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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.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 13 - 21 (9page)
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Study Design: Retrospective, longitudinal observational study. Purpose: To describe the natural history of anterior bone loss (ABL) in cervical disc arthroplasty (CDA) and introduce a classification system for its assessment. Overview of Literature: ABL has recently been recognized as a complication of CDA, but its cause and clinical effects remain unknown. Methods: Patients with non-keeled CDA (146) were retrospectively reviewed. X-rays were examined at 6 weeks, 3, 6, 9, 12, 18, and 24 months, and annually thereafter for a minimum of 5 years. These were compared with the initial postoperative X-rays to determine the ABL. Visual Analog Scale pain scores were recorded at 3 months and 5 years. Neck Disability Index was recorded at postoperative 5 years. The natural history was determined and a classification system was introduced. Results: Complete radiological assessment was available for 114 patients with 156 cervical disc replacements (CDRs) and 309 endplates (average age, 45.3 years; minimum, 28 years; maximum, 65 years; 57% females). ABL occurred in 57.1% of CDRs (45.5% mild, 8.3% moderate, and 3.2% severe) and commenced within 3 months of the operation and followed a benign course, with improvement in the bone stock after initial bone resorption. There was no relationship between ABL degree and pain or functional outcome, and no implants were revised. Conclusions: ABL is common (57.1%). It occurs at an early stage (within 3 months) and typically follows a non-progressive natural history with stable radiographic features after the first year. Most ABL cases are mild, but severe ABL occurs in approximately 3% of CDAs. ABL does not affect the patients’ clinical outcome or the requirement for revision surgery. Surgeons should thus treat patients undergoing CDA considering ABL.
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등록된 정보가 없습니다.
참고문헌 (30)
참고문헌 신청
Reitz H / 1964 / Intractable headache and cervico-brachialgia treated by complete replacement of cervical intervertebral discs with a metal prosthesis / S Afr Med J 38:881~884
Heller JG / 2009 / Comparison of BRYAN cervical disc arthroplasty with anterior cervical decompression and fusion: clinical and radiographic results of a randomized, controlled, clinical trial / Spine(Phila Pa 1976) 34:101~107
Coric D / 2013 / Prospective randomized study of cervical arthroplasty and anterior cervical discectomy and fusion with long-term follow-up : results in 74 patients from a single site / J Neurosurg Spine 18:36~42
Traynelis VC / 2013 / Alternative procedures for the treatment of cervical spondylotic myelopathy:arthroplasty, oblique corpectomy, skip laminectomy:evaluation of comparative effectiveness and safety / Spine (Phila Pa 1976) 38(22 Suppl 1):S210~S231
Burkus JK / 2014 / Clinical and radiographic analysis of an artificial cervical disc : 7-year follow-up from the Prestige prospective randomized controlled clinical trial : clinical article / J Neurosurg Spine 21:516~528
Heller JG / 2009 / Comparison of BRYAN cervical disc arthroplasty with anterior cervical decompression and fusion: clinical and radiographic results of a randomized, controlled, clinical trial / Spine(Phila Pa 1976) 34:101~107
Coric D / 2013 / Prospective randomized study of cervical arthroplasty and anterior cervical discectomy and fusion with long-term follow-up : results in 74 patients from a single site / J Neurosurg Spine 18:36~42
Traynelis VC / 2013 / Alternative procedures for the treatment of cervical spondylotic myelopathy:arthroplasty, oblique corpectomy, skip laminectomy:evaluation of comparative effectiveness and safety / Spine (Phila Pa 1976) 38(22 Suppl 1):S210~S231
Burkus JK / 2014 / Clinical and radiographic analysis of an artificial cervical disc : 7-year follow-up from the Prestige prospective randomized controlled clinical trial : clinical article / J Neurosurg Spine 21:516~528
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