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논문 기본 정보

자료유형
학술저널
저자정보
Lee, Young Seok (Department of Neurosurgery, Chung-Ang University Hospital) Park, Seung Won (Department of Neurosurgery, Chung-Ang University Hospital) Kim, Young Baeg (Department of Neurosurgery, Chung-Ang University Hospital)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제55권 제5호
발행연도
2014.1
수록면
248 - 254 (7page)

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Objective : According to the recent development of minimally invasive spinal surgery, direct lumbar interbody fusion (DLIF) was introduced as an effective option to treat lumbar degenerative diseases. However, comprehensive results of DLIF have not been reported in Korea yet. The object of this study is to summarize radiological and clinical outcomes of our DLIF experience. Methods : We performed DLIF for 130 patients from May 2011 to June 2013. Among them, 90 patients, who could be followed up for more than 6 months, were analyzed retrospectively. Clinical outcomes were compared using visual analog scale (VAS) score and Oswestry Disability Index (ODI). Bilateral foramen areas, disc height, segmental coronal and sagittal angle, and regional sagittal angle were measured. Additionally, fusion rate was assessed. Results : A total of 90 patients, 116 levels, were underwent DLIF. The VAS and ODI improved statistically significant after surgery. All the approaches for DLIF were done on the left side. The left and right side foramen area changed from $99.5mm^2$ and $102.9mm^2$ to $159.2mm^2$ and $151.2mm^2$ postoperatively (p<0.001). Pre- and postoperative segmental coronal and sagittal angles changed statistically significant from $4.1^{\circ}$ and $9.9^{\circ}$ to $1.1^{\circ}$ and $11.1^{\circ}$. Fusion rates of 6 and 12 months were 60.9% and 87.8%. Complications occurred in 17 patients (18.9%). However, most of the complications were resolved within 2 months. Conclusion : DLIF is not only effective for indirect decompression and deformity correction but also shows satisfactory mechanical stability and fusion rate.
#Direct lumbar interbody fusion #Minimal invasive spine surgery #Radiological outcomes #Clinical outcomes

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참고문헌 (38)

참고문헌 신청
Acosta FL / 2011 / Changes in coronal and sagittal plane alignment following minimally invasive direct lateral interbody fusion for the treatment of degenerative lumbar disease in adults : a radiographic study / J Neurosurg Spine 15:92~96 google schola Anand N / 2008 / Minimally invasive multilevel percutaneous correction and fusion for adult lumbar degenerative scoliosis : a technique and feasibility study / J Spinal Disord Tech 21:459~467 google schola Anand N / 2010 / Mid-term to long-term clinical and functional outcomes of minimally invasive correction and fusion for adults with scoliosis / Neurosurg Focus 28:6 google schola Bridwell KH / 1995 / Anterior fresh frozen structural allografts in the thoracic and lumbar spine. Do they work if combined with posterior fusion and instrumentation in adult patients with kyphosis or anterior column defects? / Spine 20:1410~1418 google schola Burkus JK / 2004 / Bone morphogenetic proteins in anterior lumbar interbody fusion : old techniques and new technologies. Invited submission from the Joint Section Meeting on Disorders of the Spine and Peripheral Nerves, March 2004 / J Neurosurg Spine 1:254~260 google schola

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