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
- 2019.1
- 수록면
- 558 - 562 (5page)
이용수
초록· 키워드
오류제보하기
Objective: C5 palsy is a severe complication after cervical spine surgery, the pathophysiology of which remains unclear. This multicenter study investigated the incidence of C5 palsy following cervical spine surgery in Korea. Methods: We conducted a retrospective multicenter study involving 21 centers from the Korean Cervical Spine Study Group. The inclusion criteria were cervical spine surgery patients between 2012 and 2016, excluding cases of neck surgery. In patients with C5 palsy, the operative methods, disease category, onset time of C5 palsy, recovery time, C5 manual muscle testing (MMT) grade, and post-C5 palsy management were analyzed. Results: We collected 15,097 cervical spine surgery cases from 21 centers. C5 palsy occurred in 88 cases (0.58%). C5 palsy was more common in male patients (p=0.019) and after posterior approach procedures (p<0.001). C5 palsy usually occurred within 3 days after surgery (77 of 88, 87.5%) and most C5 palsy patients recovered within 6 months (51 of 88, 57.95%). Thirty C5 palsy patients (34.09%) had motor weakness, with an MMT grade≤2. Only four C5 palsy patients (4.5%) did not recover during follow-up. Posterior cervical foraminotomy was performed in 7 cases (7.95%), and steroids were used in 56 cases (63.63%). Twenty-six cases (29.55%) underwent close observation only. Conclusion: The overall incidence of C5 palsy was relatively low (0.58%). C5 palsy was more common after posterior cervical surgery and in male patients. C5 palsy usually developed within 3 days after surgery, and more than half of patients with C5 palsy recovered within 6 months.
목차
등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
qWang T / 2017 / Incidence of C5 nerve root palsy after cervical surgery: A meta-analysis for last decade / Medicine (Baltimore) 96:e8560
Uematsu Y / 1998 / Radiculopathy after laminoplasty of the cervical spine / Spine(Phila Pa 1976) 23:2057~2062
Radcliff KE / 2014 / Cervical laminectomy width and spinal cord drift are risk factors for postoperative C5 palsy / J Spinal Disord Tech 27:86~92
Odate S / 2013 / Extremely wide and asymmetric anterior decompression causes postoperative C5 palsy: an analysis of 32 patients with postoperative C5palsy after anterior cervical decompression and fusion / Spine(Phila Pa 1976) 38:2184~2189
Nakashima H / 2012 / Multivariate analysis of C-5 palsy incidence after cervical posterior fusion with instrumentation / J Neurosurg Spine 17:103~110
Uematsu Y / 1998 / Radiculopathy after laminoplasty of the cervical spine / Spine(Phila Pa 1976) 23:2057~2062
Radcliff KE / 2014 / Cervical laminectomy width and spinal cord drift are risk factors for postoperative C5 palsy / J Spinal Disord Tech 27:86~92
Odate S / 2013 / Extremely wide and asymmetric anterior decompression causes postoperative C5 palsy: an analysis of 32 patients with postoperative C5palsy after anterior cervical decompression and fusion / Spine(Phila Pa 1976) 38:2184~2189
Nakashima H / 2012 / Multivariate analysis of C-5 palsy incidence after cervical posterior fusion with instrumentation / J Neurosurg Spine 17:103~110
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