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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.
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Objective : To investigate the causes for failed anterior cervical surgery and the outcomes of secondary laminoplasty. Methods : Seventeen patients failed anterior multilevel cervical surgery and the following conservative treatments between Feb 2003 and May 2011 underwent secondary laminoplasty. Outcomes were evaluated by the Japanese Orthopaedic Association (JOA) Scale and visual analogue scale (VAS) before the secondary surgery, at 1 week, 2 months, 6 months, and the final visit. Cervical alignment, causes for revision and complications were also assessed. Results : With a mean follow-up of $29.7{\pm}12.1$ months, JOA score, recovery rate and excellent to good rate improved significantly at 2 months (p< 0.05) and maintained thereafter (p>0.05). Mean VAS score decreased postoperatively (p<0.05). Lordotic angle maintained during the entire follow up (p>0.05). The causes for secondary surgery were inappropriate approach in 3 patients, insufficient decompression in 4 patients, adjacent degeneration in 2 patients, and disease progression in 8 patients. Complications included one case of C5 palsy, axial pain and cerebrospinal fluid leakage, respectively. Conclusion : Laminoplasty has satisfactory results in failed multilevel anterior surgery, with a low incidence of complications.
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참고문헌 (18)
참고문헌 신청
Agrawal D. / 2004 / Efficacy and results of expansive laminoplasty in patients with severe cervical myelopathy due to cervical canal stenosis / Neurol India 52:54~58
Baba H. / 1994 / Laminoplasty following anterior cervical fusion for spondylotic myeloradiculopathy / Int Orthop 18:1~5
Chen Y. / 2011 / Surgical strategy for multilevel severe ossification of posterior longitudinal ligament in the cervical spine / J Spinal Disord Tech 24:24~30
Choi S. / 2005 / Factors affecting prognosis of patients who underwent corpectomy and fusion for treatment of cervical ossification of the posterior longitudinal ligament : analysis of 47 patients / J Spinal Disord Tech 18:309~314
Edwards CC 2nd. / 2002 / Corpectomy versus laminoplasty for multilevel cervical myelopathy : an independent matched-cohort analysis / Spine(Phila Pa 1976) 27:1168~1175
Baba H. / 1994 / Laminoplasty following anterior cervical fusion for spondylotic myeloradiculopathy / Int Orthop 18:1~5
Chen Y. / 2011 / Surgical strategy for multilevel severe ossification of posterior longitudinal ligament in the cervical spine / J Spinal Disord Tech 24:24~30
Choi S. / 2005 / Factors affecting prognosis of patients who underwent corpectomy and fusion for treatment of cervical ossification of the posterior longitudinal ligament : analysis of 47 patients / J Spinal Disord Tech 18:309~314
Edwards CC 2nd. / 2002 / Corpectomy versus laminoplasty for multilevel cervical myelopathy : an independent matched-cohort analysis / Spine(Phila Pa 1976) 27:1168~1175
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