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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Kim, Ji Yong (Department of Neurosurgery, Korean Armed Forces Busan Hospital) Oh, Chang Hyun (Department of Neurosurgery, Spine and Joint Research Institute, Guro Teun Teun Hospital) Yoon, Seung Hwan (Department of Neurosurgery, Inha University College of Medicine) Park, Hyeong-Chun (Department of Neurosurgery, Inha University College of Medicine) Seo, Hyun Sung (Department of Neurosurgery, Inha University College of Medicine)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제55권 제5호
발행연도
2014.1
수록면
255 - 260 (6page)

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Objective : The purpose of this study was to compare the radiological and neurological outcomes between two atlantoaxial fusion method for atlantoaxial stabilization; C1 lateral mass-C2 pedicle screws (screw-rod constructs, SRC) versus C1-2 transarticular screws (TAS). Methods : Forty-one patients in whom atlantoaxial instability was treated with atlantoaxial fixation by SRC group (27 patients, from March 2005 to May 2011) or TAS group (14 patients, from May 2000 to December 2005) were retrospectively reviewed. Numeric rating scale (NRS) for pain assessment, Oswestry disability index (ODI), and Frankel grade were also checked for neurological outcome. In radiologic outcome assessment, proper screw position and fusion rate were checked. Perioperative parameters such as blood loss during operation, operation time, and radiation exposure time were also reviewed. Results : The improvement of NRS and ODI were not different between both groups significantly. Good to excellent response in Frankel grade is shown similarly in both groups. Proper screw position and fusion rate were also observed similarly between two groups. Total bleeding amount during operation is lesser in SRC group than TAS group, but not significantly (p=0.06). Operation time and X-ray exposure time were shorter in SRC group than in TAS group (all p<0.001). Conclusion : Both TAS and SRC could be selected as safe and effective treatment options for C1-2 instability. But the perioperative result, which is technical demanding and X-ray exposure might be expected better in SRC group compared to TAS group.
#Atlantoaxial fixation #C-1 lateral mass screw #C-2 pedicle screw #Transarticular screw #Complications #Fusion

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참고문헌 (22)

참고문헌 신청
Brooks AL / 1978 / Atlanto-axial arthrodesis by the wedge compression method / J Bone Joint Surg Am 60:279~284 google schola Coyne TJ / 1995 / C1-C2 posterior cervical fusion : long-term evaluation of results and efficacy / Neurosurgery 37:688~692 google schola Dickman CA / 1996 / Biomechanical characteristics of C1-2 cable fixations / J Neurosurg 85:316~322 google schola Dickman CA / 1998 / Posterior C1-C2 transarticular screw fixation for atlantoaxial arthrodesis / Neurosurgery 43:275~280 google schola Elliott RE / 2014 / Outcome comparison of atlantoaxial fusion with transarticular screws and screw-rod constructs : meta-analysis and review of literature / J Spinal Disord Tech 27:11~28 google schola

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