Fracture in Severe Osteoporosis / 대한신경외과학회지 44(1):8~14
Hee Sun Wang / 2008 / Delayed Bone Cement Displacement Following Balloon Kyphoplasty / 대한신경외과학회지 43(4):212~214
Hyeun Sung Kim / 2010 / The Role of Bone Cement Augmentation in the Treatment of Chronic Symptomatic Osteoporotic Compression Fracture / 대한신경외과학회지 48(12):490~495
김석원 / 2008 / Bone Cement Augmentation of Short Segment Fixation for Unstable Burst Fracture in Severe Osteoporosis / 대한신경외과학회지 44(1):8~14
Hee Sun Wang / 2008 / Delayed Bone Cement Displacement Following Balloon Kyphoplasty / 대한신경외과학회지 43(4):212~214
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