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
- 2021.1
- 수록면
- 240 - 248 (9page)
이용수
초록· 키워드
오류제보하기
Purpose: This study aimed to present our experience with failures in C-TDR and revision surgery outcomes. Materials and Methods: We retrospectively examined patients who underwent revision surgery due to the failure of C-TDR between May 2005 to March 2019. Thirteen patients (8 males and 5 females) were included in this study. The mean age was 46.1 years (range: 22?61 years), and the average follow-up period was 19.5 months (range: 12?64 months). The outcome measures of pre- and post-operative neck and arm pain using a visual analogue scale (VAS) and functional impairment were assessed using a modified Japanese Orthopedic Association (JOA) scale and the Neck Disability Index (NDI). Results: The main complaints of patients were posterior neck pain (77%), radiculopathy (62%), and/or myelopathy (62%). The causes of failure of C-TDR were improper indications for the procedure, osteolysis and mobile implant use, inappropriate techniques, and postoperative infection. The most common surgical level was C5?6, followed by C4?5. After revision surgery, the neck and arm pain VAS (preoperative vs. postoperative: 5.46 vs. 1.31; 4.86 vs. 1.08), a modified JOA scale (14.46 vs. 16.69), and the NDI (29.77 vs. 9.31) scores were much improved. Conclusion: C-TDR is good surgical option. However, it is very important to adhere to strict surgical indications and contraindications to avoid failure of C-TDR. The results of reoperations were good regardless of the approach. Therefore, various reoperation options could be considered in patients with failed C-TDR.
목차
등록된 정보가 없습니다.
참고문헌 (26)
참고문헌 신청
Bohlman HH / 1993 / Robinson anterior cervical discectomy and arthrodesis for cervical radiculopathy. Long-term follow-up of one hundred and twenty-two patients / J Bone Joint Surg Am 75:1298~1307
Lee JH / 2014 / Comparison of cervical kinematics between patients with cervical artificial disc replacement and anterior cervical discectomy and fusion for cervical disc herniation / Spine J 14:1199~1204
Matsumoto M / 2010 / Anterior cervical decompression and fusion accelerates adjacent segment degeneration: comparison with asymptomatic volunteers in a ten-year magnetic resonance imaging followup study / Spine(Phila Pa 1976) 35:36~43
Wigfield C / 2002 / Influence of an artificial cervical joint compared with fusion on adjacent-level motion in the treatment of degenerative cervical disc disease / J Neurosurg 96(1 Suppl):17~21
Delamarter RB / 2013 / Five-year reoperation rates, cervical total disc replacement versus fusion, results of a prospective randomized clinical trial / Spine(Phila Pa 1976) 38:711~717
Lee JH / 2014 / Comparison of cervical kinematics between patients with cervical artificial disc replacement and anterior cervical discectomy and fusion for cervical disc herniation / Spine J 14:1199~1204
Matsumoto M / 2010 / Anterior cervical decompression and fusion accelerates adjacent segment degeneration: comparison with asymptomatic volunteers in a ten-year magnetic resonance imaging followup study / Spine(Phila Pa 1976) 35:36~43
Wigfield C / 2002 / Influence of an artificial cervical joint compared with fusion on adjacent-level motion in the treatment of degenerative cervical disc disease / J Neurosurg 96(1 Suppl):17~21
Delamarter RB / 2013 / Five-year reoperation rates, cervical total disc replacement versus fusion, results of a prospective randomized clinical trial / Spine(Phila Pa 1976) 38:711~717
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